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Student Name*required

Mother's Name*required

Educational Background*required

Please Select…High School DiplomaSome CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeProfessional DegreeOther

Occupation*required

Father's Name*required

Educational Background*required

Please Select…High School DiplomaSome CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeProfessional DegreeOther

Occupation*required

1. What outstanding accomplishments do you feel your child has achieved since his/her freshman year (that is not on their resume)?*required

2. Do your child's grades reflect his/her true ability?*required

3. List five adjectives that you feel best describe your student. Please provide examples or anecdotes.*required

4. Has your student experienced any personal or extenuating circumstances which have had an impact on his/her high school career? For example- obstacles, adversity, demonstrated courage or resiliency.*required

5. Describe one or two major events that you see as turning points in your son/daughter's development. Explain the significance of these to his/her development.*required

6. Is there any family history or cultural experiences which would be helpful to know as we work with your student?*required

7. Please relate any other anecdotes that describe your student's strengths, accomplishments, preferences, character, work habits, goals, personality, etc.*required

8. Additional Comments

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