Planning For College Template – Mr. Four Quarters

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Home
About Me
Planning For College Template
GREATER Fitness Shaker Bottle
Contact Me
Do Not Spend/Fast Food Challenge

ONE DAY OR DAY ONE.

Designed For Your Success

Date:

Name: *

First

Last

Email address: *

Age: *

Gender: *

Date of Birth: *

12/04/1990

Hometown: City/State/Country: *

Current Location: City/State/Country: *

Race/Ethnicity: *

Please provide Household size and number of those present: *

Parent(s) in household: *

1 or 2

Sibling(s) in household: *

1, 2, 3, 4 or 5

If you have siblings, are they under the age of 18 or older? Please enter "younger" or "older" below.

Younger or older

Please list ages and gender if multiple siblings:

18/M, 5/F

Others in household:

Number of relatives or friends living in household

Education

High School name: *

Classification? *

Freshman, Sophomore, Junior or Senior.

High School address, city, state and zip code: *

Expected/Graduation Date: *

Subject/Major/Concentration *

GPA: *

Organizations/Clubs (if applicable): *

Rank yourself on each subject below:

Reading

Selected Value: 1

1 being the lowest and 5 being the highest

Math

Selected Value: 1

1 being the lowest and 5 being the highest

English/Grammar

Selected Value: 1

1 being the lowest and 5 being the highest

Science

Selected Value: 1

1 being the lowest and 5 being the highest

Writing

Selected Value: 1

1 being the lowest and 5 being the highest

What is your favorite subject or subjects from the list above and why?

Hobbies, Talents & Extracurricular activities:

Please list any of your major achievements from middle school to present:

Do you have any special talents? Please share if applicable:

Please provide any unique attributes or features: (i.e. left handed, eye color, hair color)

Share your interests and hobbies below:

Employment history:

Do you currently have a job?

Y/N

If yes, how many hours do you work and what days?

Y/N

College Application Process

Course type: Full-time or part-time student *

Please provide which semester and year you are applying for? *

Fall/Spring/Summer/Winter (year)

Please select below if you are:

First Generation college student
International student
Legacy student
N/A

Have you started on your college essay/personal statement? *

Yes
No
Done and being reviewed.

Have you requested your letters of recommendation? *

Yes
No

Standardized tests: Have you taken the ACT or SAT test? *

Yes
No

Which test? *

ACT
SAT

If Yes, please enter your scores in the box below:

If no, when is your expected test date? *

Are you most interested in local/in-state colleges, out-of-state colleges, or both? Please explain.

If you can, please list your Top 5 colleges that you are most interested in with locations and if you have applied there.

College/University, Location and Indicate (Y or N) if you have applied there.

Are your family and/or friends alumni of any of the colleges in your Top 5 list above? If yes, please provide which colleges/universities and your relationship to them:

Dillard University, father.

Tuition will be paid by: Select all that apply. *

Scholarships
Grants
Loans
Out of pocket
Other

Have you completed your Free Application for Federal Student Aid (FAFSA)? *

Please list any scholarships and/or grants you have received? Also, provide the amount.

College Interests: (Rank below on what's more important to you. 1 being the lowest and 10 being the highest).

Diversity

Selected Value: 0

Campus Life and Extracurricular Activities

Selected Value: 0

Graduation Rates

Selected Value: 0

Field of Study/Major

Selected Value: 0

Location

Selected Value: 0

Family and Friends nearby

Selected Value: 0

Reputation of Institution and Alumni Network

Selected Value: 0

Class sizes (teacher & student relationship)

Selected Value: 0

Tuition and scholarships

Selected Value: 0

Other

Selected Value: 0

Personality

Describe yourself in one word.

On a typical Saturday night, you are more than likely to go to: *

the movies
a party
stay home
hang out at a friend's house

What inspires you? *

Why do you want to attend college? *

If you could meet any person in the world (dead or alive) who would it be and why?

If you had a million dollars what would you do? *

Please select below if you would like to request an Analysis & Summary Report for $25 *

Yes
No

Please select below if you would like to request a Plan of Action for college. Prices TBD *

Yes
No

Phone

Wishing you much success on this new and exciting journey.

Lawrence

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