| Name: | |
| Courses I taught you: | |
| Grades in those courses: | |
| Proposed college major: | |
| Career goal: | |
| High school courses you have taken in prepartion for your college major: | |
| List one or two of your activities that are related to your major/career goal: | |
| You may list one other activity you think I should mention (i.e. Eagle Scout, special volunteer activity, hobby or talent): |