Student Form

Name

Email Address

Phone

Birthdate (month/day/year)

Grade

School

Please list any social media (if any) that you use.

City/Town, State/Province, Country

How far away are you willing to travel for college? How far away are you willing to travel for college?Only within my cityWithin my state/provinceWithin a 2 hour car driveWithin a 2 hour plane flightAnywhere in my countryAnywhere in the world

List any specific cities/states where you would like to attend college (optional)

List any specific colleges you are already interested in applying to (optional)

If you have parents, siblings or other relatives who have attended any of the schools you mentioned above, please list this information as well.

I prefer colleges that are I prefer colleges that areSmall - Up to 3,000 studentsMedium - Up to 3,000-10,000 studentsLarge - Over 10,000 studentsAny size

I prefer a college location that is I prefer a college location that isUrbanSuburbanRuralNo preference

If you are seeking a college with a strong focus on a particular religion, race, ethnicity or language or other minority group, please provide details.

List anything else you are seeking in a college, such as particular athletics, arts, Greek life, learning resources, etc.

If you have decided on one or more college majors, please list them.

Will you be applying for financial aid? Will you be applying for financial aid?YesNoUndecided

What are your favorite subjects/classes in high school?

If you currently receive any special accommodations in high school (e.g., extra time on tests), please describe.

What are your main activities outside of class (e.g., sports, clubs, hobbies, jobs)?

What do you enjoy learning about in your spare time? Feel free to list some of your favorite magazines, books, programs, websites, blogs, etc.

What are your top three values - the things most important to you?

How would you describe your personality?