2008-09 First-year Application

For Spring 2009, Fall 2009, or Spring 2010 Enrollment

PERSONAL DATA
p Female
Legal name __________________________________________________________________________________________________________________
p Male
Last/Family (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Preferred name, if not first name (choose only one)_______________________ Former last name(s), if any _______________________________________
Birth date_ ____________________________________________________
mm/dd/yyyy
Citizenship
p US citizen How many years have you lived in the United States? _____________________
p Dual US citizen List any non-US countries of citizenship ______________________________
p US permanent resident visa (Alien registration # ______________________) ______________________________
p Other citizenship (Visa type ______________________________________) ______________________________

Optional The following items are optional. No information you provide will be used in a discriminatory manner.
Place of birth _____________________________________________________ If you wish to be identified with a particular ethnic group, please check all that apply:
City/Town State/Province Country p African American, African, Black
Social Security Number (if any) ___________________
______________________ p Native American, Alaska Native (date enrolled ___________________________
Tribal affiliation _________________________________________________)
First language, if other than English _____________________________________
p Asian American (country _________________________________________)
Primary language spoken at home, if other than English _____________________ p Asian, incl. Indian Subcontinent (country ______________________________)
US Armed Services veteran? p Yes p No p Hispanic, Latino (country __________________________________________)
Marital status: p Never married p Mexican American, Chicano
p Married p Puerto Rican
p Widowed p Native Hawaiian, Pacific Islander
p Separated p White or Caucasian
p Divorced (date ________________________)
mm/yyyy p Other (specify ________________________________________ _____________)

ADDRESS
E-mail address _________________________________________________ IM address ____________________________________________________
Permanent home address __________________________________________________________________________________________________________
Number & Street Apartment #
____________________________________________________________________________________________________________________________
City/Town State/Province Country ZIP/Postal Code
Permanent home phone (_____________) _____________________________ Cell phone (_____________) ______________________________________
Area Code Area Code
If different from above, please give your current mailing address for all admission correspondence.
Current mailing address __________________________________________________________________________________________________________
Number & Street Apartment #
____________________________________________________________________________________________________________________________
City/Town State/Province Country ZIP/Postal Code
If your current mailing address is a boarding school, include name of school here: ____________________________________________________________
_____
Phone at current mailing address (_____________) _____________________ (from ___________ to ___________)
Area Code (mm/dd/yyyy) (mm/dd/yyyy)

FUTURE PLANS
Your answers to these questions will vary for different colleges, and not all colleges require a response to each. Please complete the rest of page 1 and make
photocopies of the page. Then complete this Future Plans section as appropriate for each of the colleges to which you are applying.  It is important that students review
institutional publications or websites for complete application requirements and instructions.  If applying Early Decision please submit the Common Application ED
Agreement if the college or university requires one.
College ___________________________________________________________________________ Deadline ___________________________________
mm/dd/yyyy
Entry Term: p Fall (Jul-Dec) p Spring (Jan-Jun) Do you intend to apply for need-based financial aid? p Yes p No
Do you intend to apply for merit-based scholarships? p Yes p No
Decision Plan: p Regular Decision p Rolling Admission
p Early Decision I p Early Decision II Do you intend to live in college housing? p Yes p No
p Early Action I p Early Action II Do you intend to be a full-time student? p Yes p No
p Restrictive Early Action p Early Admission
juniors only
Do you intend to earn a degree? p Yes p No
Possible area(s) of academic concentration/major(s) __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Possible career or professional plans______________________________________________________________________________________________
© 2008 The Common Application, Inc. AP-1 / 2008-09
 FAMILY
Please list both parents below, even if one or more is deceased or no longer has legal responsibilities toward you. Many colleges collect this information for demo-
graphic purposes even if you are an adult or an emancipated minor. If you are a minor with a legal guardian (an individual or government entity), then please list that
information below as well. If you wish, you may list step-parents and/or other adults with whom you reside, or who otherwise care for you, in the Additional Information
section or on an attached sheet.

Household
Parents’ Marital Status (relative to each other): p Never married p Married p Widowed p Separated p Divorced (date ________________________)
mm/yyyy
With whom do you make your permanent home? p Parent 1 p Parent 2 p Both p Legal Guardian p Ward of the Court/State p Other
Parent 1: p Mother p Father p Unknown Parent 2: p Mother p Father p Unknown
Is Parent 1 living? p Yes p No (Date deceased ____________________) Is Parent 2 living? p Yes p No (Date deceased ____________________)
mm/yyyy mm/yyyy

____________________________________________________________ ____________________________________________________________
Last/Family First/Given Middle Title (Mr./Ms./Dr., etc.) Last/Family First/Given Middle Title (Mr./Ms./Dr., etc.)

