APPLICATION INFORMATION GRID

All this information will be asked on your applications. Please print out a copy for your records before hitting the send button.
Student's Name:
Phone:
Email:
High School:
Social Security #:


List honors and awards you have received in academic, sports, and extracurricular activities:
1.
2.
3.
4.
5.
List significant community services activity:
1.
2.
3.
4.
5.
List significant extracurricular activity:
(Not listed above)
1.
2.
3.
4.
5.
List any summer programs you have attended:
(Not including summer school)
1.
2.
3.
4.
5.
List any work experience:
List two areas of academic interest:
List a future career goal: