You are on page 1of 4

JacobWayneWalker

Pleasefilloutthisformasaccuratelyandcompletely.Dontbeafraidtobragaboutyourselfalittle.Your
counselorandteacherswillusethisinformationinrecommendingyouforscholarships,collegeadmission,and
otherhonors/awards.

SECTION1:GENERALINFORMATION
FullName:JacobWayneWalkerNickname:Jake
DateofBirth:02/04/00
HomePhone:NA
EmailAddress:jakewalkeriphone@gmail.com
NameofParentsyoulivewith:KellyandJeffWalker
FathersPlaceofEmployment:GalvanIndustriesWkPhone:7044565633
MothersPlaceofEmployment:LakesideProjectSolutionsWkPhone:7044833739
Sibling's(Name&Ages):JordanWalker,17
YearofGraduation:2018

SECTION2:ACADEMICANDTESTINGINFORMATION
ACADEMICS:
UnweightedOverallGPA:3.2500
WeightedOverallGPA:3.5000
ClassRank:____outof____

TESTING:
PSAT/SAT:
DateTaken:___________OverallScore:______Reading:______Math:______Writing:______
DateTaken:___________OverallScore:______Reading:______Math:______Writing:______
DateTaken:___________OverallScore:______Reading:______Math:______Writing:______

ACT:
DateTaken:___________
OverallScore:______English:_______Math:______Science:______Writing:_____

DateTaken:___________
OverallScore:______English:_______Math:______Science:______Writing:_____

HaveyouregisteredforafutureACT/SAT?YesorNoDate:__________
No.

SECTION3:CLUBS,HONORS,&AWARDS(Beginwith9thgrade)

ClubsandOrganizations:
Nameofclubororganization

Responsibilities

YearsInvolved/Grades

AwardsandHonors:
NameofAward

ReasonforAward

Year

ExtraCurricularActivities:
Activity

Responsibilities/Positions

Year


SECTION4:VOLUNTEERANDWORK
Volunteer/CommunityService:
Activity

Responsibilities/Positions

Year

WorkExperience:
Employedby

Responsibilities/Positions

Year

SECTION5:GETTINGTOKNOWYOU
1.Whatdoyouconsideryourstrongestpersonalasset?Why?Mystrongestassetiscommitment.Iamat
schoolontimeeverydayandIturnmyworkinwhenitisdue.

2.Whatisyourbiggestweakness?Why?Mybiggestweaknessismath,orsomewhatproblemsolving.I
grewupbeingamazingatmathbutnowitisformulasandIhavehadtroublewithmaththepastcouple
ofyears.

3.Whatthreeadjectivesbestdescribeyou?
A.Ambitious
B.Outgoing
C.Athletic

4.Listthreeteachers,mentors,orcoacheswhowouldspeakhighlyofyou.
A.Ms.Daily
B.Mrs.Andrews
C.Mrs.Rominger
D.Ms.Agar

5.Identifysomethingsyouwouldlikeforsomeonewritingarecommendationtoknowaboutyou?
(Hardshipsyouhaveovercomeaccomplishmentsyoureparticularlyproudof,ect.)Iamahardworkingstudentas
wellasapersonwhoiscommittedtoeverythingIdo.IamnotaquitterandIwillaccomplishanything

thatIstart.

6.Isthereanythingunusualoruniqueaboutyourfamilyculturalbackground,traditions,shared
interestsandactivities,familysizeandyourplaceinorderofthechildren,travel,crises,etc.thathas
hadasignificantimpactonyou?Eventhoughmyparentsaredivorced,theyarestillfriendsand
communicategoodwitheachother.Myfamilyisstillclose.

7.Whatareyourhobbiesorinterestsoutsideofschool?Explainwhy.Iplaybasketball.Igrewupplaying
basketballandIjusthavealoveforthegame.Ialsoliketogooutonthelake,fish,andofcoursehangout
withfriends.Iliketotrynewthings.

8.Listatleasttwoofyouracademicstrengthsandgiveatleastoneexample.(Bespecifici.e.,problem
solving,writing,creativethinking.Donotjustlistyourstrongsubjectareas.)Iamstronginwriting,I
amorganized,goodwithotherpeople,andacreativethinker

9.Whatareyourproudestpersonalandacademicaccomplishmentsduringhighschool?

Personal:Ihavekeptagoodsocial,athletic,andacademicschedulethroughouthighschool.

Academic:Ihavea3.5weightedgradepointaverage

10.HaveyoumetwithyourcounseloratMHS?Dotheyknowwhoyouare?Wouldtheyrememberyou?
No,Ihavenotmetwithmycounseloryet.

You might also like