Name
(First, Middle Initial, Last Name)
(Picture)
"Home" High School
(Year of Graduation)
STUDENT INFORMATION SHEET
(Sample)
(Use the TAB KEY to move between fields.)
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Name: |
John Doe |
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Address: |
PO Box 0000, Town, AK ZIP |
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Home Phone No.: |
907-000-0000 |
Soc. Sec. No.: |
000-00-0000 |
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Years attended school in Alaska: |
12 years |
In Anchorage: |
12 years |
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Names(s) of Parents(s)/Guardians: |
Joe and Jane Doe |
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Occupation of Father: |
Businessman |
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Employer: |
Self |
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Occupation of Mother: |
Housewife |
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Employer: |
Self |
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Is parent active or retired military? |
Retired |
Branch of Service: |
Air Force |
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Number of brothers and sisters currently attending college/vocational school: |
Two |
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Number of younger brothers and sisters: |
None |
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School Choices: (Should match schools listed on the budget sheet.) |
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College USA, Washington |
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University of USA, Georgia |
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Local University, Alaska |
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Proposed majors or areas of study in school: |
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Biology and World Languages |
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Career goals: |
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I would like to be a biologist in a foreign country where French or Spanish is the primary language spoken. |
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Cumulative GPA: |
0.000 |
Class Rank: |
000/000 |
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I certify that all of the information included in this packet is factual and true. Any information that has been falsified or misrepresented may result in the withdrawal of recommendation and forfeiture of scholarships or awards. |
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Student Signature |
Date |
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Parent/Guardian signature |
Date |
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STUDENT INFORMATION SHEET
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Name: |
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Address: |
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Home Phone No.: |
Soc. Sec. No.: |
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Years attended school in Alaska: |
In Anchorage: |
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Names(s) of Parents(s)/Guardians: |
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Occupation of Father: |
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Employer: |
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Occupation of Mother: |
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Employer: |
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Is parent active or retired military? |
Branch of Service: |
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Number of brothers and sisters currently attending college/vocational school: |
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Number of younger brothers and sisters: |
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School Choices: |
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Proposed majors or areas of study in school: |
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Career goals: |
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Cumulative GPA: |
Class Rank: |
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I certify that all of the information included in this packet is factual and true. Any information that has been falsified or misrepresented may result in the withdrawal of recommendation and forfeiture of scholarships or awards. |
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Student Signature |
Date |
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Parent/Guardian signature |
Date |
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CURRENT CLASSES |
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Fall Semester Courses |
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Spring Semester Courses |
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TEST SCORES |
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SAT |
Score |
Date Taken |
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Verbal |
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Math |
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Composite |
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ACT |
Score |
Date Taken |
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English |
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Math |
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Reading |
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Science |
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Composite |
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This sheet is followed by official test score reports. |
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SCHOOL ACTIVITIES
(Sample)
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Listed below are high school activities in which I have participated for the entire season or year. I have included any clubs or teams to which I have belonged. |
(Use the TAB key to move between cells.)
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Students Activities |
Leadership Positions/ Accomplishments |
Grade |
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Football Team |
Junior Varsity (JV) Team member. |
9 |
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Played Defensive End and Tackle positions. JV Captain |
10, 11 |
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International Club |
Attended meetings, participated in fundraising activities, hosted a foreign exchange student for one weekend. |
12 |
SCHOOL ACTIVITIES
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Listed below are high school activities in which I have participated for the entire season or year. I have included any clubs or teams to which I have belonged. |
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Students Activities |
Leadership Positions/ Accomplishments |
Grade |
COMMUNITY ACTIVITIES
(Sample)
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Listed below are the community activities in which I have participated. Positions of leadership have been noted. |
(Use the TAB key to move between cells)
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Community Activities |
Type of Involvement |
Hours Volunteered |
Grade |
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Walk for Hope |
Walked 25 miles, raised $250 for Hope Cottage |
One time only |
9 |
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Senior Citizen Center |
Assisted senior citizen with their needs; played music for them on the piano |
2 hours/week |
11 |
COMMUNITY ACTIVITIES
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Listed below are the community activities in which I have participated. Positions of leadership have been noted. |
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Community Activities |
Type of Involvement |
Hours Volunteered |
Grade |
WORK EXPERIENCE
(Sample)
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Listed below are the work activities in which I have participated. Positions of leadership have been noted. |
(Use the TAB key to move between cells)
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Work Activities |
Type of Involvement |
Hours Worked |
Grade |
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Landscaping and Lawn Work |
Worked for 5-10 families |
20-40 hrs/week |
9, 10, 11 |
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McDonald's |
Served customers, cooked, cleaned and trained new employees, 6 months |
15-25 hrs/week |
11, 12 |
WORK EXPERIENCE
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Listed below are the work activities in which I have participated. Positions of leadership have been noted. |
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Work Activities |
Type of Involvement |
Hours Worked |
Grade |
RECOGNITION AND AWARDS
(Sample)
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Listed below are special awards, prizes, and scholarships I have been awarded. |
(Use the TAB key to move between cells)
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Commendation |
Group or Activity |
Grade |
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Student of the Month |
Selected by students and staff |
12 |
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Academic Letter |
Awarded for two consecutive semesters of 3.5 grades |
11 |
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Employee of the Month |
McDonald's |
11 |
RECOGNITION AND AWARDS
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Listed below are special awards, prizes, and scholarships I have been awarded. |
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Commendation |
Group or Activity |
Grade |
BUDGET (One Year)
(Sample)
(Under each school use DOWN ARROW to move between cells.)
