Initial Assessment Form – Transfer Students – Target & Reach College Admission Counseling Services

Student Name *

Email *

Age

Ethnic background

Undergraduate - school name *

Undergraduate - current major *

Undergraduate - current standing *

Career goal, field of study, and desired major - please state reasons for your decision.

Target Colleges - up to 3 colleges

Reasons for choosing the above colleges

Applying for: *

Application Deadline *

College Work GPA

Student organizations & clubs during college years - please specify.

Community / Volunteer experiences during college years - please specify.

Internship, research, and/or special projects during college years - please specify.

Varsity experiences during college years - please specify.

Leadership experiences during college years - please specify.

Other extracurricular activities and/or skills acquired during college years - please specify.

Work experiences during college years - please specify.

Life experiences, challenges, and/or personal values that might help understand who you are.

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