Country of birth ________________________________________________ Country of birth ________________________________________________

Home address if different from yours Home address if different from yours

____________________________________________________________ ____________________________________________________________

____________________________________________________________ ____________________________________________________________

Home phone (_______) __________________________________________ Home phone (_______) __________________________________________

Area Code Area Code

E-mail _______________________________________________________ E-mail _______________________________________________________

Occupation _____________________________________________________ Occupation _____________________________________________________

Name of employer ______________________________________________ Name of employer ______________________________________________

College (if any) _________________________________________________ College (if any) _________________________________________________

Degree _________________________________________ Year _________ Degree _________________________________________ Year _________

Graduate school (if any) __________________________________________ Graduate school (if any) __________________________________________

Degree _________________________________________ Year _________ Degree _________________________________________ Year _________

Legal Guardian (if other than a parent) Siblings

Please give names and ages of your brothers or sisters. If they have attended or
Relationship to you _______________________________________________ are currently attending college, give the names of the undergraduate institution,
degree earned, and approximate dates of attendance. If more than three siblings,
____________________________________________________________ please list them in the Additional Information section or on an attached sheet.
Last/Family First/Given Middle Title (Mr./Ms./Dr., etc.)

Home address if different from yours ____________________________________________________________

Name Age Relationship
____________________________________________________________ College Attended________________________________________________
____________________________________________________________
Degree Earned _________________________ Dates_ __________________
or Expected yyyy-yyyy
Home phone (_______) __________________________________________
Area Code
____________________________________________________________
E-mail _______________________________________________________ Name Age Relationship

College Attended________________________________________________
Occupation _____________________________________________________

Name of employer ______________________________________________ Degree Earned _________________________ Dates_ __________________

or Expected yyyy-yyyy

College (if any) _________________________________________________

____________________________________________________________
Name Age Relationship
Degree _________________________________________ Year _________
College Attended________________________________________________
Graduate school (if any) __________________________________________
Degree Earned _________________________ Dates_ __________________
Degree _________________________________________ Year _________ or Expected yyyy-yyyy

AP-2 / 2008-09 © 2008 The Common Application, Inc.

 AC ADEMICS
Secondary Schools
Current or most recent secondary school attended_ ______________________________________________________________________________________
Entry Date __________________ Graduation Date __________________ School Type p public p charter p independent p religious p home school
mm/yyyy mm/dd/yyyy

Address ________________________________________________________________________________ CEEB/ACT Code ___________________________

Number & Street

__________________________________________________________________________________________________________________________________
City/Town State/Province Country ZIP/Postal Code

Counselor’s name (Mr./Ms./Dr., etc.) ____________________________________________ Counselor’s Title ______________________________________

E-mail _____________________________________ Phone (_______) ______________________ Fax (_______) _________________________________

Area Code Number Ext. Area Code Number

List all other secondary schools, including summer schools as well as summer and other programs, you have attended, beginning with 9th grade.
School Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Dates Attended (mm/yyyy)
_____________________________________________ _______________________________________________________ ____________________
_____________________________________________ _______________________________________________________ ____________________
_____________________________________________ _______________________________________________________ ____________________

If your secondary school education was or will be interrupted, check all that apply and provide details in the Additional Information section or on an attached sheet.
p did/will graduate late p did/will change secondary schools p did not/will not graduate
p did/will graduate early p did/will take time off p did/will receive GED Date: _______________ (Official scores must be sent from the testing agency.)
mm/yyyy

Colleges & Universities List all colleges/universities at which you have taken courses for credit; list names of courses taken and grades earned on a separate
sheet. Please have an official transcript sent from each institution as soon as possible.
College/University Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Degree Candidate? Dates Attended Degree(s) Earned
Yes No (mm/yyyy)
_________________________________ ___________________________________________ p p __________________ __________________

_________________________________ ___________________________________________ p p __________________ __________________

_________________________________ ___________________________________________ p p __________________ __________________

Standardized Tests
Be sure to note the tests required for each institution to which you are applying. The official scores from the appropriate testing agency must be submitted to each
institution as soon as possible. Please self-report your test scores below.

