La Mirada High School
Counseling Department
SENIOR BIOGRAPHICAL DATA SHEET
“SENIOR BRAG SHEET”
Directions:
! Request it
at least two weeks in advance
to give the recommender sufficient time to write the letter and be
mindful of holiday breaks, which may delay your request and may affect your college application deadline.
!The Senior Biographical Data Sheet is composed of two parts: Reflective Insight Questions and List of Activities.
Remember the recommender
wants to write a great letter on your behalf, so it is very important that you take the time to
answer each question thoroughly.
!Please fill out this form as accurately and completely as possible. Your
counselor and teachers will use this information
in recommending you for scholarships, college admission, and other honors/awards.
First Name: ______________________________
Last Name: ____________________________
Home/Cell Phone: _________________________
Email address: __________________________
Student Family Information
Name of the parents you live with: _______________________________________________________________
Father ( ) Stepfather ( ) Mother ( ) Stepmother ( ) Other ( )
Father’s Job Title: ________________________
Mother’s Job Title: _______________________
Father’s Highest Education: ________________
Mother’s Highest Education: _______________
Other Guardian(s): ________________________________________________________________
Are you receiving free and/or lunch? ___ Yes ___ No
Do you live with another family due financial reasons? ___ Yes ___ No Or in foster care? ___ Yes ___ No
How many live in your house: _____
How many brothers? ______ Ages? _______________
Sisters? ______ Ages? ______________
Are you the first one in your family to graduate from high school? ___ Yes ___ No
Are you the first one in your family going to college? ___ Yes ___ No
How many siblings have attended college? ______
Is a foreign language spoken in your home? ___ Yes ___ No What Language? ____________________
Are you bilingual in that language? ___ Yes ___ No Have you ever lived in a foreign country? ___ Yes ___ No
Where ___________________ How Long? _________
