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LaurenElizabethZalepka

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?

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