JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
STUDENT INFORMATION FORM (Ms. Bligh Only)
PLEASE COMPLETE THIS FORM AS SOON AS POSSIBLE TO ALLOW TIME FOR YOUR COUNSELOR TO COMPLETE YOUR LETTER BEFORE THE DEADLINE. SUBMIT TO YOUR COUNSELOR YOUR REQUEST AT LEAST TWO WEEKS BEFORE THE DEADLINE!!
Please complete the following form to help your Academic Counselor write you a great Letter of Recommendation (LOR)! To get your LOR sent to the colleges you're applying to, please follow the following steps:
1. Ask your Academic Counselor to write you a letter of rec for X,Y, Z schools
ASK IN PERSON REQUEST IN NAVIANCE EMAIL A FOLLOW-UP
2. Add all of your colleges in Naviance ---> Colleges ---> Colleges I'm Applying To
3. Indicate in Naviance if you are applying via Common App or another method
4. Indicate in Naviance what deadline you are using for the LOR
5. Complete this form below and/or provide your Counselor with additional information about you.
Things that are of extra help:
1. A draft of your application essays
2. Resume
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Academic Counselor
*
Ms. Owen - Do not fill out this form. She has her own form on the College & Career center website.
Mrs. Bligh (H-O)
Mr. Stallworth - Do not fill out this form. He has his own form on the College & Career center website.
Required
Have you emailed your counselor to write your LOR? Have you requested them to write your LOR in Naviance? (if not, do this NOW)
*
Yes
No
Personal Reflection
Please answer as many questions as you feel comfortable with.
Have you also completed the Personal Data Form in Naviance, under the About Me tab? (many teachers - use this for their letter of recs)
*
Yes
No
What Universities are you apply to?
*
Your answer
Please list 5 qualities that apply to you and your personality.
*
Your answer
Please choose three of the qualities listed above and provide an example of how you demonstrated that trait. The more details, the better.
*
Your answer
To reach this point, you've worked hard to develop academic, personal, and social strengths. What has been your most significant area of growth? What area or skill do you feel still needs improvement?
*
Your answer
Please choose one extracurricular activity, either school-based or separate from NHS, and elaborate on its meaningfulness for you and how it has influenced different parts of your life.
*
Your answer
Please choose an NHS teacher, in any subject area, any grade, who has significantly affected your life as an NHS student. How did this teacher influence you as a person as well as your thinking and learning processes?
*
Your answer
Colleges are looking for students who have developed a perspective of the world beyond themselves. Please share an experience where you made an impact on others, or one that was particularly impactful to you.
*
Your answer
What is the most important thing for colleges to know about you, that may not come out in your application?
*
Your answer
Is there a grade(s) or term on your transcript that you would like to have further explained? (For example, a significant change in grades, a dropped class, a particular course selection, etc.)
*
Your answer
Have you taken any classes that are not on your NHS transcript? Where and what are they? (DVC, online, other college, summer program, seminars, camps, etc)
Your answer
Is there anything else you’d like to share to help us know you better?
Your answer
Resume
SPORTS: Please list all sports you have participated with, position held (if captain, etc), and the dates:
Your answer
IN SCHOOL ACTIVITIES (other than sports) Please list the activity, position(s) held and dates:
Your answer
OUT OF SCHOOL ACTIVITIES (Community service, youth groups, church, scouts, internships, tutoring, etc.) Please list the name of the agency, position(s) held, and dates:
Your answer
RECOGNITION for Extracurricular Activities (Community or high school recognition). Please list the Award(s) or Honor(s) received, the reason, and the date:
Your answer
WORK EXPERIENCE: Please list any paid work experience you have had. Include the employer, brief description, and the dates. Also add the hours worked per week.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Mt. Diablo Unified School District.
Report Abuse
Forms
