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Name of Applicant
Applicant's Country of Citizenship and/or Residency
Citizenship
Residency
If you are or will be (by the time of your application) a citizen and/or a resident of the United States or any of its territories, please indicate the state or territory of your present or prospective residency and whether you are or will be (by the time of your application) eligible to apply as an in-state student to any of the state and/or public colleges and/or universities in the United States.
Resident State
Eligible State
If you are NOT a citizen and/or a resident of the United States but have gained or will gain (by the time of your application) in-state student status, please indicate the state you are eligible to apply as an in-state student.
Eligible State
Name of Applicant's School
Address of Applicant's School
GPA
(please also indicate your projected GPA for prospective school year(s))
Freshman
Sophomore
SAT 1
(please list all scores and/or your projected scores by their sections (e.g. Math 700; Reading 700; Writing 700, Essay 10) w/ their respective test dates)
SAT 2
(please list all scores and/or your projected scores w/ their respective test dates)
ACT
(please list all scores and/or your projected scores by their sections (e.g. Math 22; Science 22; English 22; Reading 22; Writing 22) w/ their respective test dates)
AP Courses
(please list all courses w/ their respective high school years)
AP Tests
(please list all scores w/ their respective high school years)
IB Courses
(please list all courses w/ their respective high school years)
IB Tests
(please list all courses w/ their respective high school years)
TOEFL
(please list all scores and/or your projected scores w/ their respective test dates)
IELTS
(please list all scores and/or your projected scores w/ their respective test dates)
Extracurricular Activities
(please list all extracurricular activities and/or your planned extracurricular activities, including those from outside school, w/ their descriptions, the positions held (or will be held), if any, their respective school years, the average and/or projected hours per week and average and/or projected weeks per year devoted to each)
Awards & Recognitions
(please list all and/or expected awards & recognitions w/ their respective dates)
College Interests I
(please list all colleges and/or universities of your interest)
College Interests II
(please indicate the college and/or colleges of your interest w/in a university for all universities of your interest)
College Interests III
(please indicate your interest in liberal arts colleges)



Major/Minor Interests
(please list all majors/minors of your interest w/ indication of whether they are REAL, STRATEGIC, so called "HOOK" or "DUMMY" interest, or APTITUDINAL as a result of any aptitude test taken)
Career Interests
(please list all possible careers of your interest)
Comments
(please add any comments from difficulties and/or disabilities to extenuating circumstances to special and/or unusual experiences and/or circumstances that you would like us to consider for your college recommendations)
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