ACT Tests Date taken/ English Math Reading Science Composite Writing Date taken/ English Math Reading Science Composite Writing
to be taken to be taken

SAT Reasoning Tests

Date taken/ Critical Math Writing Date taken/ Critical Math Writing Date taken/ Critical Math Writing
to be taken Reading to be taken Reading to be taken Reading

SAT Subject Tests

Date taken/ Subject Score Date taken/ Subject Score Date taken/ Subject Score
to be taken to be taken to be taken

Date taken/ Subject Score Date taken/ Subject Score Date taken/ Subject Score
to be taken to be taken to be taken

AP/IB Tests Date taken/ Subject Score Date taken/ Subject Score Date taken/ Subject Score
to be taken to be taken to be taken

Date taken/ Subject Score Date taken/ Subject Score Date taken/ Subject Score
to be taken to be taken to be taken

Date taken/ Subject Score Date taken/ Subject Score Date taken/ Subject Score
to be taken to be taken to be taken

TOEFL/IELTS/MELAB Date taken/ Test Score Date taken/ Test Score Date taken/ Test Score
to be taken to be taken to be taken
AP-3 / 2008-09 © 2008 The Common Application, Inc.
Honors Briefly list any academic distinctions or honors you have received since the 9 th grade or international equivalent (e.g. National Merit, Cum Laude Society).
Grade level or Honor Level of Recognition
post-graduate (PG)
School State/ National Inter-
9 10 11 12 PG Regional national

p p p p p _________________________________________________________________________________ p p p p
p p p p p _________________________________________________________________________________ p p p p
p p p p p _________________________________________________________________________________ p p p p
p p p p p _________________________________________________________________________________ p p p p
p p p p p _________________________________________________________________________________ p p p p

ACTIVITIES
Extracurricular Please list your principal extracurricular, community, volunteer and family activities and hobbies in the order of their interest to you. Include
specific events and/or major accomplishments such as musical instrument played, varsity letters earned, etc. To allow us to focus on the highlights of your
activities, please complete this section even if you plan to attach a résumé.

Grade level or Approximate When did you participate If applicable,

post-graduate (PG) time spent in the activity? do you plan
Positions held, honors won, or letters earned
Hours Weeks School Summer to participate
9 10 11 12 PG per week per year year in college?

p p p p p p p ________________________________________________________________ p
Activity_ _________________________________________________________________________________________________________________

p p p p p p p ________________________________________________________________ p
Activity_ _________________________________________________________________________________________________________________

p p p p p p p ________________________________________________________________ p
Activity_ _________________________________________________________________________________________________________________

p p p p p p p ________________________________________________________________ p
Activity_ _________________________________________________________________________________________________________________

p p p p p p p ________________________________________________________________ p
Activity_ _______________________________________________________________________________________________________________

p p p p p p p ________________________________________________________________ p
Activity_ _________________________________________________________________________________________________________________

p p p p p p p ________________________________________________________________ p
Activity_ _________________________________________________________________________________________________________________

Work Experience Please list paid jobs you have held during the past three years (including summer employment).
School Summer Approximate dates Hours
Specific nature of work Employer year (mm/yyyy - mm/yyyy) per week

___________________________________________ ___________________________________ p p _______________ ______

___________________________________________ ___________________________________ p p _______________ ______

___________________________________________ ___________________________________ p p _______________ ______

___________________________________________ ___________________________________ p p _______________ ______

AP-4 / 2008-09 © 2008 The Common Application, Inc.

 WRITING
Short Answer Please briefly elaborate on one of your extracurricular activities or work experiences in the space below or on an attached sheet (150 words or fewer).

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Personal Essay Please write an essay (250 words minimum) on a topic of your choice or on one of the options listed below. Please indicate your topic by
checking the appropriate box. This personal essay helps us become acquainted with you as a person and student, apart from courses, grades, test scores, and
other objective data. It will also demonstrate your ability to organize your thoughts and express yourself.

p 1 Evaluate a significant experience, achievement, risk you have taken, or ethical dilemma you have faced and its impact on you.
p 2 Discuss some issue of personal, local, national, or international concern and its importance to you.
p 3 Indicate a person who has had a significant influence on you, and describe that influence.
p 4 Describe a character in fiction, a historical figure, or a creative work (as in art, music, science, etc.) that has had an influence on you, and explain that influence.
p 5 A range of academic interests, personal perspectives, and life experiences adds much to the educational mix. Given your personal background, describe an
experience that illustrates what you would bring to the diversity in a college community, or an encounter that demonstrated the importance of diversity to you.
p 6 Topic of your choice.
Attach your essay to the last page on a separate sheet(s) (same size please). You must put your full name, date of birth, and name of secondary school on each sheet.

