Personal Statement Essay Page 2

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Name ____________________________________ Date _______________ Advisor ____________________
Five-Paragraph Personal Statement Worksheet
1. My name is _________________________________________________________.
2. I am in the _______________ grade at Konawaena High School.
3. I will be graduating from high school in _____________________________ (month/year).
4. The purpose of this personal statement is _____________________________________________________.
(Obtain a specific job or gain acceptance into a specific college)
5. Currently I am interested in pursuing ________________________________________________________
(degree/college/occupation/career) because ___________________________________________________.
6. Courses I have taken to help me to achieve this goal are
______________________________________________________________________________________.
7. I have gained skills such as ________________________________________________________________
through my experience as _________________________________________________________________.
8. Additionally, I have been involved in school and community activities such as
______________________________________________________________________________________.
Through my participation in these activities I have learned
______________________________________________________________________________________.
9. My work and volunteer experience include
______________________________________________________________________________________.
What I have learned most from these experiences are
______________________________________________________________________________________.
10. In my free time, I enjoy ___________________________________________________________________.
11. My strengths are ________________________________________________________________________.
12. Areas I will need to work to improve are _____________________________________________________.
13. My friends would describe me as being ______________________________________________________
because _______________________________________________________________________________.
14. One influential person in my life is __________________________________________________________
because _______________________________________________________________________________.
15. I have overcome challenges in my life such as _________________________________________________.
This event has helped me to _______________________________________________________________.
16. What separates me from my peers is ________________________________________________________.
17. My career goal is to _________________________________________. In order to achieve this career goal,
I have come up with the following short term goals:
______________________________________________________________________________
______________________________________________________________________________
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