To be completed by a school official by February 28, 2018.
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.
Student's First Name
*
Student's Last Name
*
High School:
*
The following is to be completed by a High School Official or Administrator. Indicate if GPA and class rank as of the end of the first semester of the student's senior year are weighted or unweighted.
Class Rank or Percentile Rank:
*
Is Class Rank weighted?
*
Please Select
Weighted
Unweighted
Number of Students in High School Class:
*
GPA:
*
Is GPA weighted?
*
Please Select
Weighted
Unweighted
Scale for an "A" Grade:
*
Please Select
A = 4.0
A = 4.5
A = 5.0
A = 10.0
A = 12.0
Other
Other "A" Grade Scale:
*
Highest Earned ACT Composite Score:
Please Select
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Other
Did Not Take ACT
Highest Earned SAT Score:
Any other comments or clarifications about the student's academic credentials?
I certify that the information provided on this academic verification form is accurate and complete.
Name of High School Official or Administrator:
*
Title of Official:
*
Date
*
-
Month
-
Day
Year
Date
Official's Email
*
Official's Office Phone
*
Submit
Should be Empty: