College Application Worksheet - Learn More Indiana
College Application Worksheet Instructions: Students, complete this worksheet and bring it with you to your school’s College Application Day. You may need to ask your family, school counselor, or another adult you trust to assist you in answering all of the questions. Be sure to keep this worksheet in a safe place given the personal information included.
Your Academic Record
If you don’t know some of this information, check with your school counselor. My grade point average is: My SAT Reading score is: My SAT Math score is: My SAT Writing score is: My ACT Composite score is:
By graduation, how many of the following classes will you have taken? Art Electives English Foreign Language History Math Science Social Studies
Your Top Three Colleges:
Prior to participating in your school’s College Application Day, you should do some research on the schools to which you plan to apply. Visit LearnMoreIndiana.org/college for information about Indiana colleges. 1.
Name of College: Is an essay or personal statement required to apply? Yes No If yes, note the prompt so you can draft a response: _______________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Deadline for application (with full scholarship consideration): Cost to apply: Payment option:
Credit card
Debit card
Check
Fee waiver
SAT and/or ACT required?
Yes
No
Recommendation letter required?
Yes
No
2.
Name of College: Is an essay or personal statement required to apply? Yes No If yes, note the prompt so you can draft a response: _______________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Deadline for application (with full scholarship consideration): Cost to apply: Payment option:
3.
Credit card
Debit card
Check
Fee waiver
SAT and/or ACT required?
Yes
No
Recommendation letter required?
Yes
No
Name of College: Is an essay or personal statement required to apply? Yes No If yes, note the prompt so you can draft a response: _______________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Deadline for application (with full scholarship consideration): Cost to apply: Payment option:
Credit card
Debit card
Check
Fee waiver
SAT and/or ACT required?
Yes
No
Recommendation letter required?
Yes
No
It is strongly recommended that you write your essays and personal statements well in advance of your school’s College Application Day. Your English teacher, school counselor and other adults you trust are good resources to assist you in getting your essays to a final version. You should bring a final, proofed, electronic copy of your essays and/or personal statements on a flash drive to the event, or email them to an email address that you can access from a school computer.
Test Scores Use the worksheet below to list the scores for tests you have already taken. If you have not yet taken the SAT or ACT, speak with your school counselor about upcoming test dates. Most colleges will also require an “official” score that is sent by College Board (SAT scores) or ACT (ACT scores). Talk with your school counselor about how to do this.
SAT Scores
Test #1: Date Taken: Total Score: Reading and Writing: Writing Score:
ACT Scores
Test #1: Date Taken: Composite Score: English Score: Mathematics: Reading: Science Score: Writing Score:
Test #2: Date Taken: Total Score: Reading and Writing: Writing Score: Test #2: Date Taken: Composite Score: Critical Reading Score: Mathematics: Reading: Science Score: Writing Score:
Extra-Curricular Activities Some applications request information related to the activities that you participate in outside of your high school classes. This could include clubs, organizations, volunteering or sports. List your activities below, including your position and whether you received an award or recognition related to the activity.
Activity 1:
Activity 3:
Years Participated:
Years Participated:
Leadership position held:
Leadership position held:
Awards:
Awards:
Activity 2:
Activity 4:
Years Participated:
Years Participated:
Leadership position held:
Leadership position held:
Awards:
Awards:
__
___
Personal Information Many colleges will ask you to provide information related to your residency and citizenship. You may need to provide the following information when completing your application. If you are uncertain about an answer, your parent or guardian may be able to help. Social Security Number (SSN): (This is needed to get your FSA ID, which you will register for after you apply to college during College Application Day. Some colleges may also require this on their application.) __ __ __ - __ __ - __ __ __ __ Place of Birth City:
State:
County:
Indiana County of Residency: Have you ever lived outside of Indiana? If yes, how many years have you lived in Indiana? When did you move to Indiana? Citizenship Status (Circle one): US Citizen Permanent Resident Alien
Yes
No
Nonresident Alien
Did your parent(s)/guardian(s) pay state income taxes last year: If yes, in which state:
Yes
Other No
Do you have a parent or guardian who is currently on active duty in the military? Employment Information: List any employment you have held for the last two years, including dates. It would be good to include volunteer information here as well: Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
College Application Information Many colleges will ask for information regarding your college plans. Be sure to do research prior to your school’s College Application Day event regarding whether the colleges you are interested in have the major you want to study. If you don’t know what you want to study, that’s okay! You can work with your school counselor while you’re still in high school to do career exploration and there will be resources on your college campus to assist with this as well. You can likely apply with “undecided,” but do your research before College Application Day to make sure that is an option at the schools to which you plan to apply. Regardless, you can also change your major once you are enrolled in college too. Intended Program or Major for College #1: Intended Program or Major for College #2: Intended Program or Major for College #3: Term for which you are applying (for most graduating seniors, this will be fall 2018):
Application Fee Waivers Typically, fee waivers are available to students for whom the college application fees would create a financial burden or hardship. Students who were eligible for fee waivers to college entrance exams, such as the SAT or ACT, are usually also eligible for college application fee waivers. Some Indiana colleges offer free applications to all students. Visit LearnMoreIndiana.org/college to find out what application fees are at each of Indiana’s colleges public and private (non-profit) colleges. Not all colleges accept fee waivers. Of those that do, the most common are: • ACT fee waiver (If you are eligible for a fee waiver for the ACT your school counselor can fill out a form to obtain one for you.) • College Board fee waiver (If you are eligible for a fee waiver for the SAT, your counselor can fill out a form to obtain one for you.) • National Association for College Admission Counseling (NACAC) fee waiver (If your counselor agrees that you meet one of the requirements such as: family income, receiving public assistance, being an orphan or ward of the state, or meeting other criteria, you or your counselor can learn more at nacacnet.org/studentinfo/feewaiver/pages/default.aspx.) • 21st Century Scholar fee waiver (if you are a 21st Century Scholar, almost all public colleges accept this fee waiver and some private colleges do as well. View a list of 21st Century Scholar incentives at Scholars.IN.gov/grade-12—see Scholar Support and Incentives.) • Veterans fee waiver (Ask your school counselor for a fee waiver if you are the child of veteran(s).) • Campus visits fee waiver (Some colleges offer fee waivers if you have visited their campus prior to applying. Contact the college’s admissions office to find out more.)
Your Academic Record
If you don’t know some of this information, check with your school counselor. My grade point average is: My SAT Reading score is: My SAT Math score is: My SAT Writing score is: My ACT Composite score is:
By graduation, how many of the following classes will you have taken? Art Electives English Foreign Language History Math Science Social Studies
Your Top Three Colleges:
Prior to participating in your school’s College Application Day, you should do some research on the schools to which you plan to apply. Visit LearnMoreIndiana.org/college for information about Indiana colleges. 1.
Name of College: Is an essay or personal statement required to apply? Yes No If yes, note the prompt so you can draft a response: _______________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Deadline for application (with full scholarship consideration): Cost to apply: Payment option:
Credit card
Debit card
Check
Fee waiver
SAT and/or ACT required?
Yes
No
Recommendation letter required?
Yes
No
2.
Name of College: Is an essay or personal statement required to apply? Yes No If yes, note the prompt so you can draft a response: _______________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Deadline for application (with full scholarship consideration): Cost to apply: Payment option:
3.
Credit card
Debit card
Check
Fee waiver
SAT and/or ACT required?
Yes
No
Recommendation letter required?
Yes
No
Name of College: Is an essay or personal statement required to apply? Yes No If yes, note the prompt so you can draft a response: _______________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Deadline for application (with full scholarship consideration): Cost to apply: Payment option:
Credit card
Debit card
Check
Fee waiver
SAT and/or ACT required?
Yes
No
Recommendation letter required?
Yes
No
It is strongly recommended that you write your essays and personal statements well in advance of your school’s College Application Day. Your English teacher, school counselor and other adults you trust are good resources to assist you in getting your essays to a final version. You should bring a final, proofed, electronic copy of your essays and/or personal statements on a flash drive to the event, or email them to an email address that you can access from a school computer.
Test Scores Use the worksheet below to list the scores for tests you have already taken. If you have not yet taken the SAT or ACT, speak with your school counselor about upcoming test dates. Most colleges will also require an “official” score that is sent by College Board (SAT scores) or ACT (ACT scores). Talk with your school counselor about how to do this.
