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College Application
Graduate Application

Student Information

Name

First

Last

Email

Cell Phone

Home Phone

Home Address

Address Line 1

City

State

Zip Code

High School/College Information

High School/College Name

School/College Website

Year of Graduation

GPA- Unweighted

Parent Information

Parent #1

Name: Phone: Email:

High School Students

List all Honors and AP Courses:

SAT/ACT- I will be submitting SAT or ACT

Yes
No

Community college courses taken:

Do you have an academic resume?

Yes
No

Do you have an IEP?

Yes
No

I plan to apply to public colleges only.

Yes
No

I plan to apply to public and private colleges.

Yes
No

Region (Northeast, South, Midwest, West Coast):

Potential majors/minors:

College Students

Program(s) applied to:

Name of degree granting college or university:

Year of completion of undergraduate work:

Will submit a GRE, LSAT, or MCAT:

Yes
No

Exam names and dates:

Do you have a work history relevant to your plans?

Yes
No

Do you have a resume or CV?

Yes
No

Number of schools you plan to apply to:

Timeline for submission (please name schools and application due dates):

Additional Notes: