Name
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
Cell
(###)
###
####
School
Grade
Which days of the week are you available for admissions counseling?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times during the week you are busy with work or extracurriculars that you cannot attend admissions counseling?
Which of the following services would you require:
General Admissions Counseling (Class Selection, Standardized Tests, Extracurriculars, Summers)
Targeted List of Colleges (Ideal, Reach, and Safety Schools)
College Essays Brainstorming / Outlining
College Essays Editing
Common Application Form Population
College Interview Preparation
College Visits Scheduling and Prepration
Please list two to four "Ideal" colleges, in rough order of preference.
Please list two to four "Reach" colleges, in rough order of preference.
Please list two to four "Safety" colleges, in rough order of preference.
What is your current cumulative GPA? If possible, please email a copy of your transcript to harvardtutorsofnaples@gmail.com.
What courses are you are taking this year?
Please include whether the courses are: Accelerated, Advanced Placement (AP), Cambridge Advanced (AICE), Dual Enrollment, Honors, International Baccalaureate (IB), Regents, etc.
If you've taken courses at a college, or dual credit courses, please detail below.
Please list any academic honors you've achieved since ninth grade.
Please include the grade level and level of recognition (School, State/Regional, National, International) of each academic honor.
Please describe your current career interest and the highest degree you intend to earn.
Please list your standardized testing scores, and email us your score report(s) if you have access to them.
For SAT, please include Math, Reading/Writing, and Essay (if applicable) scores. For ACT, please include Composite, English, Math, Reading, Science, and Essay (if applicable) scores.
Some schools will require SAT II Subject Tests. If this pertains to you, which of the following subject tests are you planning on taking?
Math 1
Math 2
Biology E/M
Physics
Chemistry
Literature
U.S. History
World History
Spanish
Spanish with Listening
German
German with Listening
French
French with Listening
Chinese with Listening
Japanese with Listening
Korean with Listening
Modern Hebrew
Latin
Italian
If you have AP Exam scores, please list them here.
Which of the following types of activities are you significantly involved in during your high school career?
Academic
Club Athletics
JV/Varsity Athletics
Career Oriented
Community Service (Volunteer)
Computer/Technology
Cultural
Dance
Debate/Speech
Environmental
Family Responsibilities
Foreign Exchange
Foreign Language
Journalism/Publication
Junior R.O.T.C.
LGBT
Instrumental Music
Vocal Music
Religious
Research
Robotics
School Spirit
Science/Math
Student Government/Politics
Theater/Drama
Work (Paid)
Other Club/Activity
Please detail the activities you selected above.
For each activity, please include: (1) Name of activity/organization, (2) Leadership position and description (if applicable), (3) Activity accomplishments and recognitions (if applicable), (4) Grades you participated in the activity, (5) Hours spent per week, (6) Weeks spent per year, (7) Whether you intend on participating in a similar activity in college.
If you are a student with significant experience in the fine or performing arts, are you planning on submitting an Arts Supplement?
E.g., Portfolios, vocal and instrumental recordings, performance videos, and other visual materials.
You will generally be required to submit two Teacher Recommendations along with a Guidance Counselor Recommendation. Some schools may even encourage a Peer Recommendation. Do you have an idea of whom you'd like to write your recommendations?
Which of the following Personal Essay topics appeals most to you?
Some students have a background, identity, interest, or talent that is so meaningful they believe their application would be incomplete without it. If this sounds like you, then please share your story.
The lessons we take from failure can be fundamental to later success. Recount an incident or time when you experienced failure. How did it affect you, and what did you learn from the experience?
Reflect on a time when you challenged a belief or idea. What prompted you to act? Would you make the same decision again?
Describe a problem you've solved or a problem you'd like to solve. It can be an intellectual challenge, a research query, an ethical dilemma-anything that is of personal importance, no matter the scale. Explain its significance to you and what steps you took or could be taken to identify a solution.
Discuss an accomplishment or event, formal or informal, that marked your transition from childhood to adulthood within your culture, community, or family.
Please provide us any additional information relating to your college application here.
How did you hear about our services? Please select all that apply.
Personal Referral
Mailings / Postcards
Google Search
Google Ad
Facebook / Instagram Ad
UniversityTutor.com
Other
If other, please detail below.