common app preview

7/31/2019 Common App Preview

1/14

2011-12 First-year ApplicationFor Spring 2012 or Fall 2012 Enrollment

AP-1/201 2011 The Common Application, Inc.

APPLICANT

Legal Name ________________________________________________________________________________________________________________Last/Family/Sur (Enter nameexactlyas it appears on oicial documents.) First/Given Middle (complete) Jr., etc.

Preerred name, i not rst name (only one) ____________________________ Former last name(s) __________________________________________

Birth Date ____________________________________________________ US Social Security Number, i any ________________________________

mm/dd/yyyy Required or US Citizens and Permanent Residents applying or inancial aid via FA

Preerred Telephone p Home p Cell Home (_______) __________________________________ Cell (_______) _______________________________Area/Country/City Code Area/Country/City Code

E-mail Address ________________________________________________ IM Address _________________________________________________

Permanent home address _______________________________________________________________________________________________________Number & Street Apartment #

_________________________________________________________________________________________________________________________City/Town County or Parish State/Province Country ZIP/Postal C

I dierent rom aboe, please gie your current mailing address or all admission correspondence. (rom ___________ to _________(mm/dd/yyyy) (mm/dd/yyyy

Current mailing address _______________________________________________________________________________________________________Number & Street Apartment #

_________________________________________________________________________________________________________________________City/Town County or Parish State/Province Country ZIP/Postal C

I your current mailing address is a boarding school, include name o school here: ______________________________________________________________

FUTURE PLANS

Your answers to these questions will vary or dierent colleges. I the online system did not ask you to answer some o the questions you see in this section, this collegchose not to ask that question o its applicants.

College ________________________________________________________ Deadline ___________________________________________________mm/dd/yyyy

Entry Term: pFall (Jul-Dec) pSpring (Jan-Jun)

Decision Plan ___________________________________________________

Academic Interests _____________________________________________

____________________________________________________________

____________________________________________________________

Career Interest _________________________________________________

Do you intend to apply or need-based nancial aid? p Yes p N

Do you intend to apply or merit-based scholarships? p Yes p N

Do you intend to be a ull-time student? p Yes p N

Do you intend to enroll in a degree program your rst year? p Yes p N

Do you intend to lie in college housing? ____________________________

What is the highest degree you intend to earn? ______________________

DEmogRAPhICS

p Female p Male

Citizenship Status ______________________________________________

Non-US Citizenship ______________________________________________

_____________________________________________________________

_____________________________________________________________

Birthplace ________________________________________________________City/Town State/Province Country

Years lied in the US? ____________ Years lied outside the US? __________ __

Language Prociency (Check all that apply.)S(Speak) R(Read) W(Write) F(First Language) H(Spoken at Home)

S R W F H

_______________________________________________ p p p p p

_______________________________________________ p p p p p

_______________________________________________ p p p p p

Optional The items with a gray background are optional. No inormation youproide will be used in a discriminatory manner.

Religious Preerence _______________________________________________

US Armed Serices eteran status _____________________________________

1. Are you Hispanic/Latino?

p Yes, Hispanic or Latino (including Spain) p No I yes, please describe your backgrou

__________________________________________________________

2. Regardless o your answer to the prior question, please indicate how you identyoursel. (Check one or more and describe your background.)

p American Indian or Alaska Natie (including all Original Peoples o the Americas)

Are you Enrolled? p Yes p No I yes, please enter Tribal Enrollment Number_____________

__________________________________________________________

p Asian (including Indian subcontinent and Philippines)

__________________________________________________________

p Black or Arican American (including Arica and Caribbean)

__________________________________________________________

p Natie Hawaiian or Other Pacic Islander (Original Peoples)

__________________________________________________________

p White (including Middle Eastern)

__________________________________________________________


2/14AP-2/2011 2011 The Common Application, Inc.

FAmILY

Please list both parents below, even if one or more is deceased or no longer has legal responsibilities toward you. Many colleges collect this information for demographpurposes even if you are an adult or an emancipated minor. If you are a minor with a legal guardian (an individual or government entity), then please list that informatiobelow as well. If you wish, you may list step-parents and/or other adults with whom you reside, or who otherwise care for you, in the Additional Information section.

