Secondary School Report & Transcript Request - Eureka College
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1
2Office of Admissions
300 East College Avenue
Eureka, Illinois 61530-1500
309.467.6350
888.4-Eureka
Fax 309.467.6576
admissions@eureka.edu
Secondary School Report & Transcript Request
TO BE COMPLETED BY THE APPLICANT
Name _______________________________________________________________________________________________________
LAST
FIRST
MIDDLE
Address ______________________________________________________________________________________________________
STREET
CITY
STATE
ZIP
Phone Number (
)______________________________________ Email Address ________________________________________
Mailing Address
_________________________________________________________________________________
(If different from above)
STREET
CITY
STATE
ZIP
Date of Birth ________________________________
M / D / Y
To be completed by the High School Counselor
This student is applying to Eureka College. As an essential part of the College Admissions Process, we are asking you to provide us with the
academic information requested below and on the reverse side of this form.
The student ranks ________ in a class of ________ at the end of ________ semesters.
The rank is
Weighted
Unweighted
The student’s cumulative grade point average is ________ / 4.0 (Please convert to a 4.0 scale.)
The student
Graduated
Will Graduate
Month ________ Year ________
Withdrew
How would you rate this student’s college preparatory curriculum?
Senior Year
Weak
Average
Strong
Most Demanding
Prior Three Years
Weak
Average
Strong
Most Demanding
Please list the student’s 7th/8th Semester Curriculum if not included on the High School transcript:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Of the most recent graduating class, ________ % enrolled in a four year college
Of the most recent graduating class, the average ACT/SAT score was ________ / ________
Report continues on reverse ---->>
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