Full Name

TROY HIGH SCHOOL

SENIOR QUESTIONNAIRE

Teachers/recommenders need your senior questionnaire. Create a copy of this completed questionnaire before submission.

Please thoughtfully and thoroughly answer the following questions:

Student Cell #:

Student Email:

List siblings: Names, ages, and school/college/occupation

List parents/guardians: First and last name of parent(s)/guardian(s))

I live with

Languages spoken at home

POST-HIGH SCHOOL PLANS

Please list score(s) for standardized tests taken: SAT

Do you have an intended college or career plans after high school? If so, please explain.

If any, which colleges or universities are you considering applying to? Of these schools, which do you think is your perfect college match?

Do you have an intended major(s)? If so, please indicate how you became interested in the field(s).

PERSONAL AND EDUCATIONAL ATTRIBUTES AND INTERESTS

Describe any of your attributes that might go unnoticed by others.

Complete the following statement: “My proudest achievement(s) is/are…”

Please share any extenuating circumstances that have affected your life (i.e. divorce, deceased parent,

frequent moving, illness, overcoming adversity, etc.)

Sharing this information can add valuable context to your application.

Do you believe that your academic record is an accurate assessment of your ability? Why or why not?

List three adjectives to describe yourself. Provide a brief explanation.

1)

2)

3)

What or who motivates you? Why?

What personal contribution(s) have positively influenced the Troy High School community?

In what volunteer/community-based activities have you participated? (Please describe.)

Share your work experiences, if any.

(Place of Employment / Dates / Job Description)

Please thoroughly describe any internships, independent studies, special programs/projects, or summer experiences.

List two staff (teachers, counselors, or administration) members who know you well.

1)

2)

Describe an academic experience that has been a highlight during your years at THS.

(For example, a particular teacher, a class, a paper you wrote, a project, or a book.)

Provide two examples of ways you show leadership and display strong moral character.

What is your favorite book? (Include papers, journals, or magazines that you regularly read.)

What are your hobbies or favorite leisure activities?

Rate yourself on the following assessment:

Superior	Good	Average	Poor
Academic Motivation
Academic Preparation
Character
Course Selection
Creativity
Emotional Maturity
Extracurricular Involvement
Leadership
Reaction to Setbacks
Self-Confidence
Self-Discipline
Sense of Humor

List all activities for grades 9-12

(Including, but not limited to extracurricular activities, clubs, sports, part-time employment, internships, etc.)

A separate, more detailed activities list/resume can also be included.

Activity	Grades Active	Position held	Description of involvement