Mrs. Magilke’s Student Self-Assessment (Brag Sheet) Required for Counselor Recommendation
This form assists me in writing your recommendation. The more specific you are, the more thorough your
college/scholarship/summer program or internship recommendation will be. Please type or write neatly.
If I cannot read your handwriting, I will ask you to rewrite it.
For teacher recommendations, you will need to see individual teachers for their requirements.
Because of the number of recommendation requests the counselors receive, this form is due
to Mrs. Magilke one month before the recommendation is needed.
Student Name: ____________________________________ Student ID #_________________
Email: __________________@ ____________ Your Phone #____________________________
Father’s Name
Occupation
Education completed: High School
College
Mother’s Name
__
______
Occupation
Education completed: High School
Parents: Married
College attended:
Divorced
College
College attended: _________ ______
Separated_____One/Both Remarried____One/Both Deceased
First (college/scholarship/internship) deadline: _________________ Date submitted: _________ to Ms. Magilke
List three adjectives to describe yourself.
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What are you most proud of?
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Besides your grades/academics, what else are you known for or want to be known for? What are your
personal strengths? ____________________________________________________________________
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Describe your performance in class (what would your teachers say about you?) What are your academic
strengths?
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Outside of class, I,
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Any anecdotal information that you would like to share that speaks to your character_____________________________________________________________________________________
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What has been your favorite class? Why?
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How would your closest friend describe you?
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What is your passion? What role will it play in your future?
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What college majors are you considering?
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What are your current career goals? What do you hope to accomplish?
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What has been your greatest academic or personal challenge? How did you overcome the problem?
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In reviewing your transcript, have there been any extenuating circumstances that might have affected
your grades or school performance?
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Choose 3-5 traits from the list below in which you excel. These traits are three of your most
distinguishing or admirable qualities. Write a few sentences why you think you excel in that
particular trait.
Ability to communicate, intelligence, competitiveness, self-confidence, willingness to accept
responsibility, initiative, ability to handle conflict, leadership, vocational skills, imagination, goal
achievement, flexibility, interpersonal skills.
1. Trait 1: _________________
Description of trait: ________________________________________________________________
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2. Trait 2: _________________
Description of trait: ________________________________________________________________
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3. Trait 3: __________________
Description of trait: ________________________________________________________________
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SELF-SUMMARY/MISCELLANEOUS INFORMATION
The counselor is often asked to assess a student’s potential regarding academic and personal qualities
(character, relative maturity, integrity, values, special talents, etc.) and his/her promise as a student in
the college or university setting. The counselor is asked to avoid listing student activities that are
available elsewhere and to give specific events/examples and any unusual circumstances (health or
financial issues, etc.) that may give added insight into the strengths and weaknesses of the candidate.
How would you assess yourself if you were writing this statement for a college? You may use an extra
page if needed to write your response.
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PARENT RESPONSE
List three adjectives to describe your child: _________________________________________________
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Please relate anecdotes that describe your student’s strengths, accomplishments, preferences, work
habits, personality, etc. Tell what you would like the college admissions committees to know about your
student regarding unusual talents, personal qualities, assets/characteristics that set the student apart
from others. Describe your child’s role in the life of your family. Discuss your child’s reactions to any
unusual circumstances and/or situations in your family life. You may use an extra page if needed to
write your response.
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RESUME INFORMATION
If space provided in any section is insufficient, you may continue on additional sheets of paper using the same format.
List all HIGH SCHOOL activities.
ACTIVITY
GRADE LEVEL(s) of Participation
OFFICES HELD
List all EXTRA-CURRICULAR activities and/or WORK experience. (Activities you participate in outside of
school.)
ACTIVITY/JOB TITLE
GRADE LEVEL(s) of Participation
OFFICES HELD or TYPE OF WORK
List all COMMUNITY SERVICE activities. (Volunteer work to serve others.)
ACTIVITY
GRADE LEVEL(s) of Participation
Total number of volunteer hours earned so far: ________________
OFFICES HELD
List any SPECIAL AWARDS that you have received in high school.
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