Student College Interest Survey

  • Date Format: MM slash DD slash YYYY












  • Academic Honors

    List all academic honors you have received, beginning with the ninth grade:
  • Honor / Award / RecognitionGrade 
    Click the (+) icon to add additional fields.

  • Extracurricular Activities

    In the order of interest to you, list any extracurricular, community, and family activities as well as hobbies that you have participated in while in high school. Include specific events and / or major accomplishments such as musical instruments played, varsity letters earned, etc.)
  • ActivitySeason (fall, summer, yearlong, etc.)Year / GradeHours per weekHonors earnedPursue in college? (yes / no) 
    Click the (+) icon to add additional fields.

  • Work Experience

    List any jobs you have held since ninth grade (include summer employment).
  • Job / EmployerSeason (fall, summer, yearlong, etc.)Hours per weekGrade level 
    Click the (+) icon to add additional fields.

  • Community Service Experience

    List any community service you have been a part of since ninth grade.
  • OrganizationSeason (fall, summer, yearlong, etc.)Hours per weekGrade level 
    Click the (+) icon to add additional fields.

  • Academic Questions


    (check all that apply)

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  • Weather

    (check all that apply)

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  • Sports / Clubs


    (check all that apply)