Application page 5

                                                                                 Confidential

 
                                                     SECTION 2 TO BE COMPLETED BY STUDENT

                                                             APPLICANT’S ACADEMIC INTERESTS

 List, in order of preference, all colleges to which you have applied.

 College                                  Tuition &             Room &           Total ($)      Amt Family     Accepted (Y/N) 
                                                  Fees ($)             Board ($)                               can pay ($)     Aid = $
 
_____________________|__________|___________|_________|____________|_____________|
_____________________|__________|___________|_________|____________|_____________|
_____________________|__________|___________|_________|____________|_____________|
_____________________|__________|___________|_________|____________|_____________|
_____________________|__________|___________|_________|____________|_____________|
_____________________|__________|___________|_________|____________|_____________|
_____________________|__________|___________|_________|____________|_____________|


Field of interest                                                                                                            

Career interest                                                                                                            

What sparked your interest in this career path?                                                                                                       

                                                                                                                                                                                                

                                                                                                                                                                                                

                                                                                                                                                                                                 

List significant extra curricular & volunteer activities          Years involved                    Offices Held

                                                                                                                                                                                                

                                                                                                                                                                                                

                                                                                                                                                                                                

                                                                                                                                                                                                

                                                                                                                                                                                                
 

Specify your plans for this summer

                                                                                                                                                                                                

                                                                                                                                                                                                

                                                                                                                                                                                                
 

Signature of applicant                                                                                                      Date