Academic Data Nacac Secondary School Report Form printable pdf download

Academic Data

SUBMIT TO GUIDANCE COUNSELOR FOR COMPLETION

Guidance Counselor’s submitting NACAC Secondary School Report Form through Naviance/Parchment will not need to send this additional form.

FIRST TIME FRESHMEN: The following information is required and needs to be completed by your Guidance Counselor. Homeschool

students please have the Guardian overseeing your education complete this form. Official final high school transcript required and

should be requested from high school Guidance Office.

TRANSFER APPLICANTS: Official final high school transcript is required. Please complete the Transfer Data Section at the bottom of

this page.

GUIDANCE COUNSELOR USE ONLY: Please complete the following information and attach the student’s official transcript.

Name of Student (please print) _______________________________________________________________________________________

Name of High School _______________________________________________________________ Graduation Year __________________

Address __________________________________________________ City_______________________ State _____ Zip________________

School Telephone _______/________________________ Ext. _____________ ACT/CEEB code number____________________________

Is your school: o Public o Private o Parochial

o Homeschool

Percentage of Class Attending: Four-Year _____ Two-Year _____ institutions.

Grading Scale: o 4.0 o 5.0 o 10 o 100 Other: ___________

Student’s GPA: weighted _____.______ un-weighted _____.______ Student ranks ___________ in a class of_________

The student’s course selection, among those available at your school is: o most demanding o demanding

o average

o below average

Guidance Counselor’s Signature_______________________________________ Print Name ____________________________________

Scholastic Aptitude Test (SAT/ACT) is required

SAT

o will be taken Date: ____ __________ Verbal/Critical Reading ________ Math ________ Writing _______

ACT

o will be taken Date: ______________ E ______ M ______ R ______ S ______ Composite ___________________

Please list all other high schools the student has attended or colleges or universities attending while in high school (list number of credits)

Name of school

Location (City, State, Zip)

Dates attended

Credits

___________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

TRANSFER STUDENT DATA

Please list all colleges or universities attended (list number of credits where applicable)

Name of school

Location (City, State, Zip)

Dates attended

Credits

____________________________________________________________________________________________________________________

If you are not attending school at the present time, please describe your current activity: ______________________________________

____________________________________________________________________________________________________________________

How many credits will be considered for transfer to GCC? ________ Location where course was taken: o High School o College

Course instructor: o High School Teacher o College Professor

Method of delivery: o Teacher in Classroom Setting o Online

Are you a student in good standing? o Yes o No

Academically? o Yes o No

Socially? o Yes o No

Are you a member of Phi Theta Kappa? o Yes o No

If you are a transfer student, what are your reasons for desiring to transfer?___________________________________________________

____________________________________________________________________________________________________________________

Academic Data Nacac Secondary School Report Form

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