Household

Parents marital status (relative to each other): p Never Married pMarried p Civil Union/Domestic Partners pWidowed p Separated p Divorced (date _______mm/yyy

With whom do you make your permanent home? p Parent 1 p Parent 2 p Both p Legal Guardian pWard of the Court/State p Other

If you have children, how many? _________

Legal Guardian (if other than a parent)

Relationship to you _______________________________________________

____________________________________________________________Last/Family/ Sur First/Given Middle Title (Mr./Mrs./Ms./Dr.)

Country of birth ________________________________________________

Home address if different from yours

____________________________________________________________

____________________________________________________________

Preferred Telephone:p Homep CellpWork (_______) ________________Area/Country/City Code

E-mail _______________________________________________________

Occupation _____________________________________________________

Employer _____________________________________________________

College (if any) ___________________________________ CEEB ________

Degree _________________________________________ Year _________

Graduate School (if any) ____________________________ CEEB ________

Degree _________________________________________ Year _________

SiblingsPlease give names and ages of your brothers or sisters. If they are enrolled ingrades K-12 (or international equivalent), list their grade levels. If they haveattended or are currently attending college, give the names of the undergraduainstitution, degree earned, and approximate dates of attendance. If more thanthree siblings, please list them in the Additional Information section.

__________________________________________________________Name Age & Grade Relationship

College Attended ___________________________________ CEEB ____

Degree earned _________________________ Dates _______________or expected mm/yyyy mm/yyyy







Parent 1: p Mother p Father p Unknown

Is Parent 1 living? p Yes p No (Date Deceased ____________________)mm/yyyy

____________________________________________________________Last/Family/ Sur First/Given Middle Title (Mr./Mrs./Ms./Dr.)

Country of birth ________________________________________________


____________________________________________________________

____________________________________________________________

Preferred Telephone:p Homep CellpWork (_______) ________________Area/Country/City Code

E-mail _______________________________________________________

Occupation _____________________________________________________

Employer _____________________________________________________

College (if any) ___________________________________ CEEB ________

Degree _________________________________________ Year _________

Graduate School (if any) ____________________________ CEEB ________

Degree _________________________________________ Year _________

Parent 2: p Mother p Father p Unknown

Is Parent 2 living? p Yes p No (Date Deceased __________________mm/yyyy

__________________________________________________________Last/Family /Sur First/Given Middle Title (Mr./Mrs./Ms.

Country of birth _____________________________________________


__________________________________________________________

__________________________________________________________

Preferred Telephone:p Homep CellpWork (_______) ______________Area/Country/City Code

E-mail ____________________________________________________

Occupation __________________________________________________

Employer __________________________________________________

College (if any) ___________________________________ CEEB _____

Degree _________________________________________ Year ______

Graduate School (if any) ____________________________ CEEB _____

Degree _________________________________________ Year ______



EDUCATIoNSecondary Schools

Most recent secondary school attended ___________________________________________________________________________________________

Entry Date _________________ Graduation Date _________________ School Type: p Public p Charter p Independent p Religious p Home Schmm/yyyy mm/dd/yyyy

Address ________________________________________________________________________________ CEEB/ACT Code ________________________Number & Street

_______________________________________________________________________________________________________________________________City/Town State/Province Country ZIP/Postal C

Counselors Name __________________________________________________________ Counselors Title ____________________________________

E-mail _____________________________________ Telephone (_______) ______________________ Fax (_______) _____________________________Are a/C ountr y/C ity Code Numbe r Ext . Are a/C ountr y/C ity Code Num ber

List all other secondary schools you hae attended since 9th grade, including summer schools or enrichment programs hosted on a secondary school campus:

School Name & CEEB/ACT Code Location (City, State/Proince, ZIP/Postal Code, Country) Dates Attended (mm/yy

_____________________________________________ _______________________________________________________ _________________

_____________________________________________ _______________________________________________________ _________________

_____________________________________________ _______________________________________________________ _________________

Please list any community program/organization that has provided ree assistance with your application process: _________________________________________

I your education was or will be interrupted, please indicate so here and provide details in the Additional Inormation section: _________________________________

Colleges & Uniersities Report all college attendance (including online) since 9th grade and indicate as College Course (CO) or Enrichment Program (EP) hosted on

college campus.College/University Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Degree Candidate? CO EP Dates Attended Degree Ea

Yes No mm/yyyy mm/yyyy

_________________________________ ___________________________________________ p p p p ______________ _______

_________________________________ ___________________________________________ p p p p ______________ _______

_________________________________ ___________________________________________ p p p p ______________ _______

Were you issued a transcript or any work listed above? p Yes p No I yes, please have an ocial transcript sent as soon as possible.

