Professional Documents
Culture Documents
Pleasefilloutthisformasaccuratelyandcompletely.Dontbeafraidtobragaboutyourselfalittle.Your
counselorandteacherswillusethisinformationinrecommendingyouforscholarships,collegeadmission,and
otherhonors/awards.
SECTION1:GENERALINFORMATION
FullName:LaurenElizabethZalepkaNickname:Zalepka
DateofBirth:July25,2000
HomePhone:
EmailAddress:laurenzalepka@yahoo.com
NameofParentsyoulivewith:LeAnnaDunlap&JasonDunlap
FathersPlaceofEmployment:WkPhone:
MothersPlaceofEmployment:MooresvilleTribuneWkPhone:
Siblings(Name&Ages):JayneZalepka18,EmmaDunlap8,TylerZalepka21,AnthonyWhite23,
RobertWhite25,AnnalieseWhite18,NateAndrews21,EdgardoUrquilla21
YearofGraduation:
SECTION2:ACADEMICANDTESTINGINFORMATION
ACADEMICS:
UnweightedOverallGPA:
WeightedOverallGPA:
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:__________
SECTION3:CLUBS,HONORS,&AWARDS
(
Beginwith9
th
grade)
ClubsandOrganizations:
Nameofclubororganization
Responsibilities
YearsInvolved/Grades
ChristianMission
Sortcannedfoodstobegivento
peoplelessfortunate
1year20142015
BriansCenter
Talkandkeepcompanywiththe
residents.Likeplayingbingo.
20142015
AwardsandHonors:
NameofAward
ReasonforAward
Year
ExtraCurricularActivities:
Activity
Responsibilities/Positions
VarsityBasketball
F,G
20142016
CarolinaHeatBasketball
SG
20132015
Year
SECTION4:VOLUNTEERANDWORK
Volunteer/CommunityService:
Activity
Responsibilities/Positions
Year
WorkExperience:
Employedby
Responsibilities/Positions
Year
SECTION5:GETTINGTOKNOWYOU
1.Whatdoyouconsideryourstrongestpersonalasset?Why?
2.Whatisyourbiggestweakness?Why?
3.Whatthreeadjectivesbestdescribeyou?
A.
B.
C.
4.Listthreeteachers,mentors,orcoacheswhowouldspeakhighlyofyou.
A.
B.
C.
5.Identifysomethingsyouwouldlikeforsomeonewritingarecommendationtoknowaboutyou?
(
Hardshipsyouhaveovercomeaccomplishmentsyoureparticularlyproudof,ect.)
6.Isthereanythingunusualoruniqueaboutyourfamilyculturalbackground,traditions,shared
interestsandactivities,familysizeandyourplaceinorderofthechildren,travel,crises,etc.thathas
hadasignificantimpactonyou?
7.Whatareyourhobbiesorinterestsoutsideofschool?Explainwhy.
8.Listatleasttwoofyouracademicstrengthsandgiveatleastoneexample.(Bespecifici.e.,problem
solving,writing,creativethinking.Donotjustlistyourstrongsubjectareas.)
9.Whatareyourproudestpersonalandacademicaccomplishmentsduringhighschool?
Personal:
Academic:
10.HaveyoumetwithyourcounseloratMHS?Dotheyknowwhoyouare?Wouldtheyrememberyou?