We appreciate you providing as much information as possible. However, all questions are entirely optional, and your answers will be kept confidential.

Contact Information

First Name:

Last Name:

Your Email:

If you have a Yahoo e-mail address: Yahoo employs very strict e-mail filters. If you don’t see an e-mail from us in your inbox within one business day, please check your “spam” folder.

Phone Number:

Cell Number:

Skype Username:

Street/PO Box:

City:

State:
--Choose One--AL AlabamaAK AlaskaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDC District of ColumbiaDE DelawareFL FloridaGA GeorgiaHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaOH OhioOK OklahomaOR OregonPA PennsylvaniaRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming

Zip Code:

Country:

How did you hear about College Transitions?
--Choose One--Word of mouthFrom a previous or current clientAdvertisementCoffee Shop FlyerInternet SearchPatchNewspaper/PublicationFacebookTwitter

Demographic Information

Gender:
MaleFemaleChoose not to disclose

Ethnicity/Race (you may select more than one)

African-AmericanAsianLatino / HispanicNative AmericanWhiteMultiracialOther

Mother's Undergraduate College (if any)

Father's Undergraduate College (if any)

Student Information

High School Graduation Year:
--Choose One--201420152016201720182019202020212022

Current Grade Level:
--Choose One--12th Grade11th Grade10th Grade9th GradeHigh School Graduate

Current School:

Current School Zip Code:

GPA:

Class Rank (if applicable):
--Choose One--#1 or #2Top 5%Top 10%Top 25%Top 50%Bottom 50%Not Ranked

Naviance username (if applicable):

Naviance password (if applicable):

SAT Math (enter your best score):

SAT Critical Reading (enter your best score):

SAT Writing (enter your best score):

ACT Score Composite (enter your best score):

Please list all AP or IB courses you have taken or plan to take:

Extracurricular Involvement

Please list your three most important extracurricular activities:

Activity #1:

Title (if any):

Hours per week:

Weeks per year:

If possible, please describe your role:

Activity #2:

Title (if any):

Hours per week:

Weeks per year:

If possible, please describe your role:

Activity #3:

Title (if any):

Hours per week:

Weeks per year:

If possible, please describe your role:

College-Related Interests

What size of college would you consider attending? (Please check all that apply)

Very Small (Less than 2,000 students)Small (2,001 to 5,000 students)Mid-Size (5,001 to 15,000 students)Large (More than 15,000 students)

How far are you willing to travel to attend college?
2-hour drive4-hour drive6-hour driveBeyond 6-hour drive

What particular setting do you prefer? (Please check all that apply)
UrbanSuburbanRuralDoesn’t Matter

Do you prefer to attend college in-state?
YesNoDoesn't Matter

Are you open to attending single-sex colleges?
YesNo

Please list possible major(s), if any:

Please list possible career(s), if any:

To what extent is it important that your college offer the following: (1 Being Not Important & 5 Most Important)

Small Classes: 12345

Prestige: 12345

Intellectual Student Body: 12345

Liberal Student Body: 12345

Conservative Student Body: 12345

Research Opportunities: 12345

Study Abroad: 12345

Fraternities/Sororities: 12345

Big Time Sports: 12345

Student Diversity: 12345

Beautiful Campus: 12345

How important are costs to your college decision? (1 Being Not Important & 5 Most Important)
12345

Do you anticipate applying for financial aid?
YesNo

Please feel free to list any other information:

At your earliest convenience, please submit (unofficial) copies of your transcripts and all standardized test scores to info@collegetransitions.com.