Student Questionnaire
This form is designed to help give your counselor detailed information when writing letters of recommendation, completing the CommonApp, etc. Please fill out the questionnaire in its entirety and give as many details as possible. Please give your counselor 2-3 weeks BEFORE the due date to write your recommendations. Please keep in mind that your counselor will not write recommendations during vacations (e.g. Thanksgiving or holiday breaks).
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Please type your full name (ex: first, middle, and last) *
Student email address (can be school or personal email) *
Student cell phone number
Which learning option are you completing this semester? *
Are you a first-generation college student (i.e. neither parent graduated from a 4 year college in the USA)? *
What are your academic future goals (i.e. major, career, degree you plan to pursue, etc.)? *
What is one thing you would want a college to know about you? Why? *
What clubs/organizations have you participated in? *
Pick the club or organization on which you feel you have made the biggest impact. Explain why in detail. *
What community service have you participated in? *
Pick the community service organization on which you feel you have made the biggest impact. Explain why in detail. *
What was the most memorable experience you had in high school (be as specific as possible)? *
What is your biggest strength? Please explain. *
Please provide an area in which you can improve. *
What is the biggest challenge you have had to overcome? *
What are three words that describe you as a student? *
Is there anything else you would like to remind me of in regard to your performance in school?
What date do you need this letter of recommendation completed by? *
Please provide the contact information (i.e. mailing address, fax number, email address, etc.) of where this letter of recommendation needs to be sent. (Note: If you need the letter for your CommonApp, please write CommonApp in the space provided below). *
*******By submitting this questionnaire, you agree to give permission for what is shared in this document to be used in letters of recommendation for college and scholarship applications and waives your right to see the recommendation once written.*******
If you would like to send a resume, in addition to this questionnaire, please email a copy to your grade level counselor.
Class of 2021- Ms. Lauren Smith: lauren.smith@k12.wv.us
Class of 2022- Mr. Richard Gerlach: rgerlach@k12.wv.us
Class of 2023- Ms. Anna Fleming: anflemin@k12.wv.us
Class of 2024- Ms. Lauren Landry: lauren.landry@k12.wv.us
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