Monsignor Farrell

First Name *

First Name

Middle Initial

Last Name *

Last Name

Please select what academic program you are in at Farrell *

Please select one

Regents

Honors

Scholars

1. *

1. What college-level or AP courses have you taken or will you take (Even if you do not intend to pay for the college credit option)? If none, please enter "n/a"

2. *

2. Have you participated in any unique or selective programs outside of Farrell? Please provide a specific summary. You may attach a supporting document at the end of this form. If none, please enter "n/a"

3 *

3. What leadership positions have you held? If none, please enter "n/a"

At Farrell

Please include years, teams, levels, and list in order of importance.

4. Extracurricular Activities *

4. Including volunteer work. Ex. (Superdance 9-12, executive 12), (Special Olympics Volunteers 9-10) If none, please enter "n/a"

5. Sports *

5. Please list sports played at Farrell. Ex. (Golf 9-12) (Bowling, 11-12, captain 12) If none, please enter "n/a"

Outside of Farrell

Please include years, teams, levels, and list in order of importance.

6. Extracurricular Activities *

6. Including volunteer work. Ex. (Eagle Scout), (Church Volunteer 9-12) If none, please enter "n/a"

7. Sports *

7. Please list sports played outside of Farrell. Ex. (South Shore Babe Ruth Baseball 9-12) (Bayonne Rangers Hockey, 11-12, Captain 12) If none, please enter "n/a"

Awards, Honors & Scholarships

8. *

8. Please list any awards, honors, and/or scholarships that you have received relevant to a college. If none, please enter "n/a"

9. College Major *

9. Please list major(s) that you intend to pursue in college. If undecided , please under "undecided"

10. Employment History *

10. Please list any paying jobs that you have held and the hours worked. Ex. (Target. 2018-present. 20 hours/week) If none, please enter "n/a"

Will you be a first-generation college graduate? *

Yes

Not sure

Is your father an immigrant? *

Yes

N/A

From what country did your father emigrate from? If not applicable, please enter "n/a"

Is your mother an immigrant? *

Yes

N/A

From what country did your mother emigrate from? If not applicable, please enter "n/a"

Does your family speak another langue other than English at home? *

Yes

If yes to the above question, what language(s) If not applicable, please enter "n/a"

Is anyone in your family disabled? *

Yes

If "yes" to above, do you help care for them? *

Yes

N/A

Monsignor Farrell Student Background Data Sheet

The information that you provide will be used for your college recommendations and for reference throughout your senior year. Please update this form as needed or visit the Department of Guidance & College Advisement to update your information.

Please contact me with any questions regarding this form or the college advisement process.

Ms. Regina Pohlman
College Counselor & Senior Class Guidance Counselor
Monsignor Farrell High School

Monsignor Farrell Student Background Data Sheet

The information that you provide will be used for your college recommendations and for reference throughout your senior year. Please update this form as needed or visit the Department of Guidance & College Advisement to update your information.

Please contact me with any questions regarding this form or the college advisement process.

Ms. Regina Pohlman College Counselor & Senior Class Guidance Counselor Monsignor Farrell High School

Ms. Regina Pohlman
College Counselor & Senior Class Guidance Counselor
Monsignor Farrell High School