High School Counselor Information

High School Counselor Information—Optional

Note to the Counselor: This form must be filled out by a school official. The form is for first-year applicants only.

*Asterisk denotes a required field. You must complete the fields before submission.

Counselor Contact Information

First Name *

Last Name *

Title

Email Address *

Phone Number Enter: (XXX) XXX-XXXX extXXXX

School Official Verification *

I certify that I am a school official.

High School Name *

If your organization name did not appear, please type it here.

School Address *

Country

Street

City

Region

Postal Code

Student Information

First Name *

Preferred Name

Last Name *

Birthdate *

Email Address *

Standardized Test Results

Please do not superscore the test results.

New SAT

Test Date

Evidence-Based Reading and Writing

Math

Total

Old SAT

Test Date

Critical Reading

Math

Total

ACT

Test Date

English

Mathematics

Reading

Science Reasoning

Writing

Composite

Estimate of Applicant's Success *

Will probably be an above-average student.

Will probably be an average student.

May have some difficulty and should have special guidance and attention.

Comment—Please share additional comments or information that you feel would be helpful to the admissions committee when evaluating this applicant. Be sure to include any of the student's life circumstances that may have influences their academic record.