**Please give Transcript Request Form and Senior Worksheet to your School
Counselor at least 10 School Days before your first application deadline!**
FREEDOM SCHOOL COUNSELING DEPARTMENT
SENIOR WORKSHEET
*Students: There is a direct correlation to the amount of time and effort you put into this worksheet and
the information I have to write your recommendation letter! Please give us unique and specific
information and examples!*
Directions: Students complete items 1-13, Parents please complete items 14-17.
1. Student Personal Information:
Name______________________________________________________________________
Address____________________________________ Student Email____________________________
Home Phone _____________________
Student Cell Phone_________________________________
Other high schools attended (if applicable) Location Dates/Grades: ___________________________
2. Parents Information:
Father/Guardian’s name
Highest Level of Education (include name of college/university if applicable)
____________________________
__________________________________________________
Mother/Guardian’s name
Highest Level of Education (include name of college/university if applicable)
____________________________
__________________________________________________
3. Sibling Information:
Please list all siblings in order by age, oldest first.
Name
Age
College Attended/Attending (if applicable)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
*Are you a first generation college student?
YES
NO
4. College Preferences – Please list the colleges where you intend to apply:
(Important: You are not required to have 8 colleges selected. Use only the spaces you need.)
My “Reach” or “Dream” Schools:
1)_______________________________________________
2)_______________________________________________
My “Target” or “Level” Schools
1) _______________________________________________
2) _______________________________________________
3) _______________________________________________
My “Safety Schools”
1) _______________________________________________
2) _______________________________________________
My “Financial Safety” School – a school I can afford to attend with no financial aid.
1) _______________________________________________
5. List your intended college major(s), career, and life goals. Why have you selected these?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
6. Choose three adjectives that best describe you. Why did you choose these? Please explain your choices
using examples!
1)__________________________________________________________________________________
___________________________________________________________________________________
2)__________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
3)
___________________________________________________________________________________
7. Beyond your transcript and test scores, what makes you different from another FHS student applying
to the same schools you are? (Use additional pages if needed.)
________________________________________________________________________
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8. Tell me about your favorite memory from high school and/or what are you most proud of?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
9. Life’s obstacles allow us to grow. Describe an obstacle (personal or academic) that has affected you.
What did you learn? (Use additional pages if needed.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
10. Please list your extracurricular activities, volunteer work, and/or employment
Extracurricular Activities, Volunteer Work,
or Employment
Years
Leadership Positions/Duties?
11. Which of your extracurricular activities has been the most meaningful to you? What specifically did
you do or accomplish through this activity and why is it special to you? (Use additional pages if needed.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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12. If you had an academic “do over” for high school, what would it be? Why? And/or Is there anything
on your academic transcript that needs to be explained? (Examples might include low grades, a light
schedule, an unusual gpa for a semester, etc.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
13. What was the most challenging class you have taken in high school? How did you get through it?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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Parents Please Complete Items 14 – 17 (Use additional pages if needed):
14. Choose three adjectives that best describe your young adult. Why did you choose these three?
1) ______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2)______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3)_______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
15. Please describe any significant family events that have occurred over the last 4-5 years that may have
affected your student’s performance in high school, whether it actually did or not (i.e. death of a parent or
close relative, divorce or separation of parents, move from another city/state, extended illness of a family member, etc.).
________________________________________________________________________
________________________________________________________________________
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16. What is most unique about your son or daughter?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
17. VERY IMPORTANT! What would you want the admissions office to know about your son/daughter
that they would not be able to glean from their school records? Parents have shared things in the past,
such as the student’s significant role in the family; their religious involvement; community and
charitable work; etc. Tell us a story (or two) about your student that represents him/her as a whole.
________________________________________________________________________
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