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Student Biographical Information Student Biographical Information Form Sample Do not use STANDARD APPLICATION ONLINE For Independent Boarding and Day Schools Part 1: Student Information This form should be completed by the applicant. Mail a copy of this form, along with the appropriate application fee, to all schools to which you are applying. Some schools may ask you to submit additional information. If you have questions about the admission process, please contact the schools to which you are applying before submitting this form. Applicant information First Name Middle Initial Last/Family Name Preferred Nickname Date of Birth (mm/dd/yyyy) Gender Male Female Applicant Street Address City State/Province Zip/Postal Code Country Home Phone (include country and area code) Mobile Fax Email Native Language (Reading/writing/listening/speaking) Language(s) spoken at home Country of Birth n Country of Citizenship n The following question is OPTIONAL and is used for statistical purposes only. Please check all that apply. African American Caucasian Latino/Hispanic American Pacific Islander American Asian American Native American Middle Eastern American Other (Please specify)______________ Year of proposed entrance Current grade Applying for grade Residential Status: Boarding Day Undecided Applying for Financial Aid? Yes No Will the student require a Form I-20 or an F-1 Visa to enter the United States? Yes No Education Current School Name Dates of Attendance School Street Address City State/Province Zip/Postal Code Country Head or Counselor Name Phone Fax

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Student Biographical Information

Student Biographical Information Form

Sample

Do not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Part 1: Student Information• Thisformshouldbecompletedbytheapplicant.• Mailacopyofthisform,alongwiththeappropriateapplicationfee,toallschoolstowhichyouareapplying.• Someschoolsmayaskyoutosubmitadditionalinformation.Ifyouhavequestionsabouttheadmissionprocess,please

contacttheschoolstowhichyouareapplyingbeforesubmittingthisform.

Applicant information

FirstName MiddleInitial Last/FamilyName

PreferredNickname DateofBirth(mm/dd/yyyy)Gender Male Female

ApplicantStreetAddress CityState/Province Zip/PostalCodeCountry

HomePhone(include country and area code)MobileFax

EmailNativeLanguage(Reading/writing/listening/speaking) Language(s)spokenathome

CountryofBirth n CountryofCitizenship n

The following question is OPTIONAL and is used for statistical purposes only. Please check all that apply. AfricanAmerican  Caucasian  Latino/HispanicAmerican  PacificIslanderAmerican AsianAmerican  NativeAmerican  MiddleEasternAmerican  Other(Pleasespecify)______________

Yearofproposedentrance Currentgrade Applyingforgrade

ResidentialStatus: Boarding Day UndecidedApplyingforFinancialAid? Yes No

WillthestudentrequireaFormI-20oranF-1VisatoentertheUnitedStates? Yes No

Education

CurrentSchoolName DatesofAttendance

SchoolStreetAddress CityState/Province Zip/PostalCodeCountry

HeadorCounselorName Phone Fax

Student Biographical Information

Student Biographical Information Form

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Other Schools AttendedSchoolName DatesAttended

City State/Province Country

SchoolName DatesAttended

City State/Province Country

SchoolName DatesAttended

City State/Province Country

Family Information - Parent 1Dr/Miss/Mr/Mrs./Ms. FirstName LastName

RelationshiptoApplicant Addresssameasstudent? Yes No

ApplicantStreetAddress City State/Province Zip/PostalCode Country

HomePhone(include country and area code) MobilePhone Email

BusinessName Occupation/Title

BusinessStreetAddress City State/Province Zip/PostalCode Country

BusinessPhone Fax Email

SecondarySchoolAttended(Name/Location) College(s)Attended/Degree(s)Earned

Family Information - Parent 1Dr/Miss/Mr/Mrs./Ms. FirstName LastName

RelationshiptoApplicant Addresssameasstudent? Yes No

ApplicantStreetAddress City State/Province Zip/PostalCode Country

HomePhone(include country and area code) MobilePhone Email

BusinessName Occupation/Title

BusinessStreetAddress City State/Province Zip/PostalCode Country

BusinessPhone Fax Email

SecondarySchoolAttended(Name/Location) College(s)Attended/Degree(s)Earned

Sample

Do not use

Applicant Name Signature Date

Mailingaddress

E-mailaddress Phonenumber

Student Biographical Information

Student Biographical Information Form

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Family Information - OtherApplicantLivesWith:  Parent1  Parent2  OtherSendAdmissionMaterialsto:  Parent1  Parent2  OtherSendbillsto:  Parent1  Parent2  Other

