Mrs. Pike’s Brag Sheet Required for Counselor Recommendations
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, see individual teachers for their requirements.
This form is due to Mrs. Pike 30 days before the recommendation is needed.
Student Name: ________________________ Student ID #_________________
Email: __________________@ ____________
Your Phone #____________________________
Father’s Name
Occupation
Education completed: High School
College
Mother’s Name
Education completed: High School
Parents: Married
Divorced
College
College attended:
______
__
______
Occupation
______
College attended: _________ ______
______
Separated_____One/Both Remarried____One/Both Deceased
First (college/scholarship/internship) deadline: _________________
Date submitted: _________ to Mrs. Pike
List three adjectives to describe yourself. __________________________________________________________________________________________________ What are you most proud of? __________________________________________________________________________________________________ __________________________________________________________________________________________________ Besides your grades/academics, what else are you known for or want to be known for? What are your personal
strengths? __________________________________________________________________________________________________ Describe your performance in class (what would your teachers say about you?) What are your academic
strengths? __________________________________________________________________________________________________ __________________________________________________________________________________________________ Outside of class, I,
__________________________________________________________________________________________________ __________________________________________________________________________________________________ Any anecdotal information that you would like to share that speaks to your character__________________________________________________________________________________________________ __________________________________________________________________________________________________
What has been your favorite class? Why?
__________________________________________________________________________________________________ __________________________________________________________________________________________________ How would your closest friend describe you?
__________________________________________________________________________________________________ __________________________________________________________________________________________________ What is your passion? What role will it play in your future?
__________________________________________________________________________________________________ __________________________________________________________________________________________________ What college majors are you considering?
__________________________________________________________________________________________________ What are your current career goals? What do you hope to accomplish?
__________________________________________________________________________________________________ __________________________________________________________________________________________________ What has been your greatest academic or personal challenge? How did you overcome the problem?
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ In reviewing your transcript, have there been any extenuating circumstances that might have affected your
grades or school performance?
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ 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: _____________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 2. Trait 2: _______________________ Description of trait: _____________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 3. Trait 3: ________________________ Description of trait: _____________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 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.
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ PARENT RESPONSE
List three adjectives to describe your child: ___________________________________________________________ __________________________________________________________________________________________________ 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.
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ 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.
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.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________