College Counseling Family Response Form
The purpose of this form is to help us get to know your student better and to learn about your thoughts regarding your student's college search. We will use this information as we are getting to know your student and as we write recommendations next fall.
Student's Name: *
Last, First, Nickname
Your answer
Name of Parents/Guardians completing this form: *
Separate names with commas
Your answer
Email address of Parents/Guardians completing this form: *
Your answer
About Your Student
Distinctive Qualities *
Please write a brief paragraph–or even a list–of what is most distinctive, special, or unusual about your student.
Your answer
Personal History *
List the four or five most pertinent events or circumstances that have shaped your student's personal or family history.
Your answer
Academic History *
List any special academic programs your student has participated in, any notable academic achievements, or any academic difficulties your student has experienced.
Your answer
Activities and Interests *
List your student's four or five most important non-academic interests and experiences. Please include descriptions and details that show commitment, growth, success, and/or leadership.
Your answer
Additional information
Please feel free to add anything else you think we should know or that we should mention in your student's recommendation. We would particularly welcome any comments about strengths, weaknesses, needs, or developmental history that you feel are important.
Your answer
Desired College Characteristics
Please indicate the characteristics you believe would suit the needs of your student.

If you have no particular preference, please write "No preference"

Size and location: *
Your answer
Level of academic challenge and specific academic programs: *
Your answer
Non-academic offerings (extracurricular programs): *
Your answer
Other (e.g., coed or single-sex, type of campus life, sports, etc.):
Your answer
Miscellaneous
Will you be seeking financial aid for college? *
Post-secondary education of parents/guardians (college, degree earned).
Your answer
Siblings' secondary and post-secondary education (college, degree earned).
Your answer
Please list any institutions where your family may have influential contacts, and explain the relationship(s).
Your answer
If there are specific colleges you have in mind for your student, please list them and tell us why you think they are appropriate choices.
Your answer
Other parent/guardian email addresses:
Please separate addresses with a comma
Your answer
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