Iona Preparatory School

Guidance

Name:
Email:
SSN:
Prefer to be called:

The purpose of this form is to give the college advisor sufficient information about you to help with your college selection process and to form a letter of recommendation that will properly reflect your strengths.

Family Background Information

A. Brothers and sisters (First Name, Age, What they do -- HS, Col, Work, Highest Education)

B. Father/Guardian Name
1. School or college attended Degree
2. Occupation-Title of father's position
3. Name of father's employer and location

C. Mother/Guardian Name
1. School or college attended Degree
2. Occupation-Title of mother's position
3. Name of mother's employer and location

D. Cite any unusual circumstances that should be taken into consideration regarding your scholastic record. (e.g. illness, divorce.)

Academic Information

A. Program
Most of your subjects were in: (Check One)
STEP Honors Regents

B. Academic Awards/Honors
List any awards or special acknowledgments you have received for school work beginning with ninth grade.

C. What are your main strengths as a student?

D. What are your weaknesses as a student?

E. Rate your potential for academic success in college.

F. Academic plans
Major field choice
Vocational Goal
Hopeful Reach School
Serious First Choice
Second Choice
Third Choice
Sure Safety School

Extracurricular and Personal Information
Colleges are very interested in how you spend your outside of class time.

A. Please list in order of importance to you, the activities with which you are primarily involved. They can be school or outside activities. For each of these activities make sure to include: Activity Name, Grade (9 10 11 12) and Position held or honors won

B. Community Service Activities
List actions on your part that have been helpful to others. Use the space to comment on the one which has had the most effect on you.

C. Work Experience
Your jobs demonstrate maturity and responsibility. List any jobs you have held in the past three years. Make sure to include: Position Held, Employer, When? Hrs/Wk

Personal Information to know you better

A. What adjectives would you use to honestly describe yourself?

B. Describe your strengths as a person.

C. What are the interests, experiences, talents or skills that you possess that make you different from anyone else?

D. Describe how you spend your summers:

This coming summer

The summer before junior year

Summer before sophomore year

Please choose your counselor:
Mr. Kiers Mr. O'Neill