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MONSIGNOR FARRELL HS
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 *
First Name
Middle Initial
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
No
Not sure
Is your father an immigrant? *
Yes
No
N/A
From what country did your father emigrate from? If not applicable, please enter "n/a"
Is your mother an immigrant? *
Yes
No
N/A
From what country did your mother emigrate from? If not applicable, please enter "n/a"
Are you an immigrant? *
Yes
No
From what country did you emigrate from? If not applicable, please enter "n/a"
What year did you immigrate to the United States? If not applicable, please enter "n/a"
Does your family speak another langue other than English at home? *
Yes
No
If yes to the above question, what language(s) If not applicable, please enter "n/a"
Is anyone in your family disabled? *
Yes
No
If "yes" to above, do you help care for them? *
Yes
No
N/A
Additional Information
Please add any information that makes you a unique student for a college to pursue (an interesting hobby, talent, business, activity).
Attach a File
If you would like to attach any supporting documents, they must be combined into a single pdf file.
Please attach any files that you feel are relevent.
Send your file
Send
