Student Name
E-Mail Address
General Questions:
1. What grade were you in when you started to attend USJ?
2. What city were you born in?
3. Have you attended other schools? If so, please name them and provide their location(s).
4. What is your father’s name?
5. What is your father’s occupation? Who is his employer?
6. Did your father attend college? If so, which colleges?
7. What is your mother’s name?
8. What is your mother’s occupation? Who is her employer?
9. Did your mother attend college? If so, which colleges?
10. Do you have siblings? If so, please provide their names, ages, and the names of the colleges that they currently attend or attended in the past.
11. Please list your three favorite activities. These may be activities that you participate in school or out of school.
12. Which activities do you wish to continue in college?
13. If you had a free evening to spend in a library or a bookstore, what would you choose to read?
14. Do you enjoy being a leader? Please list any leadership positions that you have held in the last three years.
15. Have you held a job in the last three years? If so, be sure to identify your job title, and the dates during which you held the job.
16. List any interesting places that you have traveled.
17. List any academic or non-academic honors that you have won in the last three years.
18. List any athletic, artistic or musical awards that you have received in the last three years.
19. How have you spent your time during the last two summers? What are your plans for this summer?
20. If you had to choose the accomplishment of which you are most proud, which would you choose?
21. Are there any special circumstances related to your course work? (disabilities, learning differences, family problems, etc.) If so, please explain.
22. What would you like to study in college? Please indicate academic majors in which you have an interest.
23. Which careers interest you most? (What do you want to be when you grow up?)
24. Do you picture yourself driving to college?
25. Do you picture yourself flying to college?
26. Do you see yourself going to college by yourself, with a few people you know, or with many people you know?
27. Is the appearance of the campus important to you? Is campus architecture important to you? If so, provide the name of a campus that you find attractive.
28. Is the degree of admission selectivity important to you?
29. Are there any off-campus activities (extracurricular or academic) that you hope will be available to you?
30. Are internships important to you?
31. Are job opportunities during college (on- and off-campus) important to you?
32. Are you interested in studying abroad while in college?
33. What is the name of your favorite college or college team?
34. Which colleges have you visited so far?
35. Which colleges do you hope to consider?
Questions Related to College Demographics
For each question, you may wish to select one or more choices.
36. Geography: Choose the region(s) you would like to consider for college.
37. Enrollment Size: What size(s) college do you think would be best for you?
38. Campus setting: What type of setting do you think would be best for you?
39. Type of college: Do you have a preference for the type of college that you will attend?
40. Student Body: What type of student gender balance do you think would be best for you?
41. Student Body: What type of diversity balance do you think would be best for you?
42. Housing: What type of housing would be advisable for you?
Questions Related to Goals, Values, and Academics
43. What aspects of USJ have you enjoyed most?
44. What values are most important to you? What do you care about most?
45. How do you define success? Are you satisfied with your accomplishments to date? What to you wish to accomplish in the future?
46. Which events, people, or experiences have shaped your growth and your way of thinking?
47. What types of jobs or careers appeal to you?
48. What types of jobs or careers do not appeal to you?
49. If your closest friends were asked to describe you, which adjectives might they use?
50. What are your academic interests? Which courses have you enjoyed the most?
51. Which courses have been the most difficult for you?
52. How do you learn best? Do you prefer lectures or discussions?
53. What has been your most stimulating intellectual experience?
54. Up to this point, have you worked to your potential in the Upper School? If not, what changes would you like to make for your senior year?
Reflection and Summary
In a paragraph or two, describe what sort of academic and social environment you are looking for in a college.
