Counselor’s Report – NMAC 1213 Scholarship Application
For school counselors: Please complete this report to verify and appraise the applicant’s academic status and qualifications by April 28, 2026.
Applicant Information
Enter the scholarship applicant’s details below.
Applicant’s Full Name
*
First Name
Middle Name
Last Name
Counselor Information
Enter your professional and contact details.
Counselor’s Full Name
*
First Name
Last Name
Counselor Position/Title
*
Counselor Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Counselor Email Address
*
example@example.com
Length of time you have known the applicant
*
Academic Data
Provide the applicant’s academic information as requested.
Applicant’s GPA
*
Highest GPA in the graduating class
*
Is the GPA weighted?
*
Yes
No
Class Rank (Applicant’s rank)
Class Size
ACT Composite Score
ACT Date Taken
-
Month
-
Day
Year
Date
SAT Critical Reading Score
SAT Math Score
SAT Date(s) Taken
Curriculum Rigor – Honors Courses
Complete the following about honors courses.
Are honors courses available at your school?
*
Yes
No
Has the applicant taken honors courses?
Yes
No
If yes, list the subjects of honors courses taken
Curriculum Rigor – AP Courses
Complete the following about Advanced Placement (AP) courses.
Are AP courses available at your school?
*
Yes
No
Has the applicant taken AP courses?
Yes
No
If yes, list the subjects of AP courses taken
How would you describe the applicant's academic program compared with that of other students applying for scholarships?
*
Most Demanding
Very Demanding
Demanding
Average
Below Average
Is there a community service requirement for graduation?
*
Yes
No
If yes, how many service hours are required?
Counselor’s Narrative Appraisal of the Applicant (Brief summary assessing applicant's academic and personal qualities. Include any special quality or talent she possesses. Also, please cite any specific events or specific circumstances, which give insight into the strengths and weaknesses of the applicant.
*
Counselor’s Signature
*
Date of Completion
*
-
Month
-
Day
Year
Date
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