High School
Academic Report Form

This form is to be completed by a high school counselor or career counselor. Download a print version of the High School Report form.

Applicant First Name:
Applicant Last Name:
Applicant Street Address:
Applicant City:
Applicant State:
Applicant ZIP code:
High School Counselor Name:
Counselor Email:
Counselor Phone:	( ) - Second three digits Last four digits
High School Name:
High School Street Address:
High School City:
High School State:
High School ZIP code:
Number of students in class:
Rank of student in class:
The rank is?:
Grading Scale (i.e. 4.00, etc.):
Highest GPA in the class is?:
Applicant's cumulative GPA:
The GPA is?:
How long have you known the applicant?:
In what context have you known the applicant?:
What are the first words that come to your mind to describe the applicant?:
In comparison with other college-bound students at your school, the applicant's course selection is:
I recommend this student:
Please write whatever you think is important for us to know about the applicant.:
I hereby certify that the information provided above was completed by a representative of the above stated high school.: