Burris Laboratory School Senior Profile PLEASE WRITE IN BLACK INK Muncie, Indiana 47306 Class of 2015 Student Name ______________________________________________ Student Email Address ________________________________________ This form was created to assist Mrs. Maugherman to prepare letters of recommendation, as well as to assist you in the college and scholarship search processes. The personal data collected will help Mrs. Maugherman obtain a clear and complete picture of you. Please complete this form and return it to the Counseling Center by October 24, 2014, or earlier if a letter of recommendation is required before then. Any additional information, such as letters of recommendation, which you feel relevant may be included. Thank you! Please take your time when completing this form. Details are important! Part I. High School Activities Organizations, Clubs, Committees, Music, etc. (Please indicate any offices held and the number of years you participated in the organization) 1. Activities Activity Grades Leadership positions held ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ___________________________________________________ 2. List awards and honors you have received in both academic and extracurricular areas. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 3. High School Athletics or Intramural Sports ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Part II. Please describe the following activities. A. Community Service - Describe your volunteer services and indicate # of hours you participate ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ B. Internship/Apprenticeship/Community Mentoring - Please describe activities and indicate # of hours you participate ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ C. Employment Company Grade/year (please indicate # of hours worked/week) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ D. Interests/Hobbies - Provide a list of your interests and hobbies ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ E. Briefly discuss which of these activities (extracurricular, community service, internship/apprenticeship/community mentoring) has had the most meaning for you and why. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Part III. Please answer the following questions. 1. What did you do during the summer months prior to your senior year? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 2. Please describe any family or financial situations that might require special consideration for financial need? (i.e. several family members in college) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 3. It is difficult to communicate to a college everything a student has accomplished and become. What would you most like to have recognized as a college considers you for admission? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4. How would your peers describe you? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 5. Name something, or someone, you will remember most from your high school years and why? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 6. Give the names of three Burris faculty or administration members who can best describe you, academically and personally. The Counseling Center may contact them for feedback when writing letters. 1. 2. 3. Part IV: College Information A. What is you intended major for college? B. What are your current career plans? C. Current College Choices. Part V: Family Profile (For parents to complete) A. Father 1. 2. 3. 4. Name: Occupation: Employer: College(s) Attended: B. Mother 1. Name: 2. Occupation: 3. Employer: 4. College(s) Attended: C. Siblings 1. Name(s): 2. College(s) Attended: D. Please use this space to share special/unique qualities about your son/daughter that can add to his/her college application. Your familial perspective is the best resource to pinpoint your child’s traits and talents. It doesn’t have to be a long dissertation-use your own style, choose your own format, and speak freely from the heart. Examples and anecdotes are helpful. Keep in mind it is perfectly acceptable to “brag” about your child on this page! The information you provide is confidential and will only be read by the counselor. Your time and assistance are greatly appreciated. Also, I urge you to share your response to this section with your child. Children of all ages need to hear the good things about themselves. Thank you! ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________