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

First Name
Middle Initial
Last Name
Please select one
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. 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. What leadership positions have you held? If none, please enter "n/a"
Please include years, teams, levels, and list in order of importance.
4. Including volunteer work. Ex. (Superdance 9-12, executive 12), (Special Olympics Volunteers 9-10) If none, please enter "n/a"
5. Please list sports played at Farrell. Ex. (Golf 9-12) (Bowling, 11-12, captain 12) If none, please enter "n/a"
Please include years, teams, levels, and list in order of importance.
6. Including volunteer work. Ex. (Eagle Scout), (Church Volunteer 9-12) If none, please enter "n/a"
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"
8. Please list any awards, honors, and/or scholarships that you have received relevant to a college. If none, please enter "n/a"
9. Please list major(s) that you intend to pursue in college. If undecided , please under "undecided"
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"
From what country did your father emigrate from? If not applicable, please enter "n/a"
From what country did your mother emigrate from? If not applicable, please enter "n/a"
If yes to the above question, what language(s) If not applicable, please enter "n/a"