Pre-Educational Assessment Form
Name
First Name
Last Name
Email for receipt.
example@example.com
High School Name
If you have attended more than one high school, please list the high schools and dates attended.
Graduating Year
Current GPA and Rank
Please upload a copy of your most updated transcript
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Please list your current course schedule.
Be specific regarding AP, Honors...etc.
What is your favorite and/or best class(es) and why?
What is your least favorite and or worst class(es) and why?
Are you involved in any clubs or organizations? Please list including dates.
Do you play any sports? Please list current and past sports including dates.
Please list all of your honors and awards, including dates.
Please list all of your past and current community service.
Please list all of your past and current internships and jobs.
What do you usually do over your summer? What do you plan to do this upcoming summer?
Do you have any diagnosed learning differences, or do you have any suspicion you may have an undiagnosed learning difference? If diagnosed, please include the age/grade you were diagnosed in and list any daily medications.
Are there any coping strategies you find helpful for navigating your learning differences? Please specify.
If you do have any learning differences, please upload supporting documents here.
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Please list all official and practice test scores (SAT, ACT, PSAT, Pre-ACT) and source of test (i.e. Kaplan, CollegeBoard...etc)
Please upload all standardized score reports (official or practice).
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Download this
College/Major Excel Spreadsheet
, and upload the completed form below.
Please upload the complete College/Major excel spreadsheet from above.
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Please use this space to let us know anything else about you and your college admissions or future goals.
Is there anything you would like us to know about your past or present physical, mental, or emotional health that may impact your learning experience? Please elaborate as much as you are comfortable. All answers are confidential.
What coping strategies do you use to manage stress, burnout, or emotional challenges?
How do you prefer to receive support when facing challenges such as stress or burnout?
Please use this space for any other information you'd like to share.
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