STUDENT BRAG/INFORMATION SHEET
Date: ___/ ___/ _____
Filling out this sheet helps your counselor to get to know you better and have information that will help in writing
recommendations for scholarships, colleges, and awards. Do not be shy with your answers – this is a brag sheet!
PERSONAL DATA
Last Name: ________________________ First Name: _____________________ Middle Name: __________________
Date of Birth: ____/____/____ Address: _______________________________________ Phone #: ________________
E-Mail: ___________________________________________ Ethnicity: ______________
Mother’s Name: ____________________________________ Occupation: _____________________________________
Father’s Name: ____________________________________ Occupation: _____________________________________
Who do you live with? ______________________________________________________________________________
EDUCATION/CAREER INFORMATION
High schools attended (if other than Conway):
Grade(s) ________ School ___________________________ Grade(s) ________ School _________________________
Post high school plans (check and explain)
_____ Full-time work
Type: _________________________________________________________________________
_____ College(s) 1.___________________ 2.________________ 3.___________________ Major: _________________
Will you be the first in your family to attend college? _____ Yes ____ No
_____ Other Training
What/Where: ___________________________________________________________________
_____ Other Plans
What/Where: ___________________________________________________________________
Tentative career plans: _______________________________________________________________________________
PERSONAL INFORMATION/QUESTIONAIRE (this is where you aren’t shy!)
1.
List your hobbies, special interests and/or special talents.
2.
Any unique endeavors (undertakings, travel)?
3.
What do you consider your greatest strengths?
4.
What do you consider your greatest weaknesses?
5.
What are your proudest accomplishments?
A.
Academic
B.
Personal
6.
Briefly describe your most stimulating intellectual experience in recent years.
7.
Briefly describe an instance when a person, event, book, article, film, etc., has caused you to change your
thinking/way of life.
8.
List any activities, clubs, or organizations that you have been a part of, and list any leadership positions you may
have held (attach an additional sheet, if needed).
Name of Club/Organization
Position/office held (ex. Member, President, etc.)
9.
List any volunteer activities/community service you have participated in.
10.
List any jobs you now hold or have previously held and what your job duties are (were).
11.
Is there anything that your counselor or teachers need to know about you? Any obstacles you’ve overcome, or
special circumstances that a college or scholarship committee might need to consider?
12.
List 5-10 words that describe you, and a statement to support each.
FEEL FREE TO ATTACH AN ACADEMIC RESUME WITH THIS FORM.
ATTACH A PHOTO IF POSSIBLE.