STONE BRIDGE HIGH SCHOOL 43100 Hay Road Ashburn, Virginia 20147 School Counseling Department Phone: (571) 252-2214 Fax: (571) 252-2213 STUDENT PROFILE SHEET (USE THE DOWN ARROW TO MOVE THROUGH THE DOCUMENT) Name: Click here to enter text. Counselor: Click here to enter text. Cell Number: Click here to enter text. Email Address: Click here to enter text. City, State, Zip code Parent/Guardian’s name: Click here to enter text. Occupation: Click here to enter text. College(s) attended: Click here to enter text. Parent/Guardian’s name: Click here to enter text. Occupation: Click here to enter text. College(s) attended: Click here to enter text. Siblings: Name Age College Attended Occupation Click here. Enter Click here to enter text. Click here. Click here. Enter Click here to enter text. Click here. Click here Enter Click here to enter text. Click here. **Any information that I provide may be used by my counselor in his/her secondary school report or recommendation** Student Signature: _____________________________________ Date: ____________ [PLEASE MAKE A COPY OF THIS FORM FOR YOUR RECORDS] Revised 3/13 Student Name: Click here to enter text. ☐ ☐ ☐ ☐ ☐ ☐ Post High School Plans Four-year college Two-year college Vocational school Apprenticeship program Military/Armed services Other: Click here to enter text. Colleges/Universities being considered: Click here to enter text. College Major(s) being considered: Click here to enter text. Career goal(s): Click here to enter text. Teacher(s) writing your recommendations: Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. List clubs, organizations, sports, community activities, and/or part-time employment: Club/Sport/Activity Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Place of Employment/Volunteer Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Years Involved Click here. Click here. Click here. Click here. Click here. Click here. Click here. Leadership Click here. Click here. Click here. Click here. Click here Click here. Click here. Responsibilities Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Major Accomplishments Click here. Click here. Click here. Click here. Click here. Click here. Click here. To/From Click here. Click here. Click here. Click here. Click here. Click here. Revised 11/17 List other honors, awards, special recognition, etc. Click here to enter text. Please answer the following questions as completely as possible, typing or writing your response below each question or attaching additional sheets. This information will not only help me complete a secondary school report form or recommendation for you, it should also help you begin to think about why you will be a good candidate for a particular college/university. 1. What three adjectives would you use to describe yourself? Why? Click here to enter text. Click here to enter text. Click here to enter text. 2. What do others see as your best qualities? Click here to enter text. 3. If you have a major/career in mind, explain why you are drawn to this major/career. Include any related experiences. If you are undecided, that’s okay too! Click here to enter text. 4. How have you distinguished yourself from other students at SBHS? Click here to enter text. 5. Are there any outside circumstances that have had an impact on your academic performance (family hardships, moving, illness, school difficulties, etc.)? Only fill this in if you want the information shared with colleges. Click here to enter text. 6. Describe your most significant personal, academic, travel, or summer experience and the impact it had on you. Click here to enter text. Revised 11/17 7. Complete these short answer sentences: I am proud of the fact that… Click here to enter text. Very few people know that… Click here to enter text. I would like to change… Click here to enter text. Something I value about my family is… Click here to enter text. My favorite quote is… Click here to enter text. 8. What else should I know to help me understand you more fully? i.e. Anything unique about your family—cultural background, shared interest and activities, size, language spoken in the home, etc.; any hobbies/interests? Click here to enter text. Revised 11/17