Disciplinary History
a Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade (or the international equivalent)
forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from
the institution? p Yes p No
b Have you ever been convicted of a misdemeanor, felony, or other crime? p Yes p No
If you answered yes to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident and explains the circumstances.

Additional Information If there is any additional information you’d like to provide regarding special circumstances, additional qualifications, etc., please do so in the
space below or on an attached sheet.

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

SIGNATURE & PAYMENT

Application Fee Payment p Online Payment p Mailed Payment p Online Fee Waiver Request p Mailed Fee Waiver Request
Required Signature
I certify that all information submitted in the admission process—including the application, the personal essay, any supplements, and any other supporting materials—
is my own work, factually true, and honestly presented. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or
expulsion, should the information I’ve certified be false. In addition, I authorize the release of my admission decision to my secondary school.

Signature _______________________________________________________________________________________________ Date ___________________

mm/dd/yyyy

The Common Application, Inc., and its member institutions are committed to fulfilling their mission without discrimination on the basis of race, color,
national origin, religion, age, sex, gender, sexual orientation, disability, or veteran status.

AP-5 / 2008-09 © 2008 The Common Application, Inc.

 2008-09 Teacher Evaluation TE
For Spring 2009, Fall 2009, or Spring 2010 Enrollment

TO THE APPLIC ANT

After completing all the relevant questions below, give this form to a teacher who has taught you an academic subject (for example, English, foreign language,
math, science, or social studies). Please also give that teacher stamped envelopes addressed to each institution that requires a Teacher Evaluation.

p Female
Legal name ___________________________________________________________________________________________________________________
p Male
Last/Family (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code

School you now attend ________________________________________________________ CEEB/ACT code _____________________________________

IMPORTANT PRIVACY NOTICE: Under the terms of the Family Educational Rights and Privacy Act (FERPA), after you matriculate you will have access to this form
and all other recommendations and supporting documents submitted by you and on your behalf after matriculating, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. You waive your right to access below, regardless of the institution to which it is sent:
p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.
p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me
or on my behalf to the institution at which I'm enrolling, if that institution saves them after I matriculate.
Signature _____________________________________________________________________________________________ Date ___________________
Please detach along perforation

TO THE TEACHER
The Common Application membership finds candid evaluations helpful in choosing from among highly qualified candidates. A photocopy of this reference form,
or another reference you may have prepared on behalf of this student, is acceptable. You are encouraged to keep the original of this form in your private files for
use should the student need additional recommendations. Please return it to the appropriate admission office(s) in the envelope(s) provided to you by this student.
Please submit your references promptly. Be sure to sign below.

Teacher’s name (Mr./Ms./Dr., etc.) ________________________________________________ Subject taught _______________________________________

Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

Secondary school _______________________________________________________________________________________________________________

School address ________________________________________________________________________________________________________________

Number & Street City/Town State/Province Country ZIP/Postal Code

Teacher’s phone (_______) ____________________________________________________ Teacher’s e-mail _____________________________________

Area Code Number Ext.

Background Information
How long have you known this student and in what context?________________________________________________________________________________

What are the first words that come to your mind to describe this student?_ _____________________________________________________________________

List the courses you have taught this student, noting for each the student’s year in school (10th, 11th, 12th; first-year, sophomore; etc.) and the level of course difficulty
(AP, IB, accelerated, honors, elective; 100-level, 200-level, etc.).

_______________________________________________________________________________________________________________________________

Teacher evaluation 1 TE-1 / 2008-09

Ratings Compared to other students in his or her class year, how do you rate this student in terms of:
Very good One of the top few
Good (well above Excellent Outstanding I’ve encountered
No basis Below average Average (above average) average) (top 10%) (top 5%) (top 1%)

Academic achievement
Intellectual promise
Quality of writing
Creative, original thought
Productive class discussion
Respect accorded by faculty
Disciplined work habits
Maturity
Motivation
Leadership
Integrity
Reaction to setbacks
Concern for others
Self-confidence
Initiative, independence
Overall

Evaluation Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in
your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may
have prepared on behalf of this student.)

TE-2 / 2008-09 Teacher evaluation 1 © 2008 The Common Application, Inc.

