Pre-Educational Assessment Form
Grad School
Name
First Name
Last Name
Email for receipt.
example@example.com
High School Name & Graduating Year
If you have attended more than one high school, please list the high schools and dates attended.
College Name & Graduating Year
Current GPA and Cumulative GPA
Please upload a copy of your most updated transcript
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Select the type of school you are applying for
Graduate School (STEM focused: M.S., M.Eng.)
Graduate School (M.A., MFA, MPH, MEd, MPA, etc)
PhD program
Med School
Law School
List out any schools/programs you are interested in and what your focus would be:
Please list all of your honors and awards, including dates.
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?
Please list all of your past and current community service. Include dates.
Are you involved in any clubs, organizations, sports, or other activities? Please list and include dates you were/are active. What do you enjoy most about these activities?
Please list all of your past and current internships and jobs.
What are your summer plans? What do you usually do over your summers?
What are your career goals and why?
Why do you want to go to graduate school? What level of education do you envision (i.e. master's, PhD, MD, JD, etc.)?
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, GRE/GMAT, LSAT, etc) and source of test (i.e. Kaplan, CollegeBoard...etc)
Please upload all standardized score reports (official or practice).
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Please use this space to let us know anything else about you and your grad school 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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