James Madison High School



James Madison High School

“BRAG” SHEET FOR COLLEGE-BOUND SENIORS

Complete this entire sheet completely and accurately, and submit it to Ms. Mary Trombley, in the counseling office. Counselors and teachers will use this information to write recommendations (for college admission, scholarships and EOP) and to nominate students for scholarships and honors. The recommended deadline for returning this sheet to your counselor is October 31, 2016, so that we have time to complete your recommendations. Please update your sheet with your counselor as information changes or as you further define your goals. If you would like to type this document and attach, that is fine

Last Name:_______________________________ First Name:___________________ Ethnicity:_________________

Father’s Name:____________________________ Occupation:___________________ Employer:________________

Mother’s Name:____________________________ Occupation:___________________ Employer:________________

Ages of Siblings:_________________________________________________________________________________

Brief summarize your family’s situation, including any concrete information which might support an argument that you are deserving of financial aid or special support. Include unusual family, personal or financial circumstances, if any.

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Career Goal:______________________________________________Expected College Major:______________________

Colleges to which you are applying (circle your first choice college): ____________________________________________________________________________________________________________________________________________________________________________________________________

List three words you would use to describe yourself:_________________ __________________ ___________________

How would you like to be remembered?___________________________________________________________________

Briefly describe what your life will be like five years from now: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ten years? ____________________________________________________________________________________________________________________________________________________________________________________________________

Be sure to complete the activities, honors, awards, and work experience grid on the back side of this sheet.

I realize the information on this data sheet may be used by school personnel when writing a letter of recommendation.

___________________________ ________________ RETURN TO MS. TROMBLEY BY 10/31 /Main Office

Student’s Signature Date Submitted

High School Activities Record

Directions: Complete the following grids. They will help you fill out college applications, because they are constructed in a similar format. Be sure to indicate whether you were or are an officer in any clubs, teams or organizations.

Awards and Honors

|Describe Name |Type |Date Received |Description |

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Madison Extracurricular Activities

Include Athletics, JROTC, Student Government, Performing Arts, FIRST Robotics, School Clubs and Organizations

|Office/Position |Grades Involved |Hours Per Week/Weeks |Description |

| | |Per Year | |

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Community Service

|Organization/Non Profit Agency |Grades Involved |Hours Per Week /Weeks |Description |

| | |Per Year | |

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Educational Prep Programs

|Name (AVID, Cal SOAP, Academic Connections, |Grades Involved |Hours Per Week /Weeks |Description |

|Reality Changers, etc.) | |Per Year | |

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Work Experience

|Organization/Employer |Grades Involved |Hours Per Week /Weeks |Description |

| | |Per Year | |

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