 2008-09 Teacher Evaluation TE
For Spring 2009, Fall 2009, or Spring 2010 Enrollment

TO THE APPLIC ANT

After completing all the relevant questions below, give this form to a teacher who has taught you an academic subject (for example, English, foreign language,
math, science, or social studies). Please also give that teacher stamped envelopes addressed to each institution that requires a Teacher Evaluation.
p Female
Legal name ___________________________________________________________________________________________________________________
p Male
Last/Family (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code

School you now attend ________________________________________________________ CEEB/ACT code _____________________________________

IMPORTANT PRIVACY NOTICE: Under the terms of the Family Educational Rights and Privacy Act (FERPA), after you matriculate you will have access to this form
and all other recommendations and supporting documents submitted by you and on your behalf after matriculating, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. You waive your right to access below, regardless of the institution to which it is sent:
p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.
p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me
or on my behalf to the institution at which I'm enrolling, if that institution saves them after I matriculate.
Signature _____________________________________________________________________________________________ Date ___________________
Please detach along perforation

TO THE TEACHER
The Common Application membership finds candid evaluations helpful in choosing from among highly qualified candidates. A photocopy of this reference form,
or another reference you may have prepared on behalf of this student, is acceptable. You are encouraged to keep the original of this form in your private files for
use should the student need additional recommendations. Please return it to the appropriate admission office(s) in the envelope(s) provided to you by this student.
Please submit your references promptly. Be sure to sign below.

Teacher’s name (Mr./Ms./Dr., etc.) ________________________________________________ Subject taught _______________________________________

Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

Secondary school _______________________________________________________________________________________________________________

School address ________________________________________________________________________________________________________________

Number & Street City/Town State/Province Country ZIP/Postal Code

Teacher’s phone (_______) ____________________________________________________ Teacher’s e-mail _____________________________________

Area Code Number Ext.

Background Information
How long have you known this student and in what context?________________________________________________________________________________

What are the first words that come to your mind to describe this student?_ _____________________________________________________________________

List the courses you have taught this student, noting for each the student’s year in school (10th, 11th, 12th; first-year, sophomore; etc.) and the level of course difficulty
(AP, IB, accelerated, honors, elective; 100-level, 200-level, etc.).

_______________________________________________________________________________________________________________________________

Teacher evaluation 2 TE-1/ 2008-09

Ratings Compared to other students in his or her class year, how do you rate this student in terms of:
Very good One of the top few
Good (well above Excellent Outstanding I’ve encountered
No basis Below average Average (above average) average) (top 10%) (top 5%) (top 1%)

Academic achievement
Intellectual promise
Quality of writing
Creative, original thought
Productive class discussion
Respect accorded by faculty
Disciplined work habits
Maturity
Motivation
Leadership
Integrity
Reaction to setbacks
Concern for others
Self-confidence
Initiative, independence
Overall

Evaluation Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in
your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may
have prepared on behalf of this student.)

TE-2/ 2008-09 Teacher evaluation 2 © 2008 The Common Application, Inc.

 2008-09 SECONDARY school report SR
For Spring 2009, Fall 2009, or Spring 2010 Enrollment

To the applicant
After completing all the relevant questions below, give this form to your secondary school counselor or another school official who knows you better. Please also
give that school official stamped envelopes addressed to each institution that requires a Secondary School Report.
p Female
Legal name ___________________________________________________________________________________________________________________
p Male
Last/Family (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code

School you now attend ________________________________________________________ CEEB/ACT code _____________________________________

Current year courses—please indicate title, level (AP, IB, advanced honors, etc.) and credit value of all courses you are taking this year. Indicate quarter classes taken in
the same semester on the appropriate semester line.
First Semester/Trimester Second Semester/Trimester Third Trimester

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

Please detach along perforation

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

IMPORTANT PRIVACY NOTICE: Under the terms of the Family Educational Rights and Privacy Act (FERPA), after you matriculate you will have access to this form
and all other recommendations and supporting documents submitted by you and on your behalf after matriculating, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. You waive your right to access below, regardless of the institution to which it is sent:
p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.
p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me
or on my behalf to the institution at which I'm enrolling, if that institution saves them after I matriculate.
Signature _____________________________________________________________________________________________ Date ___________________

To the SECONDARY SCHOOL COUNSELOR

Attach applicant’s official transcript, including courses in progress, a school profile, and transcript legend. (Check transcript copies for readability.) Use page 2 to complete
your evaluation for this student. Be sure to sign below.

Counselor’s name (Mr./Ms./Dr., etc.) _________________________________________________________________________________________________

Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

Title ___________________________________________________________ School ________________________________________________________

School address _________________________________________________________________________________________________________________

City/Town State/Province Country ZIP/Postal Code

Counselor’s phone (_______) _________________________________________ Counselor’s fax (_______) __________________________________

________
Area Code Number Ext. Area Code Number

Secondary school CEEB/ACT code ___________________________ Counselor’s e-mail __________________________________________________________

SR-1 / 2008-09
Background Information

Class rank: ___________ Class size: ___________ Covering a period from __________ to __________. Are classes taken on a block schedule? p Yes p No
(mm/yyyy) (mm/yyyy)
Is the applicant an IB Diploma candidate? p Yes p No
The rank is p weighted p unweighted. How many students share this rank? __________
________________
If you offer AP courses, do you limit the number a
p We do not rank. Instead, please indicate quartile __________ quintile __________ decile ___________ student can take? p Yes p No
In comparison with other college preparatory
Cumulative GPA: ________ on a _________ scale, covering a period from ____________ to ____________ students at your school, the applicant’s course
(mm/yyyy) (mm/yyyy)
selection is:
This GPA is p weighted p unweighted. The school’s passing mark is ________________________________. p most demanding
p very demanding
Highest GPA in class ____________________________________ Graduation date ___________________ p demanding
(mm/dd/yyyy)
p average
Percentage of graduating class immediately attending: ___________four-year ________ two-year institutions p below average

How long have you known this student and in what context? _________________________________________________________________________________

What are the first words that come to your mind to describe this student? ______________________________________________________________________

Ratings Compared to other students in his or her class year, how do you rate this student in terms of:
Very good One of the top few
Good (above (well above Excellent Outstanding I’ve encountered
No basis Below average Average average) average) (top 10%) (top 5%) (top 1%)
Academic achievement
Extracurricular accomplishments
Personal qualities and character
Overall

Evaluation Please write whatever you think is important about this student, including a description of academic, extracurricular, and personal characteristics. We welcome a
broad-based assessment that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may have prepared on behalf of
this student.)

a Has the applicant ever been found responsible for a disciplinary violation at your school from 9th grade (or the international equivalent) forward, whether related to
academic misconduct or behavioral misconduct, that resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution? p Yes p No
b To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime? p Yes p No
If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each
incident and explain the circumstances.
p Check here if you would prefer to discuss this applicant over the phone with each admission office.

I recommend this student: p No basis p With reservation p Fairly strongly p Strongly p Enthusiastically
SR-2 / 2008-09 © 2008 The Common Application, Inc.
 2008-09 MIDYEAR Report MR
For Spring 2009, Fall 2009, or Spring 2010 Enrollment

To the applicant
After completing all the relevant questions below, give this form to your secondary school counselor or another school official who knows you better. Please also
give that school official stamped envelopes addressed to each institution that requires a Midyear Report.
p Female
Legal name ___________________________________________________________________________________________________________________ p Male
Last/Family (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code

School you now attend ________________________________________________________ CEEB/ACT code _____________________________________

Current year courses—please indicate title, level (AP, IB, advanced honors, etc.) and credit value of all courses you are taking this year. Indicate quarter
classes taken in the same semester on the appropriate semester line.
First Semester/Trimester Second Semester/Trimester Third Trimester

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

Please detach along perforation

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

IMPORTANT PRIVACY NOTICE: Under the terms of the Family Educational Rights and Privacy Act (FERPA), after you matriculate you will have access to this form
and all other recommendations and supporting documents submitted by you and on your behalf after matriculating, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. You waive your right to access below, regardless of the institution to which it is sent:
p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.
p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me
or on my behalf to the institution at which I'm enrolling, if that institution saves them after I matriculate.
Signature _____________________________________________________________________________________________ Date ___________________

To the SECONDARY SCHOOL COUNSELOR

Please submit this form when midyear grades are available (end of first semester or second trimester). Attach applicant’s official transcript, including courses
in progress, a school profile, and transcript legend. (Please check transcript copies for readability.) Use page 2 to complete your evaluation for this student.
Be sure to sign below.

Counselor’s name (Mr./Ms./Dr., etc.) _________________________________________________________________________________________________

Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

Title ___________________________________________________________ School ________________________________________________________

School address _________________________________________________________________________________________________________________

City/Town State/Province Country ZIP/Postal Code

Counselor’s phone (_______) _________________________________________ Counselor’s fax (_______) __________________________________

________
Area Code Number Ext. Area Code Number

Secondary school CEEB/ACT code ___________________________ Counselor’s e-mail __________________________________________________________

MR-1 / 2008-09
Background Information If any of the information on this page has changed for this student since the Secondary School Report was submitted, please enter the
new information in the appropriate section below. If your recommendation for this student has changed, please comment in the space below or on a separate sheet.
If nothing has changed, you may leave this page blank. However, your signature is still required on page 1.

