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.
Student Information
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? _______________
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? _________
*Part I: Reflective Insight Questions
*Please attach additional sheets of paper if necessary.
1. Are you excited to explore a particular academic major or career in college? If yes, which area of study and why?
2. List any schools you are considering at this time. Do you have a “dream school?”
3. What would you consider to be your most outstanding accomplishment thus far, academic and personal?
4. Talk about an event or happening in your life that had a significant impact on you. How did it affect your life, both
personally and academically?
5. List five positive adjectives (or phrases) that describe you and explain each by using a personal anecdote.
a.
b.
c.
d.
e.
6. What do you consider your three greatest academic strengths and weaknesses? Please briefly explain your
answers.
7. What do you consider your three greatest personal strengths and weaknesses? Please briefly explain your
answers.
8. Are there any factors or circumstances in your life related to your grades or admission test scores that you would
like colleges to be aware of?
9. If you need financial aid from outside of the family in order to carry out plans for further education, you may (if
you wish) describe any circumstances that make aid necessary.
Part II: ACTIVITIES
High School Organizations/Services
(Starting with the most recent: list name of the organization, grade level(s), total hours, position held, description and role.)
Name
9
10
11
12
Hrs/Wk
Position Held and Awards Received
Description of the Activity
Role and Responsibilities
Community Services
(Starting with the most recent: list name of the organization, grade level(s), total hours, position held, duties and description.)
Name
9
10
11
12
Hrs/Wk
Position Held and Duties
Description of the Activity
Student Government (ASB)
(Starting with the most recent: list name of the activity, grade level(s), total hours, position held, duties and description.)
Activity
9
10
11
12
Hrs/Wk
Position Held and Duties
Description of the Activity
CN 08/21/2016
Athletic Teams/Band
(Starting with the most recent: list name of sport, grade level(s), sport level and award/recognition.)
Sport
9
10
11
12
Sport Level
(Varsity/JV/Frosh-Soph)
Award/Recognition
Work Experience
(starting with the most recent: list name of employer, grade level(s), total hours, position held, duties and description)
Employer
9
10
11
12
Hrs/Wk
Position Held
Duties and Responsibilities
Awards/Honors
(Starting with the most recent: list name of award/honor, grade level(s) and reasons for receiving the award/honor.)
Award/Honor
9
10
11
12
Reason(s) for Receiving the Award/Honor
Special Interests, Hobbies and Talents
Interest, Hobby or Talent
Briefly Describe Your Interest, Hobby or Talent
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