High School Counselor InformationLoading...High School Counselor Information—OptionalNote to the Counselor: This form must be filled out by a school official. The form is for first-year applicants only. *Asterisk denotes a required field. You must complete the fields before submission.Counselor Contact InformationFirst Name *Last Name *Set Display Name. This is a hidden field.Title or PositionSet Device Type #1 as Email address. This is a hidden field.Email AddressEvening PhoneFAXMobile PhonePrimary PhoneEmail Address *Set Details - Email field to use for unique for merging. This is a hidden field.Set Device Type #2 as Primary Phone. This is a hidden field.Email AddressEvening PhoneFAXMobile PhonePrimary PhonePhone NumberSchool Official Verification *School Official Verification *I certify that I am a school official.High School Name. Begin typing the name of the school to see auto-fill suggestions. *Set CEEB code. This is a hidden field.If your organization name did not appear, please type it here.School Address *School Address *CountryStreetCityRegionPostal CodeStudent InformationFirst Name *Preferred NameLast Name *Birthdate *Birthdate *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Email Address *Standardized Test ResultsPlease do not superscore the test results.New SATTest DateEvidence-Based Reading and WritingMathTotalOld SATTest DateCritical ReadingMathTotalACTTest DateEnglishMathematicsReadingScience ReasoningWritingCompositeEstimate of Applicant's Success *Estimate of Applicant's Success *Will probably be an above-average student.Will probably be an average student.May have some difficulty and should have special guidance and attention.Comment—Please share additional comments or information that you feel would be helpful to the admissions committee when evaluating this applicant. Be sure to include any of the student's life circumstances that may have influences their academic record.Submit