ACADEmICS

The sel-reported inormation in this section is not intended to take the place o your ocial records. Please note the requirements o each institution to which you arapplying and arrange or ocial transcripts and score reports to be sent rom your secondary school and the appropriate testing agencies. Where Best Scores arerequested, please report the highest individual scores you have earned so ar, even i those scores are rom dierent test dates.

Grades Class Rank_________ Class Size _________ Weighted? p Yes p No GPA _________ Scale _________ Weighted? p Yes p(i available) (i available)

ACT Exam Dates: ________ ________ ________ Best Scores: _________ ______ _________ ______ _________ ____(past & uture) mm/yyyy mm/yyyy mm /yyyy (so ar) COMP mm/yyyy English mm/yyyy Math mm/y

_________ ______ _________ ______ _________ ____Reading mm/yyyy Science mm/yyyy Writing mm/y

SAT Exam Dates: ________ ________ ________ Best Scores: _________ ______ _________ ______ _________ ____(past & uture) mm/yyyy mm/yyyy mm/yyyy (so ar) Critical Reading mm/yyyy Math mm/yyyy Writing mm/y

TOEFL/ Exam Dates: ________ ________ ________ Best Score: _________ ______ ______IELTS (past & uture) mm/yyyy mm/yyyy mm/yyyy (so ar) Test Score mm/yyyy

AP/IB/SATSubjects

Best Scores: ________ __________________________________ _____ ________ __________________________________ __(per subject, so ar) mm/yyyy Type & Subject Score mm/yyyy Type & Subject Sc

________ __________________________________ _____ ________ __________________________________ ___mm/yyyy Type & Subject Score mm/yyyy Type & Subject Sc



Current Courses Please indicate title, leel (AP, IB, adanced honors, etc.) and credit alue o all courses you are taking this year. Indicate quarter classes taken the same semester on the appropriate semester line.

Full Year/First Semester/First Trimester Second Semester/Trimester Third Trimesteror additional frst/second term courses i more space is need

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________



Honors Briefly list any academic distinctions or honors you have received since the 9 th grade or international equivalent (e.g., National Merit, Cum Laude Society).S(School) S /R(State or Regional) N( National) I(Inter national)

Grade level or

post-graduate (PG)

Honor Highest Lev

Recogniti

9 10 11 12 PG S S/R N

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

EXTRACURRICULAR ACTIVITIES & WORK EXPERIENCE

Extracurricular Please list your principal extracurricular, volunteer, and work activities in their order of importance to you. Feel free to group your activities paid work experience separately if you prefer. Use the space available to provide details of your activities and accomplishments (specific events, varsity letter, mus

instrument, employer, etc.). To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach a rsum .

Grade level or

post-graduate (PG)

Approximate

time spent

When did you participate

in the activity?Positions held, honors won, letters earned, or employer

If applica

do you p

to particip

in colleg9 10 11 12 PG Hours

per weekWeeks

per yearSchool

year

Summer/SchoolBreak

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________

_______________________________________________________________________

Activity _________________________________________________________________________________________________________________



Common Application member institution admission oices do not discriminate on the basis o race, color, ethnicity, national origin, religion, creed, seage, marital status, parental status, physical d isability, learning disability, political ailiation, veteran status, or sexual orientation.

WRITINg

Please briefy elaborate on one o your extracurricular activities or work experiences in the space below.

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

Please write an essay o 250 500 words on a topic o your choice or on one o the options listed below, and attach it to your application beore submission. Plea

indicate your topic by checking the appropriate box. This personal essay helps us become acquainted with you as a person and student, apart rom courses,

grades, test scores, and other objectie data. It will also demonstrate your ability to organize your thoughts and express yoursel. NOTE: Your Common Application

essay should be the same or all colleges. Do not customize it in any way or individual colleges. Colleges that want customized essay responses will ask or them

a supplement orm.

p 1 Ealuate a signicant experience, achieement, risk you hae taken, or ethical dilemma you hae aced and its impact on you.

p 2 Discuss some issue o personal, local, national, or international concern and its importance to you.

p 3 Indicate a person who has had a signicant infuence on you, and describe that infuence.

p

4 Describe a character in ction, a historical gure, or a creatie work (as in art, music, science, etc.) that has had an infuence on you, and explain that infuenc

p 5 A range o academic interests, personal perspecties, and lie experiences adds much to the educational mix. Gien your personal background, describe experience that illustrates what you would bring to the diersity in a college community or an encounter that demonstrated the importance o diersity to you

p 6 Topic o your choice.

Additional Inormation Please attach a separate sheet i you wish to provide details o circumstances or qualications not refected in the application.

