DATA SHEET FORM
Your Information
Date:
Student's Full Name:
Phone:
Date of Birth:
Social Security #:
High School CEEB Code:
This will be needed for applications and can be found on line or on your school's website. Go to Google and enter in the name of your high school and the letters CEEB code
GPA 9-11 academic unweighted
GPA 10-11 academic weighted
Student: Please list all schools and colleges you have attended since 9th grade:
Test Scores:
PSAT Only:
Cr Reading
:
Test Scores:
PSAT Only:
Math
:
Test Scores:
PSAT Only:
Writing
:
SAT I DATA
DATE:
| Math:
| Critical Reading:
| Writing:
DATE:
| Math:
| Critical Reading:
| Writing:
SAT II DATA
Date
Subject
Score
Date
Subject
Score
Date
Subject
Score
ACT DATA
Date
Score
Date
Score
Date
Score
Father's Name:
Father- Street Address:
(if different from student's)
Father-City:
Father-State:
Father-Zip:
Father-Home Phone:
Father-Work Phone:
Father-Cell Phone:
Father-Occupation:
Father- Undergraduate College Attended:
Father- Graduate College Attended:
Father-Degrees & Certifications:
Mother's Name:
Mother- Street Address:
(if different from student's)
Mother-City:
Mother-State:
Mother-Zip:
Mother-Home Phone:
Mother-Work Phone:
Mother-Cell Phone:
Mother-Occupation:
Mother- Undergraduate College Attended:
Mother- Graduate College Attended:
Mother-Degrees & Certifications:
Brother/Sister of the student
(please list all siblings, their ages and colleges attending or attended)
Cost Factor:
Are you willing to look at private schools?
Yes
| No
Do you need financial aid?
Yes
| No
Is public school more desirable due to cost?
Yes
| No
Please list any persons/organizations that you would consider asking to write a letter of recommendation on your behalf:
