College Questionnaire
(For the Student)
Student name
_
If you were to describe yourself and your ideal college situation, what would it be like?
Please respond with YOUR opinions -not your parents'.
PERSONAL INTERESTS/QUALITIES
.How have you broadened your high school experience: What clubs, organizations or volunteer work have you
participated in during high school, both in and out of school, so far?
What travel experiences have you had?
Of all of the above activities, which has had the most meaning for you, and why?
Describe your work experiencc. What three words would your employer use to describe you?
How have you demonstrated responsibility?
If applicable, state any difficulties you have had in life:
How have you gained respect from peers and teachers?
What three words would your friends use to describe you?
What would you consider your greatest strength? Your greatest weakness?
How have you shown concern for others?
What kind of person are you at this point in your life? (circle one)
Introverted/ extroverted?
A doer or a thinker?
1
Logical or impulsive?
Independent or group-oriented?
Patient or impatient?
Ready for college or scared to death?
What kind of person would you like to become?
What are your long term goals for the future? (What do you want to be when you grow up?)
What goals do you have for the next twelve months?
If you were blessed with unlimited time and unlimited resources, what would you do?
EDUCATIONAL INTERESTS
Describe your academic career beyond factual information. What has high school meant to you?
What have you enjoyed most about high school so far?
If you could change one thing about your high school experience, what would it be? Why would you change it and
how?
Is your academic record an accurate measure of your ability? Why or why not?
What academic subjects interest you most?
What academic subjects come the most easily for you?
Describe an academic experience that has been a highlight in your years at high school?
How much reading do you do outside of required coursework?
What four books have you most recently read for enjoyment?
What is your favorite movie?
2
What teachers will you ask for a letter of recommendation?
1.
2.
3. (optional)
LOCATICJN. LOCATION. LOCATION
Do you have a specific location in mind? (e.g. West or East Coast, Midwest, Colorado, Michigan) or are you open?
What locations are:
EastCoast
MidAtlantic
South
Midwest
West
1-2 hour flight
4-5hourdrive
In State
Preferred?
Realistic?
Acceptable?
How far from home is the ideal college? (e.g. within an hour's drive, a day's, 2 hour plane ride)
Do you think your parents have a specific location in mind?
_ Where is that? ---------
Do you have other preferences or requirements? (e.g. near a ski slope, in a warm climate, Jewish life)
Is it in a big city?
_______________________
Suburb?
Small town? -------Please explain
_
What type of campus is ideal?
Quaint, park-like
_
New and modern__
Urban and energetic
_
No preference, I'm flexible
(then which of the above is preferred?)
No preference, I'm only interested in the academic program
_
ACADEMIC PROGRAM
Do you have a specific career goal or major in mind? If so, what?
What other academic areas do you hope to pursue in college?
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3
Do you think you work better when you are challenged by tough classes and bright classmates? Or when you arc
near the top of a less competitive group?
Do you like being a big fish in a small pond?
or
Would you prefer being relatively anonymous in a large school? -----How important is it to you to have close relationships with your instructors? -------or
Arc you most interested in having lots and lots of options? ------Please explain --------------------------------------How hard do you work in high school?
A. Very Hard (maybe too hard, at times?)
_
B. Hard (especially the night before tests and major assignments
C. Somewhat hard ----D. Minimally --------Using the same choices as above, how hard do you expect to work in college?
We encourage students to apply to a range of schools, 1-3 "reach" colleges, 2-3 "possible" and 1-2 "likely colleges.
Given that criteria, do you have some colleges in mind that you are likely to consider? -----------
What special academic programs would the ideal college have available to you?
Study abroad
_
Internships,
_
Co-op programs,
_
Honors College:
_
Ability to defer for a gap year
_
Other:
_
How important is it to you that you attend a prestigious/"big name” institution?
How important do you think it is to your p a r e n t s ?
STZE/STlJDENT BODY
Do you prefer a:
Small college (under 3000 students)?
Mid-sized (3000 to 10,000)?
Large (10,000+)? -----Extra large (30,000+)
_
4
How good are you at asking for help (anything from directions to tutoring) when needed?
Do you prefer an institution that is primarily for undergraduates? What advantages, if any, do you see in having
graduate students on campus?
Would you consider a single-sex school? Would you prefer one?
Do you think your parents want you to consider attending a single-sex school?
Do you prefer a school with a religious presence?
Is geographic or racial/ethnic diversity important to you?
If so, what? _______________________
------------------------
Do you think a school could be too conservative or too liberal? What would the atmosphere be at the perfect
college?
Rabidly liberal
_
Rabidly conservative ----In b e t w e e n -------I'm not that interested in the politics of the college -------Please explain -------------------------------------What preferences do you have regarding campus atmosphere?
Greek life
Competitive atmosphere,
_
Big sports team (s) to cheer for
_
Opportunities for club or intramural sports
Lots of campus opportunities
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Opportunities for community service
_
Opportunities for leadership ------List si.x adjectives that you, your family, or your friends would use to describe you.
2.
3.
1.
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5.
6.
5
Who knows you best? (best friend, a teacher, a coach, a parent)
EXTRACURRICULAR ACTIVITIES
You will be required to create a resume. To get started, please list the following in-school and out-of-school
activities and the time commitment you make to each. List high school activities such as clubs, sports, community
service, leadership roles or any special honors or distinctions. Also, list out of school activities such as political
involvement, youth group, employment, volunteer work, awards, interests, hobbies, travel opportunities. After each
activity list the grades in which you have participated or will participate. If you have already created a resume, you may
attach that instead.
Activity
Time
Leadership/Distinctions
9,10,11,12
In order for me to write you a letter of recommendation, I will be asking you to email me the names and contact
information for 15-20 people who know you well. These may be teachers, administrators, employers, youth group
or religious leaders, family including parents, siblings, aunt, uncles, friends, neighbors.
Please list the name
and relationship to you below, and follow up with an email containing their contact information:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.____________________
_______________________
13.
_______________________
_______________________
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20.
G