Disciplinary Historya Hae you eer been ound responsible or a disciplinary iolation at any educational institution you hae attended rom the 9th grade (or the international equiale

orward, whether related to academic misconduct or behaioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limiteto: probation, suspension, remoal, dismissal, or expulsion rom the institution. p Yes p No

b Hae you eer been adjudicated guilty or conicted o a misdemeanor, elony, or other crime? p Yes p No[Note that you are not required to answer yes to this question, or proide an explanation, i the criminal adjudication or coniction has been expunged, sealed,annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept condential.]

I you answered yes to either or both questions, please attach a separate sheet o paper that gies the approximate date o each incident, explains the circumstances, a

refects on what you learned rom the experience.

Note: Applicants are expected to immediately notiy the institutions to which they are applying should there be any changes to the inormation requestin this application, including disciplinary history.

SIgNATURE

Application Fee Payment I this college requires an application ee, how will you be paying it?

p Online Payment p Will Mail Payment p Online Fee Waier Request p Will Mail Fee Waier Request

Required Signature

w I certiy that all inormation submitted in the admission processincluding the application, the personal essay, any supplements, and any other supportingmaterialsis my own work, actually true, and honestly presented, and that these documents will become the property o the institutions to which I am applying

and will not be returned to me. I understand that I may be subject to a range o possible disciplinary actions, including admission revocation, expulsion, orrevocation o course credit, grades, and degree, should the inormation I have certifed be alse.

w I acknowledge that I have reviewed the application instructions or each college receiving this application. I understand that all oers o admission are conditionapending receipt o fnal transcripts showing work comparable in quality to that upon which the oer was based, as well as honorable dismissal rom the school.

w I afrm that I will send an enrollment deposit (or equivalent) to only one institution; sending multiple deposits (or equivalent) may result in the withdrawal o myadmission oers rom all institutions. [Note: students may send an enrollment deposit (or equivalent) to a second institution where they have been admitted romthe waitlist, provided that they inorm the frst institution that they will no longer be enrolling.]

Signature _______________________________________________________________________________________________ Date __________________mm/dd/yyyy


6/14 2011 The Common Application, Inc. TE-1/201

To ThE APPLICANT

Ater completing all the releant questions below, gie this orm to a teacher who has taught you an academic subject (or example, English, oreign language, ma

science, or social studies). I applying ia mail, please also gie that teacher stamped enelopes addressed to each institution that requires a Teacher Ealuation.


Birth Date _______________________________________________________________mm/dd/yyyy

Address _____________________________________________________________________________________________________________________Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code

School you now attend ________________________________________________________ CEEB/ACT Code __________________________________

TEACHER EvALUATION 1

To ThE TEAChER

The Common Application membership nds candid ealuations helpul in choosing rom among highly qualied candidates. You are encouraged to keep this ormin your priate les or use should the student need additional recommendations. Please submit your reerences promptly, and remember to sign below beormailing directly to the college/uniersity admission ofce. Do not mail this orm to The Common Application ofces.

Teachers Name (Mr./Mrs./Ms./Dr.) _______________________________________________ Subject Taught ____________________________________Please print or type

Signature _________________________________________________________________________________________________ Date __________________mm/dd/yyyy

Secondary School ____________________________________________________________________________________________________________

School Address _____________________________________________________________________________________________________________Number & Street City/Town State/Province Country ZIP/Postal Code

Teachers Telephone (_______) __________________________________________________ Teachers E-mail ___________________________________Area/Country/City Code Number Ext.

Background Inormation

How long hae you known this student and in what context? ____________________________________________________________________________

What are the rst words that come to your mind to describe this student? __________________________________________________________________

In which grade leel(s) was the student enrolled when you taught him/her? p 9 p 10 p 11 p 12 p Other__________________________________

List the courses in which you hae taught this student, including the leel o course diculty (AP, IB, accelerated, honors, electie; 100-leel, 200-leel; etc.).

____________________________________________________________________________________________________________________________

2011-12 Teacher EvaluationFor Spring 2012 or Fall 2012 Enrollment

p Femp Ma

T

IMPORTANT PRIvACY NOTICE: Under the terms o the Family Educational Rights and Priacy Act (FERPA), ater you matriculate you willhae access to this ormand all other recommendations and supporting documents submitted by you and on your behal, unless at least one o the ollowing is true:

1. The institution does not sae recommendations post-matriculation (see list at www.commonapp.org/FERPA).2. You waie your right to access below, regardless o the institution to which it is sent:

pYes, I do waie my right to access, and I understand I will neer see this orm or any other recommendations submitted by me or on my behal.pNo, I do not waivemy right to access, and I may someday choose to see this orm or any other recommendations or supporting documents submitted by me

or on my behal to the institution at which I'm enrolling, i that institution saes them ater I matriculate.

