STUDENT PROFILE

PIONEER HIGH SCHOOL Name: ____________________________________ Counselor: __________________________ Student ID # :______________________________ Email: ______________________________ Home Phone:______________________________ Student Cell Phone:___________________ Recommendation Sources: It is suggested you get a recommendation letter from 2-3 sources. Please check below the individuals you plan to ask for a recommendation. Please note that you may need to have your Social Security # available to be included on the recommendation letter for identification purposes. ____ Teacher ____ Community member ____ Other ____ Coach ____ Counselor DIRECTIONS: Your talents and interests will lead to a variety of paths after high school: employment, college, trade or technical school, the military, etc. Please take the time to complete this form thoroughly and provide as much information as possible. Your responses on this questionnaire are an important source of material used by your reference, enabling them to write the most supportive recommendation. Use additional paper if you need more space to answer a question. Make a copy for yourself before turning it in to the Counseling Office.

POST-SECONDARY PLANS 1.) Plans upon graduation from high school:

___________________________________________________________________________ ___________________________________________________________________________

2.) Colleges, vocational schools, military, etc. to which you plan to apply:

_________________________________ ___________________________________ _________________________________ ___________________________________ _________________________________ ___________________________________

3.) List any careers you are considering after high school or college:

___________________________________________________________________________

SPECIAL TALENTS, AWARDS, HONORS 4.) Identify and explain any talents, such as theater, music, athletics, technical skills, etc. Please

list below any honors or distinctions you have received during the past four years. Include academic competitions, summer programs or regional talent searches in which you have participated.

5.) What are you most proud of that you accomplished in high school? Be specific and give an

example (i.e., discuss the best paper you have written or describe a favorite class presentation you made).

ACTIVITIES List below the activities, jobs or interests to which you have devoted your free time during the past four years. If this page is insufficient, you may attach an extra sheet. (Please check () the year you participated in the activity and also indicate with an () if you plan to participate in the activity in grade 12.) 6.) SCHOOL RELATED ACTIVITIES Order of Importance School Year .Positions held, Honors 9 10 11 12 won, or Letters earned

7.) ACTIVITIES OUTSIDE OF SCHOOL—Religious youth groups, community service, programs at college and universities, summer programs, musical groups, scouts, non-school athletic events like horseback riding, etc. Be sure to list leadership positions or recognitions.

School Year Approximate time involved Positions held, 8.) WORK EXPERIENCE 9 10 11 12 Hours / week Weeks / year Awards received. School Year Approximate time involved. Positions held, 9.) SUMMER ACTIVITIES 9 10 11 12 Hours / week Weeks / year Awards received 10.) ATHLETICS – List your athletic participation by grade and season. Circle the teams that were

varsity. Include sports done outside of high school (crew, sailing, skating, dance, etc.). Indicate if you were a captain and if you or your team won state awards.

FALL WINTER SPRING SUMMER 9th Grade 10th Grade 11th Grade 12th Grade

11.) Please list all travel experiences outside of Ann Arbor and dates of travel. Share what made them significant for you.

CHARACTER AND PERSONALITY

12.) What people, ideas and/or books have been strong influences on the person you are?

Tell us how they have influenced you.

13.) What is your passion? (If you didn’t have to work, how would you spend your time?)

14.) Describe yourself using as many examples of experiences, activities, and aspects of

your personality to complete the areas listed below. Please be as specific as possible. a.) Getting along with others (outgoing, shy, funny, accepting of others, etc.). Cite examples.

b.) Independence (commitment to a principle, independent worker, etc.) Cite examples.

c.) Initiative (motivated, leader, follower, etc.) Cite examples to illustrate.

d.) Attitude (optimistic, curious, sense of fairness, etc.) Cite examples to illustrate.

15.) Select 3 words that describe you as a person and describe in detail how you demonstrate

these traits. Be specific citing an actual incident where you felt you showed above average energy, motivation, etc.

a.__________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

b.__________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ c.__________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

16.) Identify one area about yourself you would like to improve. What would it be and why?

SPECIAL CONCERNS

17.) Do you have any concerns, anxieties or issues regarding your plans after high school that you

would like us to know about? Do you need more help in making plans?

18.) Do you have special financial needs for post-high education or need help finding scholarships? If yes, please explain.

19.) Do you have a concern on your transcript that you would like to explain, i.e., illness, teacher

problem, etc? Are there extraordinary circumstances that have affected your academic performance at any time?