Biographical Information Form             

 

 

If possible and with parental permission please e-mail this form, simply select all and paste into a MS Word Document.   Fill in the information requested as best you are able. 

 

It's better to send as an attachment to jgalanaugh@longwoodcsd.com; but,  if you must print the document, complete it at home and then return it to Guidance or to me.

 

Your full name:________________________________________________________                   

                                                      

Date requested for completion_____________   Date needs to be mailed from Guidance ___________  

 

Days I have to complete from when you give it to me______________ .

 

The information you provide below will be used to prepare your letter of recommendation.  It consists of two parts beyond a  mere summary of your experience and achievements. 

 

The information should be as complete as possible and account for each year of your experience at Longwood Senior High School.  Please consult personal records as necessary to ensure the accuracy of the information you provide. 

 

In the table below, fill in all blocks that pertain to you; insert “N/A” in blocks that do not pertain to you.  The blocks will expand as needed for the amount of information you have.  To ensure the correct chronology, be sure to complete the “Year” column below. 

 

A letters of recommendation will be sent through the Guidance Department.  Keep a copy of this information to apply for scholarships through the Guidance Department.

 

 PART 1

Timeline

Description

Years

Education I

What classes and grades did you study with me? and what most clearly do you remember working on or learning?

 

Course/ Final Grade Freshman 200____
Course/ Final Grade Sophomore 200____
Course/ Final Grade Junior 200____
Course/ Final Grade Senior 200____

Education II

What other memorable classes and teachers did you have? and what most clearly do you remember working on or learning?

 

Course/ Final Grade Freshman 200____
Course/ Final Grade Sophomore  200____
Course/ Final Grade Junior 200____
Course/ Final Grade Senior 200____
Approximate GPA:    

Extracurricular Activities

Include student organizations, school/community volunteer work, committee/society memberships, tutoring, jobs.

 

Freshman 200____
Sophomore  200____
Junior 200____
Senior 200____

Special Skills (computer, etc.)

 

 

Honor Societies/Awards,

 

 

What do you plan to study? Major/ Minor

 

 

Memorable Projects Provide a brief description of what you learned,  enjoyed, or created.  
     

Research Projects (if applicable)

 Provide a brief description of thesis.

 

     

Career/Job Information

Describe any jobs/careers you had, include name of company and dates worked.

 

Freshman 200____
Sophomore  200____
Junior 200____
Senior 200____

Life Information

On-going family responsibilities, chronic or unexpected medical situations, other life-impacting events.

 

Freshman 200____
Sophomore  200____
Junior 200____
Senior 200____

 

 

 

Other information you think I would find useful or helpful

 

 

     
     
     

 

 

  PART 2

 

 

What factors (experiences/events/role models) have contributed to your consideration of your intended major(s)?

 

 

COMPLETE ONE OF THE FOLLOWING OPTIONS PERTAINING TO YOUR PERSONAL QUALITIES:

Include a final proofread copy of your College Application Essay / Personal Mission Statement / Autobiography 

 

OR:

 

 

 A.   Important Personal traits:

B.   What are your most important accomplishments?

C.   What are your foremost strengths?

D.   What are your primary weaknesses?

E.   Describe how you relate to patients, faculty and peers:

F.   Note any major themes in your life, such as sports, writing, music or travel:

G.   Where did you grow up: 

H.    What was your childhood like:

I.     Describe a little about your family life:

 

 

OR:

 

PROVIDE a paragraph describing how you see yourself, and describing those personal attributes or accomplishments that you would like to see portrayed.  This does not have to be of the quality of a personal statement.  Highlight what has been important in your life and what continues to motivate and anchor you as you prepare for the next stage of your career.