Required Signature _______________________________________________________________________________________ Date _________________


7/14 2011 The Common Application, Inc. TE-2/2011-

Ratings Compared to other students in his or her class year, how do you rate this student in terms o:

No basis

Below

aerage Aerage

Good (aboe

aerage)

very good

(well aboe

aerage)

Excellent

(top 10%)

Outstanding

(top 5%)

One o the t

ew Ie enco

tered

(top 1%)

Academic achieement

Intellectual promise

Quality o writing

Creatie, original thoughtProductie class discussion

Respect accorded by aculty

Disciplined work habits

Maturity

Motiation

Leadership

Integrity

Reaction to setbacks

Concern or others

Sel-condence

Initiatie, independence

OvERALL

Ealuation Please write whateer you think is important about this student, including a description o academic and personal characteristics, as demonstrated inyour classroom. We welcome inormation that will help us to dierentiate this student rom others. (Feel ree to attach an additional sheet or another reerence you mhae prepared on behal o this student.)



8/14 2011 The Common Application, Inc. TE-1/201

To ThE APPLICANT

Ater completing all the releant questions below, gie this orm to a teacher who has taught you an academic subject (or example, English, oreign language, ma

science, or social studies). I applying ia mail, please also gie that teacher stamped enelopes addressed to each institution that requires a Teacher Ealuation.


Birth Date _______________________________________________________________mm/dd/yyyy

Address _____________________________________________________________________________________________________________________Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code



To ThE TEAChER

The Common Application membership nds candid ealuations helpul in choosing rom among highly qualied candidates. You are encouraged to keep this ormin your priate les or use should the student need additional recommendations. Please submit your reerences promptly, and remember to sign below beormailing directly to the college/uniersity admission ofce. Do not mail this orm to The Common Application ofces.

Teachers Name (Mr./Mrs./Ms./Dr.) _______________________________________________ Subject Taught ____________________________________Please print or type


Secondary School ____________________________________________________________________________________________________________


Teachers Telephone (_______) __________________________________________________ Teachers E-mail ___________________________________Area/Country/City Code Number Ext.


How long hae you known this student and in what context? ____________________________________________________________________________

What are the rst words that come to your mind to describe this student? __________________________________________________________________

In which grade leel(s) was the student enrolled when you taught him/her? p 9 p 10 p 11 p 12 p Other__________________________________

List the courses in which you hae taught this student, including the leel o course diculty (AP, IB, accelerated, honors, electie; 100-leel, 200-leel; etc.).

____________________________________________________________________________________________________________________________

2011-12 Teacher EvaluationFor Spring 2012 or Fall 2012 Enrollment

p Femp Ma

T

IMPORTANT PRIvACY NOTICE: Under the terms o the Family Educational Rights and Priacy Act (FERPA), ater you matriculate you willhae access to this ormand all other recommendations and supporting documents submitted by you and on your behal, unless at least one o the ollowing is true:

1. The institution does not sae recommendations post-matriculation (see list at www.commonapp.org/FERPA).2. You waie your right to access below, regardless o the institution to which it is sent:

pYes, I do waie my right to access, and I understand I will neer see this orm or any other recommendations submitted by me or on my behal.pNo, I do not waivemy right to access, and I may someday choose to see this orm or any other recommendations or supporting documents submitted by me

or on my behal to the institution at which I'm enrolling, i that institution saes them ater I matriculate.



9/14 2011 The Common Application, Inc. TE-2/2011-


No basis

Below

aerage Aerage

Good (aboe

aerage)

very good

(well aboe

aerage)

Excellent

(top 10%)

Outstanding

(top 5%)

One o the t

ew Ie enco

tered

(top 1%)

Academic achieement

Intellectual promise

Quality o writing

Creatie, original thoughtProductie class discussion

Respect accorded by aculty

Disciplined work habits

Maturity

Motiation

Leadership

Integrity

Reaction to setbacks

Concern or others

Sel-condence

Initiatie, independence

OvERALL

Ealuation Please write whateer you think is important about this student, including a description o academic and personal characteristics, as demonstrated inyour classroom. We welcome inormation that will help us to dierentiate this student rom others. (Feel ree to attach an additional sheet or another reerence you mhae prepared on behal o this student.)



10/14 2011 The Common Application, Inc.

2011-12 SCHOOL REPORTFor Spring 2012 or Fall 2012 Enrollment

To ThE APPLICANT

Ater completing all the releant questions below, gie this orm to your secondary school counselor or another school ocial who knows you better. I applying

ia mail, please also gie that school ocial stamped enelopes addressed to each institution that requires a School Report.


Birth Date ___________________________________________________mm/dd/yyyy

Address _____________________________________________________________________________________________________________________Number & Street Apartment # City/Town State/Province Country ZIP/Postal C


Current year coursesplease indicate title, leel (AP, IB, adanced honors, etc.) and credit alue o all courses you are taking this year. Indicate quarterclasses taken in the same semester on the appropriate semester line.

Full Year/First Semester/First Trimester Second Semester/Trimester Third Trimesteror additional frst/second term courses i more space is need

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

________________________________________ ________________________________________ ______________________________________

SR-1/201

To ThE SECoNDARY SChooL CoUNSELoR

Attach applicants ocial transcript, including courses in progress, a school prole, and transcript legend. (Check transcript copies or readability.) Use both pages tocomplete your ealuation or this student. Be sure to sign below beore mailing directly to the college/uniersity admission ofce. Do not mail this orm to

The Common Application ofces.Counselors Name (Mr./Mrs./Ms./Dr.) _____________________________________________________________________________________________

Please print or type


Title ___________________________________________________________ School ____________________________________________________


School Website Address ______________________________________________________________________________________________________

Counselors Telephone (_______) ________________________________________ Counselors Fax (_______) ______________________________________Area/Country/City Code Number Ext. Area/Country/City Code Number

School CEEB/ACT Code ____________________________ Counselors E-mail ______________________________________________________________

p Femp Ma

S

IMPORTANT PRIvACY NOTE: By signing this orm, I authorize all schools that I hae attended to release all requested records coered under the Family EducationRights and Priacy Act (FERPA) so that my application may be reiewed by The Common Application member institution(s) to which I am applying.I urther authorize the admission ocers reiewing my application, including seasonal sta employed or the sole purpose o ealuating applications, to contactocials at my current and ormer schools should they hae questions about the school orms submitted on my behal.

I understand that under the terms o the FERPA, ater I matriculate I will hae access to this orm and all other recommendations and supporting documentssubmitted by me and on my behal, unless at least one o the ollowing is true:

1. The institution does not sae recommendations post-matriculation (see list at www.commonapp.org/FERPA).2. I waie my right to access below, regardless o the institution to which it is sent:

p Yes, I do waie my right to access, and I understand I will neer see this orm or any other recommendations submitted by me or on my behal.p No, I do not waivemy right to access, and I may someday choose to see this orm or any other recommendations or supporting documents submitted by me o

on my behal to the institution at which Im enrolling, i that institution saes them ater I matriculate.



11/14 2011 The Common Application, Inc. SR-2/2011

Ealuation Please proide comments that will help us dierentiate this student rom others. Feel ree to attach an additional sheet or another reerence you hae prepared othis student. Alternatiely, you may attach a reerence written by another school ocial who can better describe the student. We especially welcome a broad-based assessment

and encourage you to consider describing or addressing: Theapplicantsacademic,extracurricular,andpersonalcharacteristics.

Relevantcontextfortheapplicantsperformanceandinvolvement,suchasparticularitiesoffamilysituationorresponsibilities,after-schoolworkobligations,siblingchildca

or other circumstances, either positie or negatie.

Observedproblematicbehaviors,perhapsseparablefromacademicperformance,thatanadmissioncommitteeshouldexplorefurther.


aHas the applicant eer been ound responsible or a disciplinary iolation at your school rom the 9th grade (or the international equialent) orward, whether relat

to academic misconduct or behaioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspensioremoal, dismissal, or expulsion rom your institution. p Yes p No p School policy preents me rom responding

bTo your knowledge, has the applicant eer been adjudicated guilty or conicted o a misdemeanor, elony, or other crime?p Yes p No p School policy preents me rom responding.[Note that you are not required to answer yes to this question, or proide an explanation, i the criminal adjudication or coniction has been expunged, sealed,annulled, pardoned, destroyed, erased, impounded, or otherwise ordered to be kept condential by a court.]

I you answered yes to either or both questions, please attach a separate sheet o paper or use your written recommendation to gie the approximate date o eachincident and explain the circumstances.

Applicants are expected to immediately notiy the institutions to which they are applying should there be any changes to the inormation requested in this applicatioincluding disciplinary history.

p Check here i you would preer to discuss this applicant oer the phone with each admission oice.

