Student Information Questionnaire

Student Information Questionnaire

Please provide the information requested below and click "Submit" when complete for submission to the College Advising Office.
Student's full legal name *

First Name Middle Name Last Name
Student's date of birth *

Month Day Year
Date
Grades at NBPS (check all that apply) *

6th 7th 8th 9th 10th 11th 12th
Student's email *
first.last@mynbps.org
Student's cell phone number *

Area Code Phone Number
Home address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
City and country of birth *
Citizenship *

U.S.
Are you Hispanic or Latino? *

Yes No
Please indicate how you identify yourself. You may select one or more options. *

American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Asian White (non-Hispanic) Black or African American
Language(s) spoken at home *
Language(s) in which you are fluent *
Have you attended any other high schools prior to enrolling at NBPS? If yes, please complete the next section to indicate the name of the school for the corresponding grade level. *

Yes No
9th Grade High School
10th Grade High School
11th Grade High School
Are you working with an agent or independent/private counselor? *

Yes No

Please answer the following questions with as much detail as possible.
How would a friend describe you? *
Why do you want to attend college and what do you want colleges to know about you? *
What motivates you? *
What is a little known fact about you, your life/experiences, or interests (academic or otherwise)? *
Which teachers/coaches know you best? *
List any academic distinctions or honors you’ve received in high school and when earned. *
List and describe participation in music/drama/arts. Indicate instruments, roles, talents, and recognition received. *
List and describe participation in athletic activities, indicating length of participation and any special recognition received. *
List and describe your participation in extracurricular school clubs/activities, out-of-school activities and volunteer service. Indicate positions held, specific events and when you participated. *
List and describe employment or internships, indicating responsibilities and length of employment or period of time when internship was performed. *
How have you spent your summers during high school? *
Which of the above activities has been most important to you and why? *
What is your favorite subject in high school and why? *
Which books have you recently read for pleasure? *
What are possible majors of interest during college and why? *
Discuss any particular challenges you’ve experienced and how you have worked to overcome them. *
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