Fredericksburg Academy Junior Questionnaire College Counseling Office In order for me to get to know you and to best advocate for you to colleges, I need some honest and sincere information from you. Please assist me by completing the following questionnaire and returning it to me. The information you provide will be kept in confidence and not shared with parents or teachers. The more information you provide and the more serious you take the task, the better recommendation I can write for you. Feel free to add information not requested if you think it would help me to better understand you and your needs. Thank you, Mrs. Fischer, Director of College Counseling Student Full Legal Name: Student cell phone: Name of Parent(s) or Guardian(s) with whom you reside: Education: List all previous high schools attended and dates enrolled: List any colleges attended, courses taken, and dates: Please give thoughtful responses: 1. What aspects of your high school years have you enjoyed the most? If you could live them over again, would you do anything differently? If so, what? 2. Considering all that you do, what do you really care about? What do you like to discuss? What draws your interest? 1
3. What do you want to accomplish in the years ahead? In high school: In college: In life: 4. What events/experiences have shaped your growth and way of thinking? 5. Identify your favorite courses at FA and what made them your favorites. 6. How do you learn best? What methods and styles of teaching engage your interest and effort the most? 7. How would someone who knows you well describe you? Your finest qualities? Your most obvious shortcomings? 8. How have you grown or changed during your high school years? 9. What activity is most meaningful to you and why? 2
10. Do you like reading outside of school? What kinds of things do you read? 11. Describe an ACADEMIC experience that has been a highlight of your years at FA. 12. Describe a personal accomplishment of which you are most proud and explain why. 13. List 4-5 words that your family or friends would use to describe you. 14. There are obviously no right or wrong answers to the following, However, your responses might help me to know you a little better. Favorite book: Favorite place: Favorite academic subject: Favorite food: Favorite quotation: Favorite song: Favorite movie: Favorite section of the newspaper: Favorite website: Favorite activity: Favorite memento: Best advice you have ever received: 15. I want to get to know you beyond the responses so far. Tell me something important about you that this questionnaire may have missed or give me an anecdote that you feel reveals something about your personality. Please be open and candid and feel free to be creative. It doesn t need to be structured; you may write it like a journal entry if you prefer. 3
Additional Information: 1. Are there any outside circumstances that have interfered with your academic performance? Is there anything on your transcript you feel warrants clarification? 2. Have you ever been suspended, dismissed or placed on probation for academic or disciplinary reasons? Is so, please explain. If you have ever had to leave school for an extended period of time, please explain the circumstances. 3. Do you have a learning disability that warrants special accommodations? If so, do we have permission to discuss it in a school letter as a way of providing context for your academic performance? (We should definitely discuss this during a college meeting.) College Preferences: Check the appropriate box concerning college characteristics you think might be best for you. (Check all that apply) Size: Small (2,900 and under) Medium (3,000-9,999) Large (10,000-19,999) Largest (over 20,000) No Preference Region: Southeast Middle Atlantic Southwest Midwest West Northeast Foreign No Preference List specific states/countries you are interested in: List colleges you might be considering at this time. Mark with an asterisk (*) any college where you are a legacy. 1. 2. 4
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