I recommend this student: p No basis p With reseration p Fairly strongly p Strongly p Enthusiastically


No basis

Below

aerage Aerage

Good (aboe

aerage)

very good

(well aboe

aerage)

Excellent

(top 10%)

Outstanding

(top 5%)

One o the t

ew Ie enco

tered

(top 1%)

Academic achieement

Extracurricular accomplishments

Personal qualities and character

OvERALL

How long hae you known this student and in what context? _______________________________________________________________________________

What are the rst words that come to your mind to describe this student? ___________________________________________________________________

How many courses does your school oer:AP _________ IB _________ Honors _______

I school policy limits the number a student may takea given year, please list the maximum allowed:AP _________ IB _________ Honors _______

Is the applicant an IB Diploma candidate?p Yes p

Are classes taken on a block schedule? p Yes p

In comparison with other college preparatory studeat your school, the applicants course selection is:

p most demandingp ery demandingp demandingp aeragep below aerage

Class Rank ___________ Class Size ___________ Coering a period rom __________ to __________.(mm/yyyy) (mm/yyyy)

The rank is p weighted p unweighted. How many additional students share this rank? _________________

How do you report class rank? quartile _____________ quintile _____________ decile ______________

Cumulatie GPA: ________ on a _________ scale, coering a period rom ____________ to ____________

(mm/yyyy) (mm/yyyy)

This GPA is p weighted p unweighted. The schools passing mark is ________________________________.

Highest GPA in class ____________________________________ Graduation Date ___________________(mm/dd/yyyy)

Percentage o graduating class immediately attending: ___________our-year ________ two-year institutions


12/14 2011 The Common Application, Inc. OR-1/201

2011-12 OPTIONAL GRADE ReportFor Spring 2012 or Fall 2012 Enrollment

TO THE APPLICANT

The Optional Grade Report may be used at any point in the academic year to submit updated grades to your colleges and universities, but it should not be used

a substitute for the Midyear or Final Report. After completing the information in this section, give this form to your school counselor or another school official wh

knows you better. If applying via mail, please also give that school official stamped envelopes addressed to each institution to which you have applied.

Legal Name ________________________________________________________________________________________________________________

Last/Family/Sur (Enter nameexactlyas it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth Date ___________________________________________________ CAID (Common App ID) ____________________________________________mm/dd/yyyy



Counselors Name (Mr./Mrs./Ms./Dr.) _____________________________________________________________________________________________Please print or type


Title ___________________________________________________________ School ____________________________________________________



Counselors Telephone (_______) ________________________________________ Counselors Fax (_______) ______________________________________Are a/C ountr y/C ity Code Num ber Ex t. Are a/C ountr y/C ity Code Num ber

School CEEB/ACT Code ____________________________________ Counselors E-mail ______________________________________________________

TO THE SCHOOL COUNSELOR

This form is not a substitute for the Midyear or Final Report. Please use this form only if you wish to update the applicants grades at another point in the year.Attach the applicants official transcript, including courses in progress and transcript legend. (Please check transcript copies for readability.) Be sure to sign belowbefore mailing directly to the college/university admission office. Do not mail this form to The Common Application offices.

Fem Ma

O

IMPORTANT PRIVACY NOTE: In accordance with the Family Educational Rights and Privacy Act (FERPA), the original School Report submitted on your behalfreflects your choice to waive or not waive your right of access to all recommendations and supporting documents. That response applies to all subsequent reportincluding this one. You chose the following: Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf. No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me o

on my behalf to the institution at which Im enrolling, if that institution saves them after I matriculate.

Background Information If any of the information below has changed for this student since the School Report was submitted, please enter the new informatiothe appropriate section below.

Class Rank _______ Class Size ______ Covering a period from _______ to ______.(mm/yyyy) (mm/yyyy)

The rank is weighted unweighted.How many additional students share this rank?__________

We do not rank. Instead, please indicate quartile ____ quintile ____ decile ______

Cumulative GPA: _____ on a _____ scale, covering a period from _______ to ____(mm/yyyy) (mm/y

This GPA is weighted unweighted. The schools passing mark is ___________

Highest GPA in class _____________________ Graduation Date _____________(mm/dd/yyyy)

Have there been any changes to the senior year courses listed on the original School Report? Yes No

Have there been any changes in the applicants disciplinary status at your school since you submitted the original School Report? Yes No School policy prevents me from responding

To your knowledge, have there been any changes to the applicants criminal history since you submitted the original School Report? Yes No School policy prevents me from responding

Do you wish to update your original evaluation of this applicant? Yes No

If you responded yes to any of the preceding questions, please attach an explanation.