Class rank: ___________ Class size: ___________ Covering a period from __________ to __________. Are classes taken on a block schedule? p Yes p No
(mm/yyyy) (mm/yyyy)
Is the applicant an IB Diploma candidate? p Yes p No
The rank is p weighted p unweighted. How many students share this rank? __________
________________
If you offer AP courses, do you limit the number a
p We do not rank. Instead, please indicate quartile __________ quintile __________ decile ___________ student can take? p Yes p No
In comparison with other college preparatory
Cumulative GPA: ________ on a _________ scale, covering a period from ____________ to ____________ students at your school, the applicant’s course
(mm/yyyy) (mm/yyyy)
selection is:
This GPA is p weighted p unweighted. The school’s passing mark is ________________________________. p most demanding
p very demanding
Highest GPA in class ____________________________________ Graduation date ___________________ p demanding
(mm/dd/yyyy)
p average
Percentage of graduating class immediately attending: ___________four-year ________ two-year institutions p below average

How long have you known this student and in what context? _________________________________________________________________________________

What are the first words that come to your mind to describe this student? ______________________________________________________________________

Ratings Compared to other students in his or her class year, how do you rate this student in terms of:
Very good One of the top few
Good (above (well above Excellent Outstanding I’ve encountered
No basis Below average Average average) average) (top 10%) (top 5%) (top 1%)
Academic achievement
Extracurricular accomplishments
Personal qualities and character
Overall

Evaluation Please write whatever you think is important about this student, including a description of academic, extracurricular, and personal characteristics. We
welcome a broad-based assessment that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may have
prepared on behalf of this student.)

a Has the applicant ever been found responsible for a disciplinary violation at your school from 9th grade (or the international equivalent) forward, whether related to
academic misconduct or behavioral misconduct, that resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution? p Yes p No
b To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime? p Yes p No
If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each
incident and explain the circumstances.
p Check here if you would prefer to discuss this applicant over the phone with each admission office.

I recommend this student: p No basis p With reservation p Fairly strongly p Strongly p Enthusiastically

MR-2 / 2008-09 © 2008 The Common Application, Inc.

 2008-09 final Report FR
For Spring 2009, Fall 2009, or Spring 2010 Enrollment

To the applicant
After completing all the relevant questions below, give this form to your secondary school counselor or another school official who knows you better. Please also give that
school official a stamped envelope addressed to the institution you plan to attend.

Legal name ___________________________________________________________________________________________________________________p Female

Last/Family (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. p Male

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code

School you now attend ________________________________________________________ CEEB/ACT code _____________________________________

Current year courses—please indicate title, level (AP, IB, advanced honors, etc.) and credit value of all courses you are taking this year. Indicate quarter
classes taken in the same semester on the appropriate semester line.
First Semester/Trimester Second Semester/Trimester Third Trimester

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

Please detach along perforation

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

IMPORTANT PRIVACY NOTICE: Under the terms of the Family Educational Rights and Privacy Act (FERPA), after you matriculate you will have access to this form
and all other recommendations and supporting documents submitted by you and on your behalf after matriculating, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. You waive your right to access below, regardless of the institution to which it is sent:
p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.
p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me
or on my behalf to the institution at which I'm enrolling, if that institution saves them after I matriculate.
Signature _____________________________________________________________________________________________ Date ___________________

To the SECONDARY SCHOOL COUNSELOR

Please submit this form when final grades are available (end of second semester or third trimester). Attach applicant’s official transcript, a school profile, and transcript
legend. (Please check transcript copies for readability.) Use page 2 to complete your evaluation for this student. Be sure to sign below.

Counselor’s name (Mr./Ms./Dr., etc.) _________________________________________________________________________________________________

Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

Title ___________________________________________________________ School ________________________________________________________

School address _________________________________________________________________________________________________________________

City/Town State/Province Country ZIP/Postal Code

Counselor’s phone (_______) _________________________________________ Counselor’s fax (_______) __________________________________

________
Area Code Number Ext. Area Code Number

Secondary school CEEB/ACT code ___________________________ Counselor’s e-mail __________________________________________________________

© 2008 The Common Application, Inc. FR-1/ 2008-09

Background Information If any of the information on this page has changed for this student since the Midyear Report was submitted, please enter the new
information in the appropriate section below. If your recommendation for this student has changed, please comment in the space below or on a separate sheet.
If nothing has changed, you may leave this page blank. However, your signature is still required on page 1.

