George Mason University Secondary School Report
Student Identification
Social Security No. (requested)
Date of Birth (required)
Full Legal Name
I authorize release of this information to George Mason University.
waive my right to see the completed form.Please check one:
Freshman applicants: Complete the first section and have your school counselor complete the second section.
Please request that your high school send your seventh semester and final transcripts as soon as they are available.
I do I do not
Signature
Counselor
The Office of Admissions prefers that you complete the Mason Secondary School Report (SSR). If your policy
is to use another format, please send only one SSR and attach it with your recommendation and transcript.
School Identification
Student’s Academic Standing
Name
Address
City
State
Zip
Phone
GPA Class Rank Class Size
Cumulative
Senior Year
Date
If your school uses something other than a 4.00 grading scale,
please complete this grid with information on converting your
grades to a 4.00 = A scale.
Alternative Class Rank (required for score optional consideration)
If your school does not rank, please assign the student to one of the following deciles. This rank need not be based
on strict numerical data; rather, it can be based on your personal estimation of the student’s performance and
curriculum strength within the context of the entire senior class.
CEEB School Code
Decile:
SecondTop FourthThird Fifth
George Mason University, 4400 University Drive MSN 3A4, Fairfax, VA 22030 - Phone: 703-993-2400 - Fax: 703-993-4622
A=4.00 scale A (4.00) B (3.00) C (2.00) D (1.00) F (0)
Your grade
(or range)
Summary and Recommendation - This candidate for admission to George Mason University is:
Signature
Print Name/Position
Phone
Date
Not
Recommended
Recommended
with Reservation
Recommended
Recommended
with Confidence
Recommended
Enthusiastically