Check all that apply: FatherDeceased  MotherDeceased  ParentsDivorced  ParentsSeparated FatherRemarried  MotherRemarried  LivingOutsideU.S.Custody:Ifparentsaredivorcedorseparated,whohaslegalcustodyoftheapplicant?______________________________

Family Information - SiblingsPleaselistthenamesofapplicant’sbrothersandsisters,theiragesandtheschools/collegestheynowattend.

Name Age School/College

Name Age School/College

Name Age School/College

Name Age School/College

Family Information - LegacyIftheapplicanthashadanyrelativeswhohavegraduatedfromtheschool(s)towhichthestudentisapplying,orifanyrelativescurrentlyattend,pleaselisttheirnames(includingmaidennameswhereapplicable),relationshiptoapplicantandtheyearstheyattended.Youarewelcometoattachapplicablelegacyinformationforeachschoolonseparatepiecesofpaper.

Name RelationshiptoApplicant School YearsAttended

Name RelationshiptoApplicant School YearsAttended

Name RelationshiptoApplicant School YearsAttended

Name RelationshiptoApplicant School YearsAttended

Sample

Do not use

Sample

Do not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Part 2: Student Essays

• Thisformshouldbecompletedbytheapplicant.• Completethisformcarefullyandlegiblyinyourownhandwritingandsendittotheschoolstowhichyouareapplying.Use

additionalsheets,ifnecessary.• Someschoolsmayaskyoutosubmitadditionalinformation.Ifyouhavequestionsabouttheadmissionprocess,please

contacttheschoolstowhichyouareapplyingbeforesubmittingthisform.

Question 1Listanddescribeyourlevelofinterestandparticipationinschoolactivities(school,volunteergroups,athletics,music,etc.).Listanyawardsorhonorsyoureceivedinthepasttwoyears.Inwhichactivitiesdoyouplanttoparticipateinthefuture?

Question 2Listanddescribeyourlevelofinterestandparticipationinhobbies,activitiesandgroupsnotassociatedwithschool.Listanyawardsorhonorsyoureceivedinthepasttwoyears.

Question 3Whatreadinghaveyouenjoyedmostinthepastyearandwhy?

Student Essays

Sample

Do not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Question 4Pleasenoteanythingmoreyouwouldlikeustoknowaboutyou.

Question 5Pleasechooseoneofthesestatementsandthenwritea250-500wordresponsetoit.5a.Describeapersonyouadmireorwhohasinfluencedyouagreatdeal5b.Whatmakesyoutheinterestingpersonyouare?(Besuretoincludethequalitiesyoulikebestaboutyourself.)5c.Explaintheimpactofaneventoractivitythathascreatedachangeinyourlifeorinyourwayofthinking.

Applicant Name Signature Date

Mailingaddress

E-mailaddress Phonenumber

Student Essays

Sample

Do not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Part 3: Parent Statement

• Thisformshouldbecompletedbytheapplicant’sparentorguardian.• Completethisformcarefullyandlegiblyandsendittotheschoolstowhichyourchildisapplying.Useadditionalsheets,if

necessary.• Someschoolsmayaskyoutosubmitadditionalinformation.Ifyouhavequestionsabouttheadmissionprocess,please

contacttheschoolstowhichyouareapplyingbeforesubmittingthisform.

Question 1Whatqualitiesofcharacterandmindinyourdaughterorsonmostdelightyou?

Question 2Whatdoyoubelieveyoursonordaughterwillcontributetotheschoolcommunity?Haveyouanyconcernsaboutyourchild’sreadinessforindependentschool?