Class rank: ___________ Class size: ___________ Covering a period from __________ to __________. Are classes taken on a block schedule? p Yes p No
(mm/yyyy) (mm/yyyy)
Is the applicant an IB Diploma candidate? p Yes p No
The rank is p weighted p unweighted. How many students share this rank? __________
________________
If you offer AP courses, do you limit the number a
p We do not rank. Instead, please indicate quartile __________ quintile __________ decile ___________ student can take? p Yes p No
In comparison with other college preparatory
Cumulative GPA: ________ on a _________ scale, covering a period from ____________ to ____________ students at your school, the applicant’s course
(mm/yyyy) (mm/yyyy)
selection is:
This GPA is p weighted p unweighted. The school’s passing mark is ________________________________. p most demanding
p very demanding
Highest GPA in class ____________________________________ Graduation date ___________________ p demanding
(mm/dd/yyyy)
p average
Percentage of graduating class immediately attending: ___________four-year ________ two-year institutions p below average

How long have you known this student and in what context? _________________________________________________________________________________

What are the first words that come to your mind to describe this student? ______________________________________________________________________

Ratings Compared to other students in his or her class year, how do you rate this student in terms of:
Very good One of the top few
Good (above (well above Excellent Outstanding I’ve encountered
No basis Below average Average average) average) (top 10%) (top 5%) (top 1%)
Academic achievement
Extracurricular accomplishments
Personal qualities and character
Overall

Evaluation Please write whatever you think is important about this student, including a description of academic, extracurricular, and personal characteristics. We
welcome a broad-based assessment that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may have
prepared on behalf of this student.)

a Has the applicant ever been found responsible for a disciplinary violation at your school from 9th grade (or the international equivalent) forward, whether related to
academic misconduct or behavioral misconduct, that resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution? p Yes p No
b To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime? p Yes p No
If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each
incident and explain the circumstances.
p Check here if you would prefer to discuss this applicant over the phone with each admission office.

I recommend this student: p No basis p With reservation p Fairly strongly p Strongly p Enthusiastically
FR-2/ 2008-09 © 2008 The Common Application, Inc.
 2008-09 early decision agreement ED
For Spring 2009, Fall 2009, or Spring 2010 Enrollment

Check specific college information in our Requirements Grid or online to ensure a member institution uses this form.

Important: The Early Decision Agreement is required only for candidates who have chosen to apply via the binding Early Decision Plan to their first-choice institution.

__________________________________________________________________________________________________________________
________
College Name Deadline

to the applic ant

p Female
Legal name ___________________________________________________________________________________________________________________
p Male
Last/Family (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ______________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code

School you now attend ________________________________________________________ CEEB/ACT code _____________________________________

Have you been a candidate for admission to this college in any previous year? p Yes p No Year _____________

INSTRUCTIONS
From the National Association for College Admission Counseling Statement of Principles of Good Practice:
Early Decision (ED) is the application process in which students make a commitment to a first-choice institution where, if admitted, they definitely will
enroll. While pursuing admission under an Early Decision plan, students may apply to other institutions, but may have only one Early Decision application pending at
any time. Should a student who applies for financial aid not be offered an award that makes attendance possible, the student may decline the offer of admission and
be released from the Early Decision commitment. The institution must notify the applicant of the decision within a reasonable and clearly stated period of time after the
Early Decision deadline. Usually, a nonrefundable deposit must be made well in advance of May 1. The institution will respond to an application for financial aid at or
near the time of an offer of admission. Institutions with Early Decision plans may restrict students from applying to other early plans. Institutions will clearly articulate
their specific policies in their Early Decision agreement.
If you are accepted under an early decision plan, you must promptly withdraw the applications submitted to other colleges and universities and make
no additional applications. If you are an Early Decision candidate and are seeking financial aid, you need not withdraw other applications until you have received
notification about financial aid.

p Yes, I have read and understand my rights and responsibilities under the Early Decision process. I wish to be considered as an Early Decision candidate at:
______________________________________________________________________. I also understand that with an Early Decision offer of admission,
this institution may share my name and my Early Decision Agreement with other institutions.

Signature of Student ________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

Signature of Parent or Legal Guardian ___________________________________________________________________________ Date _____________________

mm/dd/yyyy

p This student indicated his/her parent does not have access to e-mail, and therefore could not sign this form electronically.

Signature of Counselor _____________________________________________________________________________________ Date _____________________

mm/dd/yyyy

© 2008 The Common Application, Inc. ED-1/ 2008-09