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School Name & State College USA, Washington |
School Name & State University of USA, Georgia |
School Name & State Local University, Alaska |
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Attendance Cost |
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Tuition & Fees |
¯ $16,124.00 |
$15,000.00 |
$985.00 |
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Room/Rent |
¯ $6,726.00 |
$4,400.00 |
N/A |
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Board/Food |
Included w/ Room |
$3,000.00 |
N/A |
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Book & Supplies |
¯ $900.00 |
$850.00 |
$800.00 |
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Transportation |
¯ $2,253.00 |
$2,750.00 |
$900.00 |
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Miscellaneous |
¯ $1,000.00 |
$1,245.00 |
$1,000.00 |
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Total Attendance Cost |
¯ 27,003.00 |
$27,245.00 |
$3,685.00 |
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Resources |
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Summer Savings |
¯ $3,000.00 |
$3,000.00 |
$3,000.00 |
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Other Savings (e.g. PFD) |
¯ $5,000.00 |
$5,000.00 |
$5,000.00 |
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Parents |
¯ $2,500.00 |
$2,500.00 |
$2,500.00 |
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Total Resources |
¯ $10,500.00 |
$10,500.00 |
$10,500.00 |
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Student Need (Use totals from above) |
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Total Attendance Cost |
¯ $27,003.00 |
$27,245.00 |
$3,685.00 |
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Minu s Total Resources |
¯ $10,500.00 |
$10,500.00 |
$10,500.00 |
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Equals Student Need |
¯ $16,503.00 |
$16,745.00 |
- $6,815.00 |
BUDGET (One Year)
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School Name & State |
School Name & State |
School Name & State |
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Attendance Cost |
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Tuition & Fees |
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Room/Rent |
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Board/Food |
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Book & Supplies |
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Transportation |
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Miscellaneous |
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Total Attendance Cost |
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Resources |
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Summer Savings |
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Other Savings (e.g. PFD) |
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Parents |
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Total Resources |
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Student Need (Use totals from above) |
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Total Attendance Cost |
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Minu s Total Resources |
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Equals Student Need |
Hidden College Costs
Do not include this sheet in your portfolio.
Use this information to help you figure the estimated cost total for the miscellaneous item on your "Budget" sheet.
Transportation Airfare
-Airfare to and from college, spring break, and holiday breaks.
-Travel to college in the fall & home in spring
-Weekend expenses
-Automobile expenses during the school year
College Living
-Room furnishings and decorations
-Meals outside the dorm
-Food purchased to eat in the room
-Textbooks, reading books, periodicals
-Notebook paper and other supplies
-Computer, discs, software programs, etc.
-Computer paper, repair, etc.
Personal Living
-Toiletries
-Haircuts, perms, etc.
-Gifts
-Contributions
-Insurance premiums
-Medicine and medical services
-Clothes
-Mending and alterations
-Accessories
-Laundry and dry cleaning
Recreation
-Concerts, lectures, theatre, movies, etc.
-Dances
-Entertaining guests
-Sports events
-Stereo, CDs, DVDs
Communication
-Telephone (calling cards)
-Stamps
-Stationery
-Internet account or e-mail