Bullis School College Counseling
Student Self Evaluation - Questionnaire II
DIRECTIONS: We used your responses from our first questionnaire to aid us in our initial college
explorations with you. It is now time to turn our attention to how we will relay your unique personality,
interests and characteristics to colleges and universities. Your responses to the following questions will
help us immeasurably as we attempt to capture “your story” in our school recommendations. You will
also find that completing this form will provide you important practice as many of these questions appear
on the college applications you’ll be completing very soon. Please submit this questionnaire to the
College Counseling Dropbox in Haiku by August 30th. We strongly urge you to keep a copy of this for
your records so that you can refer to it as you complete your applications.
BIOGRAPHICAL:
Name:
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Bullis Advisor:
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Date of Birth:
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My best email address:
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Is there anything unusual or unique about your family or cultural background?
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ACADEMIC:
What type of student are you? What type of academic setting, teaching style or assignment suits you
best?
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What adjectives would your teachers use to describe you? Are you an active learner (i.e. willing to pursue
a topic of your interest independently, an active participant in class discussions)?
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Describe a stimulating intellectual or academic experience that has highlighted your high school years
(e.g. a teacher, a class, a paper, a project, or a book).
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What are your favorite courses or areas of study and why? Have your pursued these subjects outside of
school in any way (i.e. independent reading, college courses, summer internship, etc.)?
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What areas of study might you like to pursue in college? What sparked your interest in these areas?
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Is your transcript a true reflection of your academic ability? If not, what would you say is a good way to
describe your potential for success in the collegiate coursework?
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Are there any outside circumstances that have interfered with your academic performance? (i.e. learning
differences, prolonged illness, family issues, etc.?)
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What academic awards or prizes have you won in your high school years?
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EXTRACURRICULAR ACTIVITIES & INTERESTS
Please complete the Activities Resume (page 5). List the activities and jobs that you have been involved in
both at Bullis and outside of school for the past three years.
Which activity is most important to you? What does your involvement in this activity say about your
personality?
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What prizes, honors or awards have you won as a result of your involvement during your high school
years? (This should include activities outside of Bullis)
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2
Of the activities you listed, which do you hope to continue in college? What will your biggest
extracurricular contribution to the college community be?
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List any significant travel, camp or internship experiences you have had in your high school years? What
was the most significant of these? What led you to it?
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What extracurricular, academic, or personal goals do you have for your senior year?
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MISCELLANEOUS
What are three things you would like to accomplish in your lifetime?
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If you could defer college for one year, what would you do?
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List a few books you have read outside of class in the last year. Are there any magazines or newspapers
that you read regularly?
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3
Has there been any event in your life that has had a significant influence on your values (i.e. the death of
a loved one, a special act of kindness by someone?) if so, please describe the impression it made on you.
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Have you ever been suspended, dismissed, or placed on probation from school for academic or
disciplinary reasons? If so, please explain. (This question is asked on many college applications. Your
honest answer to the question is expected.)
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Finally, tell us something else about you that we have not asked. Is there a personal story that conveys
your true spirit? Please share, don’t worry about structured writing. Just your thoughts are fine.
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A FEW MORE JUST FOR FUN
Favorite book:
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Favorite musical artist:
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Favorite out of school activity:
Favorite movie:
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Favorite vacation:
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Favorite TV show:
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Three words that best describe you:
Nickname :
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4
Please complete this grid or attach an activities resume describing your community, arts,
leadership, athletic, family, and other extracurricular activities and hobbies in the order of
interest to you. Please include both Bullis activities and those you do outside of school.
Describe these activities in a way that tells us what they are and more importantly, what they
mean to you. Include any jobs that you have held in the past three years. Please use additional
sheets if necessary.
Activity: Click here to enter text.
Date: Click here to enter text.
Position: Click here to enter text.
Time Spent: Click here to enter text.
Description and significance to your:
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Activity: Click here to enter text.
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Description and significance to your:
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Student Self Evaluation - Questionnaire II