Parent Statement

Parent Name Signature Date

Mailingaddress

E-mailaddress Phonenumber

Sample

Do not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Question 3Whathasposedthebiggestacademicand/orextracurricularchallengeforyourchild?

Question 4Isthereanythingaboutthesequenceofyourchild’sschoolingthatweshouldknow?Didyoursonordaughterskiporrepeatayear?Wasyoursonordaughtereveraskedtowithdrawfromanyschool,suspendedorputonprobation?

Parent Statement

Principal/Head/Counselor - Page 1 of 2

Principal/Head/Counselor Recommendation Form

SampleDo not use

To the Applicant: • ThisformisapaperversionoftheStandardApplicationOnlineprincipalrecommendationform.

• Thisformmustbecompletedbytheprincipal/counselorattheapplicant’scurrentschool.

• Thecompletedformmustbedirectlysenttotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• PleasedonotsendthisformtoSSATB-StandardApplicationOnlineforprocessing.

Name of applicant Grade Applying to

Signature of applicant Date

To the Parent/Guardian:

Please read and sign the statement below.

I acknowledge that I waive my right to read the confidential principal recommendation and the school report for the student listed above.

Name of parent or guardian (please print)

Signature of parent or guardian Date

To the School Official:• ThisformispartofastandardapplicationbeingusedbymanyindependentschoolsintheUSA,Canada,andabroad.Thesubmittedformsandrecordswillremainconfidential.Theparent/guardianhassignedthewaiverinthespaceabove.

• Whencompleted,mailtheformdirectlytotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• Besuretosubmitallpagesofthisform.There is an extra page at the end of this document for additional comments.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s application.

Name of school official (please print)

Title Date

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Principal/Head/Counselor Recommendation Form

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Applicant Name:

Howwelldoyouknowthestudentacademically?

Asaperson?

Whatarethefirstthreewordsthatcometomindtodescribethisstudent?

1.______________________________ 2._____________________________ 3.______________________________

Pleaseplacecheckmarksatthepointsthatrepresentyourevaluationofthestudentincomparisontootherstudentsinhisorheragegroupwhomyouhavetaught.Ifyouhavenofairbasisforjudgment,donothesitatetosayso.

One of the top few

I have ever encountered

Excellent (top 10% this year)

Good(above

average)Average Below

averageNo basis

for judgment

AcademicPotentialAcademicAchievementIntellectualCuriosityEffort/DeterminationAbilitytoWorkIndependentlyOrganizationCreativityWillingnesstoTakeIntellectualRisksConcernforOthersHonesty/IntegritySelf-esteemMaturity(relativetoage)ResponsibilityRespectAccordedbyFacultyRespectAccordedbyPeersEmotionalStabilityOverallEvaluationasaPersonOverallEvaluationasaStudent

Ifthestudentisrelativelyweakorstronginanyareaslistedabove,pleaseelaborate.

Pleasecommentonthisstudent’scharacter,citizenship,andcontributionstoyourcommunity.

Pleaseprovideanyadditionalinformationthatwillgiveusamorecompletepictureofthestudent.

Name Signature Date

Mailingaddress

E-mailaddress Phonenumber

Principal/Head/Counselor - Page 2 of 2

Principal/Head/Counselor Recommendation FormPrincipal/Head/Counselor Recommendation Form

SampleDo not use

English - Page 1 of 3

English Teacher Recommendation Form

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

English Teacher Recommendation Form

To the Applicant: • ThisformisapaperversionoftheStandardApplicationOnlineEnglishrecommendationform.

• ThisformmustbecompletedbyanEnglishteacherattheapplicant’scurrentschool.

• Thecompletedformmustbedirectlysenttotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• PleasedonotsendthisformtoSSATB-StandardApplicationOnlineforprocessing.

Name of applicant Grade Applying to

Signature of applicant Date

To the Parent/Guardian:

Please read and sign the statement below.