SAT Scores
Test #1: Date Taken: Total Score: Reading and Writing: Writing Score:
ACT Scores
Test #1: Date Taken: Composite Score: English Score: Mathematics: Reading: Science Score: Writing Score:
Test #2: Date Taken: Total Score: Reading and Writing: Writing Score: Test #2: Date Taken: Composite Score: Critical Reading Score: Mathematics: Reading: Science Score: Writing Score:
Extra-Curricular Activities Some applications request information related to the activities that you participate in outside of your high school classes. This could include clubs, organizations, volunteering or sports. List your activities below, including your position and whether you received an award or recognition related to the activity.
Activity 1:
Activity 3:
Years Participated:
Years Participated:
Leadership position held:
Leadership position held:
Awards:
Awards:
Activity 2:
Activity 4:
Years Participated:
Years Participated:
Leadership position held:
Leadership position held:
Awards:
Awards:
__
___
Personal Information Many colleges will ask you to provide information related to your residency and citizenship. You may need to provide the following information when completing your application. If you are uncertain about an answer, your parent or guardian may be able to help. Social Security Number (SSN): (This is needed to get your FSA ID, which you will register for after you apply to college during College Application Day. Some colleges may also require this on their application.) __ __ __ - __ __ - __ __ __ __ Place of Birth City:
State:
County:
Indiana County of Residency: Have you ever lived outside of Indiana? If yes, how many years have you lived in Indiana? When did you move to Indiana? Citizenship Status (Circle one): US Citizen Permanent Resident Alien
Yes
No
Nonresident Alien
Did your parent(s)/guardian(s) pay state income taxes last year: If yes, in which state:
Yes
Other No
Do you have a parent or guardian who is currently on active duty in the military? Employment Information: List any employment you have held for the last two years, including dates. It would be good to include volunteer information here as well: Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
Employer: ___________________________________
Dates Employed: ________________________
College Application Information Many colleges will ask for information regarding your college plans. Be sure to do research prior to your school’s College Application Day event regarding whether the colleges you are interested in have the major you want to study. If you don’t know what you want to study, that’s okay! You can work with your school counselor while you’re still in high school to do career exploration and there will be resources on your college campus to assist with this as well. You can likely apply with “undecided,” but do your research before College Application Day to make sure that is an option at the schools to which you plan to apply. Regardless, you can also change your major once you are enrolled in college too. Intended Program or Major for College #1: Intended Program or Major for College #2: Intended Program or Major for College #3: Term for which you are applying (for most graduating seniors, this will be fall 2018):
Application Fee Waivers Typically, fee waivers are available to students for whom the college application fees would create a financial burden or hardship. Students who were eligible for fee waivers to college entrance exams, such as the SAT or ACT, are usually also eligible for college application fee waivers. Some Indiana colleges offer free applications to all students. Visit LearnMoreIndiana.org/college to find out what application fees are at each of Indiana’s colleges public and private (non-profit) colleges. Not all colleges accept fee waivers. Of those that do, the most common are: • ACT fee waiver (If you are eligible for a fee waiver for the ACT your school counselor can fill out a form to obtain one for you.) • College Board fee waiver (If you are eligible for a fee waiver for the SAT, your counselor can fill out a form to obtain one for you.) • National Association for College Admission Counseling (NACAC) fee waiver (If your counselor agrees that you meet one of the requirements such as: family income, receiving public assistance, being an orphan or ward of the state, or meeting other criteria, you or your counselor can learn more at nacacnet.org/studentinfo/feewaiver/pages/default.aspx.) • 21st Century Scholar fee waiver (if you are a 21st Century Scholar, almost all public colleges accept this fee waiver and some private colleges do as well. View a list of 21st Century Scholar incentives at Scholars.IN.gov/grade-12—see Scholar Support and Incentives.) • Veterans fee waiver (Ask your school counselor for a fee waiver if you are the child of veteran(s).) • Campus visits fee waiver (Some colleges offer fee waivers if you have visited their campus prior to applying. Contact the college’s admissions office to find out more.)
