2026 Debutante Ball COUNSELOR REPORT FORM

Beta Omega Chapter

2026 Debutante Ball
COUNSELOR REPORT FORM

Directions: To be completed by the high school counselor.

Please complete this form and submit it via JotForm or return it in the stamped, addressed envelope that has been provided by the applicant for your convenience by Monday, April 13, 2026. Please attach or send (via email to: AKADebBallScreening@gmail.com) an Official Transcript of the applicant which should include five semesters of completed work. (If necessary, attach the last grade card report.)
Applicant's Official Transcript and last grade card report if necessary. If you can't upload it, please email it to AKADebBallScreening@gmail.com

it should include five semesters of completed work
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1. Applicant’s Name*

First NameMiddle NameLast Name
2.Name of School*
Present Grade Level*
3. Length of time you have known applicant in years*

8. Has the applicant discussed her post-secondary plans with you?*

YesNo
If yes, in your opinion are the plans and goals realistic in terms of her ability and career availability in today's job market? Please explain briefly.
9. To the best of your knowledge, please comment on the applicant’s initiative, leadership qualities, concern for others, cooperativeness and responsible nature.*
Counselor’s Name*
Telephone Number*
Counselor's Email*
example@example.com
Counselor's Signature*

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Please submit this form no later than Monday, April 13, 2026
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Beta Omega Chapter