I acknowledge that I waive my right to read the confidential principal recommendation and the school report for the student listed above.

Name of parent or guardian (please print)

Signature of parent or guardian Date

To the School Official:• ThisformispartofastandardapplicationbeingusedbymanyindependentschoolsintheUSA,Canada,andabroad.Thesubmittedformsandrecordswillremainconfidential.Theparent/guardianhassignedthewaiverinthespaceabove.

• Whencompleted,mailtheformdirectlytotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• Besuretosubmitallpagesofthisform.There is an extra page at the end of this document for additional comments.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s application.

Name of school official (please print)

Title Date

SampleDo not use

English - Page 2 of 3

English Teacher Recommendation Form

SampleDo not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

English Teacher Recommendation Form

Applicant Name:

Howwelldoyouknowthestudentacademically?

Asaperson?

Inwhatyearsdidyouteachthestudent?

Howlargeis/wastheclass?

Whatcourse(s)?

Isthestudentonablockschedule?

Isthiscoursepartofatrackingsystemordesignatedasanhonorsoracceleratedcourse? Yes No

Whatarethefirstthreewordsthatcometomindtodescribethisstudent?

1.______________________________ 2._____________________________ 3.______________________________

Brieflydescribeyourcourse.Itisespeciallyhelpfultoknowwhattextsareusedandifthestudentsaregroupedbyability.

Howaccuratelydoesthestudentunderstandwhatheorshehasread?

Howwelldoesthestudentwriteincomparisonwithotherstudentswhomyouhavetaught?Pleasebespecificaboutareasofstrengthandweakness.

Howwelldoesthestudentacceptadviceorcriticism?

Name Signature Date

Mailingaddress

E-mailaddress Phonenumber

English - Page 3 of 3

English Teacher Recommendation FormSTANDARD APPLICATION ONLINE

For Independent Boarding and Day Schools

English Teacher Recommendation Form

Applicant Name:

Pleaseplacecheckmarksatthepointsthatrepresentyourevaluationofthestudentincomparisontootherstudentsinhisorheragegroupwhomyouhavetaught.Ifyouhavenofairbasisforjudgment,donothesitatetosayso.

One of the top few

I have ever encountered

Excellent (top 10% this year)

Good(above

average)Average Below

averageNo basis

for judgment

AcademicPotentialAcademicAchievementIntellectualCuriosityEffort/DeterminationAbilitytoWorkIndependentlyOrganizationCreativityWillingnesstoTakeIntellectualRisksConcernforOthersHonesty/IntegritySelf-esteemMaturity(relativetoage)ResponsibilityRespectAccordedbyFacultyRespectAccordedbyPeersEmotionalStabilityOverallEvaluationasaPersonOverallEvaluationasaStudent

Ifthestudentisrelativelyweakorstronginanyareaslistedabove,pleaseelaborate.

Pleasecommentonthisstudent’scharacter,citizenship,andcontributionstoyourcommunity.

Pleaseprovideanyadditionalinformationthatwillgiveusamorecompletepictureofthestudent.

SampleDo not use

Math - Page 1 of 3

Mathematics Teacher Recommendation Form

SampleDo not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

To the Applicant: • ThisformisapaperversionoftheStandardApplicationOnlinemathematicsrecommendationform.

• Thisformmustbecompletedbyamathematicsteacherattheapplicant’scurrentschool.

• Thecompletedformmustbedirectlysenttotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• PleasedonotsendthisformtoSSATB-StandardApplicationOnlineforprocessing.

Name of applicant Grade Applying to

Signature of applicant Date

To the Parent/Guardian:

Please read and sign the statement below.

I acknowledge that I waive my right to read the confidential principal recommendation and the school report for the student listed above.

Name of parent or guardian (please print)

Signature of parent or guardian Date

To the School Official:• ThisformispartofastandardapplicationbeingusedbymanyindependentschoolsintheUSA,Canada,andabroad.Thesubmittedformsandrecordswillremainconfidential.Theparent/guardianhassignedthewaiverinthespaceabove.