Check here if you would prefer to discuss this applicant over the phone with each admission office.


13/14 2011 The Common Application, Inc. MR-1/201

2011-12 MIDYEAR ReportFor Spring 2012 or Fall 2012 Enrollment

To ThE APPLICANT

Ater completing the inormation in this section, gie this orm to your school counselor or another school ocial who knows you better. I applying ia mail,

please also gie that school ocial stamped enelopes addressed to each institution to which you hae applied.







Title ___________________________________________________________ School ____________________________________________________




School CEEB/ACT Code ____________________________________ Counselors E-mail ______________________________________________________

To ThE SChooL CoUNSELoRPlease submit this orm when midyear grades are aailable (end o rst semester or second trimester). Attach applicants ocial transcript, including coursesin progress and transcript legend. (Please check transcript copies or readability.) Be sure to sign below beore mailing directly to the college/uniersityadmission ofce. Do not mail this orm to The Common Application ofces.

p Femp Ma

M

IMPORTANT PRIvACY NOTE: In accordance with the Family Educational Rights and Priacy Act (FERPA), the original School Report submitted on your behalrefects your choice to waie or not waie your right o access to all recommendations and supporting documents. That response applies to all subsequentreports, including this one.

Background Inormation I any o the inormation below has changed or this student since the School Report was submitted, please enter the new inormatiothe appropriate section below.

Class Rank _______ Class Size ______ Covering a period rom _______ to ______.(mm/yyyy) (mm/yyyy)

The rank is p weightedp unweighted.How many additional students share this rank?__________

pWe do not rank. Instead, please indicate quartile ____ quintile ____ decile ______

Cumulative GPA: _____ on a _____ scale, covering a period rom _______ to ____(mm/yyyy) (mm/y

This GPA isp weightedp unweighted. The schools passing mark is ___________


Hae there been any changes to the senior year courses listed on the original School Report? p Yes p No

Hae there been any changes in the applicants disciplinary status at your school since you submitted the original School Report?p Yes p No p School policy preents me rom responding

To your knowledge, hae their been any changes to the applicants criminal history since you submitted the original School Report?p Yes p No p School policy preents me rom responding

Do you wish to update your original ealuation o this applicant? p Yes p No

I you responded yes to any o the preceding questions, please attach an explanation.



14/14

2011-12 fnal ReportFor Spring 2012 or Fall 2012 Enrollment

To ThE APPLICANT

Ater completing the inormation in this section, give this orm to your school counselor or another school ocial who knows you better. If applying via mail, please alsgive that school ocial stamped envelopes addressed to all institutions requesting a nal transcript.







Title ___________________________________________________________ School ____________________________________________________




School CEEB/ACT Code __________________________________ Counselors E-mail _______________________________________________________

To ThE SChooL CoUNSELoRPlease submit this orm when nal grades are aailable (end o second semester or third trimester). Attach applicants ocial transcript and transcript legend.(Please check transcript copies or readability.) Be sure to sign below beore mailing directly to the college/uniersity admission ofce. Do not mail thisorm to The Common Application ofces.

p Femp Ma

F

IMPORTANT PRIvACY NOTE: In accordance with the Family Educational Rights and Priacy Act (FERPA), the original School Report submitted on your behalrefects your choice to waie or not waie your right o access to all recommendations and supporting documents. That response applies to all subsequentreports, including this one.

Background Inormation I any o the inormation below has changed or this student since the Midyear Report was submitted, please enter the new inormatiin the appropriate section below.

Hae there been any changes to the senior year courses listed on the original School Report? p Yes p No

Hae there been any changes in the applicants disciplinary status at your school since you submitted the original School Report?p Yes p No p School policy preents me rom responding

To your knowledge, hae their been any changes to the applicants criminal history since you submitted the original School Report?p Yes p No p School policy preents me rom responding

Do you wish to update your original ealuation o this applicant? p Yes p No

I you responded yes to any o the preceding questions, please attach an explanation.


Class Rank _______ Class Size ______ Covering a period rom _______ to ______.(mm/yyyy) (mm/yyyy)

The rank is p weightedp unweighted.How many additional students share this rank?__________

pWe do not rank. Instead, please indicate quartile ____ quintile ____ decile ______

Cumulative GPA: _____ on a _____ scale, covering a period rom _______ to ____(mm/yyyy) (mm/y

This GPA isp weightedp unweighted. The schools passing mark is ___________


common app preview

Documents