Student Profile Form – Target & Reach College Admission Counseling Services

Note: All data submitted via this form will be kept confidential.

Student Profile Form

College Application Category (undergraduate admission) *

First Year - Domestic (U.S.) students
First Year - International students
Transfer - Domestic (U.S.) students
Transfer - International students

Parent / Guardian Full Name *

Parent / Guardian Phone# *

Parent / Guardian Email *

Your (Student) Full Name *

Your (Student) Phone# *

Your (Student) Email *

Your (Student) Gender

Male
Female
Other

U.S. Armed Forces status (student)

None
Currently serving
Previously served

Anticipated status at the time you (student) enroll college

None
On active duty U.S. military
Veteran of U.S. Armed Forces
U.S. Reserves or National Guard

Native language (student's)

Birth country (student's)

Number of years you (student) have lived in the United States

High School Name - current or most recent *

City *

State and/or country *

Number of high school(s) attended including currently enrolled

9th Grade (Fall & Spring) - courses & grades (not required for transfer students)

For example: Honors Chemistry A-
Instead, you may send us your transcript via email at:
targetnreach@gmail.com

10th Grade (Fall & Spring) - courses & grades (not required for transfer students)

For example: Honors Chemistry A-
Instead, you may send us your transcript via email at:
targetnreach@gmail.com

11th Grade (Fall & Spring) - courses & grades (not required for transfer students)

For example: Honors Chemistry A-
Instead, you may send us your transcript via email at:
targetnreach@gmail.com

12th Grade (Fall & Spring) - courses & grades (not required for transfer students)

For example: Honors Chemistry A-
Instead, you may send us your transcript via email at:
targetnreach@gmail.com

High school cumulative GPA ‐ weighted

High school cumulative GPA ‐ unweighted

SAT Score (highest)

ACT Score (highest)

AP Subject Test Scores

IB Subject Test Scores

English Proficiency Test - TOEFL, IELTS, Duolingo, etc. Please enter test name & score (for international students only)

9th Grade - extracurricular activities (not required for transfer students)

Arts or music, clubs, community engagement, family responsibilities, hobbies, sports, work or volunteering, other experience that have been meaningful to you

10th Grade - extracurricular activities (not required for transfer students)

Arts or music, clubs, community engagement, family responsibilities, hobbies, sports, work or volunteering, other experience that have been meaningful to you

11th Grade - extracurricular activities (not required for transfer students)

Arts or music, clubs, community engagement, family responsibilities, hobbies, sports, work or volunteering, other experience that have been meaningful to you

12th Grade - extracurricular activities (not required for transfer students)

Arts or music, clubs, community engagement, family responsibilities, hobbies, sports, work or volunteering, other experience that have been meaningful to you

Did or will you graduate from this high school?

Graduation date (month & year)

Coursework taken at a college or university while attending high school (not required for transfer students)

Please indicate the type(s) of coursework - dual enrollment with high school, summer program, credit awarded directly by college, etc.

College/University Name - current or most recent (for transfer students only)

City

State and/or country

Number of colleges/universities attended including currently enrolled (for transfer students only)

College coursework & grades (for transfer students only)

Please indicate name(s) of college(s) and terms (Fall, Winter, Spring, etc.)

College cumulative GPA (for transfer students only)

Extracurricular activities while in college (for transfer students only)

Honors & Awards

At high school - for first-year applicants; At college - for transfer students

1st Choice Major

2nd Choice Major

3rd Choice Major

Career interest(s) - please explain why.

Target colleges - wish list. Please list 10 colleges/universities starting with the most desired.

Other preferences - geographic locations (states, cities, etc.), disability access, ethnicity, sports, arts, etc.

Highest Degree Intended

Associate
Bachelor's
Master's
Doctoral

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