Senior Student Questionnaire You must have JavaScript enabled to use this form. Senior Student QuestionnaireThis form is used by school counselors to assist with college recommendation letters. Please submit this form to your school counselor by September 3rd. Student First Name Student Last Name Student Cell Phone Number Student Personal Email Student School Email Are you a first generation college student/are you the first from your family to attend college in the US? (First Generation College Student= neither parent completed a college education) Yes No List two teachers we can contact for input who are NOT writing a recommendation letter on your behalf: What is your Career Goal/College Major? Be as specific as possible. If undecided, name some area you are considering, or aspects that are important to you. What sparked your interest in this? List three adjectives that best describe you and explain why: What has been the most satisfying course you have taken and why? Life’s obstacles allow us to grow. Describe an obstacle that impacted you and the growth that resulted. Describe your greatest success- perhaps a time when you exceeded expectations or excelled beyond your assumed capabilities. While in high school, please list your work experience and/or extra-curricular activities (clubs, sports, volunteering, etc). Include the dates of your active participation and highlight any leadership positions. These experiences can be at Centreville HS or in the community. Which single work experience or extracurricular activity has been most important to you and why? Please list any honors or awards you have received during your high school years. Please list any specific skills or language proficiencies you have. Do you want me to mention any course conflict, specific grade, or academic incident in your recommendation? If so, please describe: If you were to write your own recommendation, what would you say in your first paragraph that would grab the reader’s attention and prompt them to read on? What sets you apart from your peers? Select your School Counselor (Alphabetized by by Student Last Name) - Select -Allison Warren | Last Names A-BucAnne-Marie Chace | Last Names Bud-DnDonna Thompson | Last Names Do-Ga and Cat BDana Doss | Last Names Gb-KanSaira Villeda | ESOL StudentsJean No | Last Names Kao-LerCharles Brinkley | Last Names Les-NelCarrie Gingrich | Last Names Nem-RiKate Foussekis | Last Names Rid-SumAutumn Koo | Last Names Sune-Z Leave this field blank