• Whencompleted,mailtheformdirectlytotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• Besuretosubmitallpagesofthisform.There is an extra page at the end of this document for additional comments.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s application.

Name of school official (please print)

Title Date

Math - Page 2 of 3

Mathematics Teacher Recommendation Form

SampleDo not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Applicant Name:

Howwelldoyouknowthestudentacademically?

Asaperson?

Inwhatyearsdidyouteachthestudent? Howlargeis/wastheclass?

Whatcourse(s)? Isthestudentonablockschedule?

Whatarethefirstthreewordsthatcometomindtodescribethisstudent?

1.______________________________ 2._____________________________ 3.______________________________

Brieflydescribeyourcourse.Itisespeciallyhelpfultoknowwhattextsareusedandifthestudentsaregroupedbyability.

Isthiscoursepartofatrackingsystemordesignatedasanhonorsoracceleratedcourse? Yes No

Whatmathcoursewouldbethemostappropriateplacementforthestudentforthenextacademicyear?

ThecourseslistedbelowsuggestasequencetypicalofthemathematicscurriculuminmanyU.S.secondaryschools.Pleasecheckthosecoursesorlistotherswhichthestudentwillhavecompletedbytheendofthecurrentyear. BasicFirstYearAlgebra(doesnotincludeextensivestudyofexpressions,rationalnumbers,andquadraticequations

 FirstYearAlgebra(athoroughcourseincludingquadratics) Geometry SecondYearAlgebra(notincludingtrigonometry) SecondYearAlgebra(includesnumericaltrigonometrythroughthelawsofsineandcosine)

 Pre-Calculus(includinganalyticaltrigonometry) Calculus(anintroduction) Calculus(AdvancedPlacementAB) Calculus(AdvancedPlacementBC)  

  

Pleaseplacecheckmarksatthepointsthatrepresentyourevaluationofthestudentincomparisontootherstudentsinhisorheragegroupwhomyouhavetaught.Ifyouhavenofairbasisforjudgment,donothesitatetosayso.

One of the top few

I have ever encountered

Excellent (top 10% this year)

Good(above

average)Average Below

averageNo basis

for judgment

KnowledgeoftheBasicSkillsAccuracyintheUseofBasicSkillsProblemSolvingAbilityReasoningAbilityUnderstandingofandAppreciationfortheUnderlyingIdeasandConceptsEffortOverallPerformanceWillingnesstoAccepttheChallengeofthetheMoreDifficultProblemsandExercisesCommandofMathematicsWhenComparedtoOtherStudentsWhomYouHaveTaught

Name Signature Date

Mailingaddress

E-mailaddress Phonenumber

Math - Page 3 of 3

Mathematics Teacher Recommendation FormSTANDARD APPLICATION ONLINE

For Independent Boarding and Day Schools

Applicant Name:

Pleaseplacecheckmarksatthepointsthatrepresentyourevaluationofthestudentincomparisontootherstudentsinhisorheragegroupwhomyouhavetaught.Ifyouhavenofairbasisforjudgment,donothesitatetosayso.

One of the top few

I have ever encountered

Excellent (top 10% this year)

Good(above

average)Average Below

averageNo basis

for judgment

AcademicPotentialAcademicAchievementIntellectualCuriosityEffort/DeterminationAbilitytoWorkIndependentlyOrganizationCreativityWillingnesstoTakeIntellectualRisksConcernforOthersHonesty/IntegritySelf-esteemMaturity(relativetoage)ResponsibilityRespectAccordedbyFacultyRespectAccordedbyPeersEmotionalStabilityOverallEvaluationasaPersonOverallEvaluationasaStudent

Ifthestudentisrelativelyweakorstronginanyareaslistedabove,pleaseelaborate.

Pleasecommentonthisstudent’scharacter,citizenship,andcontributionstoyourcommunity.

