U.S.
COUNSELLING: PROFILE FORM
IDP Office Use: Counsellor Name: __________________ OSCAR Student ID: ______________
STUDENT DETAILS Date: _______________________
Mr. Ms. Mrs.
First Name: ________________________________ Last Name: ____________________________________
Date of Birth: ______________________________ Gender: Male Female
Postal Address: Building & Street: __________________________________ City: ______________________
State: __________________________ Postal Code: ___________________ Country: ___________________
Tel (R): ____________________ Tel (O): __________________ Mobile: ______________________________
Email: ___________________________________________________________________________________
STUDENT INTERESTS
Preferred start date: Sept 2010 Jan 2011 Sept 2011 Jan 2012
Preferred level of study: Diploma Bachelor’s Degree Master’s Degree PhD
Preferred subject area: ______________________________ Preferred State in U.S.: ____________________
ADMISSION TESTS
If you have not taken the admission test till date, mention the mock / expected score if known.
SAT: Mock score: _____________ Test Date: ________________ Actual score: _____________
SAT (Subject): Mock score: _____________ Test Date: ________________ Actual score: _____________
GRE: Mock score: _____________ Test Date: ________________ Actual score: _____________
GRE (Subject): Mock score: _____________ Test Date: ________________ Actual score: _____________
GMAT: Mock score: _____________ Test Date: ________________ Actual score: _____________
TOEFL: Mock score: _____________ Test Date: ________________ Actual score: _____________
IELTS: Mock score _____________ Test Date: ________________ Actual score: _____________
IELTS taken at: IDP British Council
ACADEMIC QUALIFICATION
Qualification Name of course Name of School / Overall Duration History of
Major College + Percentage + (MM / YY – failure / Gaps in
Board / University Division MM/YY) education
Achievement
(eg. 1st class)
Year 10 -
Year 12
Bachelor
Degree
Master
Degree
Other
Additional notes on academic qualifications:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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WORK EXPERIENCE
Present Employer: __________________________ Job Title: _______________________________
Job Responsibilities: ________________________________________________________________
_________________________________________________________________________________
Work experience [duration] __________________________________________________________
Previous Employer: __________________________ Job Title: ______________________________
Job Responsibilities: ________________________________________________________________
_________________________________________________________________________________
Work experience [duration] __________________________________________________________
Previous Employer: __________________________ Job Title: ______________________________
Job Responsibilities: ________________________________________________________________
_________________________________________________________________________________
Work experience [duration] __________________________________________________________
Additional notes on work experience:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
U.S. COLLEGE PREFERENCES:
1. In which region of the U.S. would you like to study?
North East
West
Mid West
South
2. What kind of college environment would you prefer?
Urban (in the heart of a major city)
Residential (30 min from the city)
College Town (everything revolves around the college)
Rural (at least 2 hours from a major city or airport)
3. What characteristics are MOST IMPORTANT to you in your college selection? Name 5 in
order of preference.
1. _____________________
2. _____________________
3. _____________________
4. _____________________
5. _____________________
4. What characteristics would you like to AVOID in your college selection?
1. _____________________
2. _____________________
3. _____________________
4. _____________________
5. _____________________
5. What area of study would you like to specialize in? What skills are you looking for in
your college?
__________________________________________________________________________
__________________________________________________________________________
6. How do you assess yourself as a student?
Average Good Excellent
7. What are your strengths as a student?
___________________________________________________________________________
___________________________________________________________________________
8. What are your weaknesses as a student?
___________________________________________________________________________
___________________________________________________________________________
9. Is your transcript a true reflection of you? Y / N and explain why
___________________________________________________________________________
___________________________________________________________________________
10. List the extracurricular activities, honours and awards, community service, work or
volunteer experience you have completed.
___________________________________________________________________________
___________________________________________________________________________
11. Do you play any sport? If Yes, mention if you have won any tournament(s).
___________________________________________________________________________
___________________________________________________________________________
12. While in the U.S would you like to join any hobby club like dramatics, music,
environment etc? Mention the kind of clubs that will interest you.
___________________________________________________________________________
___________________________________________________________________________
13. What is your total budget for studying in the U.S (for tuition and living expenses)?
__________________________________________________________________________
Thank you for your time in filling this form. Your counsellor will see you shortly.