Pleaseprovideanyadditionalinformationthatwillgiveusamorecompletepictureofthestudent.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s applica-

SampleDo not use

School Record and Transcript Form

School Record and Transcript - Page 1 of 2

SampleDo not use

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

To the Applicant: • ThisformisapaperversionoftheStandardApplicationOnlineschoolrecordandtranscriptform.

• Thisformmustbecompletedbytheprincipal/counselorattheapplicant’scurrentschool.

• Thecompletedformmustbedirectlysenttotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• PleasedonotsendthisformtoSSATB-StandardApplicationOnlineforprocessing.

Name of applicant Grade Applying to

Signature of applicant Date

To the Parent/Guardian:

Please read and sign the statement below.

I acknowledge that I waive my right to read the confidential principal recommendation and the school report for the student listed above.

Name of parent or guardian (please print)

Signature of parent or guardian Date

To the School Official:• ThisformispartofastandardapplicationbeingusedbymanyindependentschoolsintheUSA,Canada,andabroad.Thesubmittedformsandrecordswillremainconfidential.Theparent/guardianhassignedthewaiverinthespaceabove.

• Whencompleted,mailtheformdirectlytotheschool(s)towhichtheapplicantisapplyingORiftheapplicantisworkingwithaplacementadvisor,thisformshouldbesubmittedtotheplacementofficeattheapplicant’scurrentschool.

• Besuretosubmitallpagesofthisform.There is an extra page at the end of this document for additional comments.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s application.

Name of school official (please print)

Title Date

SampleDo not use

Name Signature Date

Mailingaddress

E-mailaddress Phonenumber

School Record and Transcript Form

School Record and Transcript - Page 2 of 2

STANDARD APPLICATION ONLINEFor Independent Boarding and Day Schools

Applicant Name:

•Pleasebesuretoattachacopyoftranscripts/gradereportsalongwiththisform

•Thestudenttranscriptmustincludeanycurrentyeartodategradesaswellasthemostrecentfullyear.Manyschoolsrequireatleastthelasttwocompleteyearsofgradesinadditiontotheyearinprogress.

•Ifyouwanttosubmitanyadditionaltranscripts/reportsaftersubmittingthisfrom,pleasesendthosetotheschool(s)directly.

•Pleaseattachthestudents’sattendancerecordifnotalreadyincludedinthereportcard,indicatingthenumberofdaysheorshehasbeenabsentortardyeachyearwhileatyourschool.

Please mark the reports that you are attaching to this form:

 SchoolTranscripts Applicablegradereports Standardizedtestscores SchoolProfile

School Profile:Schoolservesgrades:_____________to_____________.Numberofstudentsinentireschool:

Inwhatmonthdoesyourschoolyearbegin?_______________________End?

Doesyourschooluseablockschedulingsystem? Yes No

Pleaseexplainyourschool’sgradingsystem.Selectone: 4.0Scale 4.3Scale 1-5 100-0 A-F FourPassingGrades ThreePassingGrades

Whatisthepassingmark?_______Honorsmark?_______

Whatpercentofyourstudentsreceivewhichgrades?_______

Doesyourschoolrank? Yes No

Isyourrank: Approximate ExactHowmanystudentsareintheentiregrade?

Student Record:Thiscandidateranks_____________outof_____________._____________otherstudentssharethisrank.

Arestudentsplacedinsectionsaccordingtoability? Yes NoIfyes,pleasetellusinwhichleveltheapplicantisplacedforeachsubject.

Ifthestudent’sattendancerecordisnotlistedonthetranscript,pleaseindicatethenumberofdaysheorshehasbeenabsentortardyeachyearwhileatyourschool.

Ifthestudentisnot,orhasnotbeen,ingoodstanding,pleaseexplain.

Hasthestudenteverbeendismissed,suspended,placedonprobation,orreceivedotherseriousdisciplinarysanction? Yes No

Hasheorshewithdrawnfromschoolvoluntarilyforanextendedperiodoftimeforreasonsotherthanhealth? Yes No

Iftheanswertoeitherorbothofthesequestionsisyes,pleaseprovideafullexplanation.There is an extra page at the end of this document for additional comments.