Questionnaire

Name: Place of Birth: ______

Citizenships: E-mail address:
Cell phone :
How many years you have been studying at the Anglo?
If you studied somewhere else before, please let me know where and for how long.

FAMILY INFORMATION
Father: Mother:
Name: Name:
Occupation: Occupation
Company/Organization Company/Organization
Undergraduate College Undergraduate College
Graduate College Graduate College
List your siblings and their
ages:_______________________________________________________________

ACTIVITIES AND INTERESTS

In filling out the following section, include both ANGLO and non-ANGLO activities from the
8th grade and after.
Visual and Performing- House Activities - Dances, Drama, declamación y canto,
School Musical, etc…
Extracurricular activities (out of school time) like Music, art classes, etc….

8 9 10 11 Hrs/ Weeks/
Activity – List week Year Productions Honors,
Music, you’ve been in; Awards
Theater, Organizations earned
Dance, Art. you’ve
Be specific: performed
list your with; Where
instrument, you’ve
dance form, exhibited your
art medium, work
etc.
Sports Years you played (8-11), Time commitment,
List Sports 8 9 10 11 Hrs/ Weeks/
week Year Leadership Positions,

Awards

Other School Activities – Yearbook, Newspaper, MUN, RS, FASAC rep, Consejo
estudiantil, Head of House, International Award, Clubs, Prefect, etc.
Years involved (8-11), Time commitment,
8 9 10 11 Hrs/ Weeks/
Activity week Year Leadership Positions/
let us know your
initiatives
Community service, Hobbies, Personal Interests, found raising, Family, etc.
Years involved (8-11), Time commitment,
8 9 10 11 Hrs/ Weeks/
Activity week Year Leadership Positions

Summer Activities (employment, camps, summer school, programs, internships, etc.)

Name(s) of Activity and
Place where it took place. Provide a brief description of each activity
and grades

Summer
after
8th Grade

Summer
after
9th Grade
 Summer
after
10th Grade

List any college classes taken for credit:

NAME OF COURSE NAME OF COLLEGE GRADE REASON
YOU TOOK THE COURSE
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
____________________________________________________________________

Prizes/Awards - Honor roll, headmasters list, special awards at the end of the year
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
____________________________________________________________________

TELL US ABOUT YOURSELF

1. Tell us about something you do or an interest you have that most people
probably do not know about. (This is probably not something you have listed in
the above Activities and Interests section—i.e. it is not an organized activity or
club.)

YOUR ACADEMIC LIFE

1. What are your academic interests? Why are you interested in these areas?

2. Thinking about the academic interests listed in the answer to the above question,
have you pursued these interests outside School in any way? How?
 3. Tell us about a favorite academic moment or experience and why it is your
favorite. (This could be a class discussion you have had, a project you have
worked on, a reading you have covered, an idea you
have pondered.)

YOUR ASPIRATIONS
1. Which subjects do you hope to study in college?

2. Thinking about the subjects listed above, describe where these interests come
from. How and when did you first become interested in these subjects?

3. Describe your dream job. Where does this dream come from?

TELL US EVEN MORE ABOUT YOURSELF

1. What do you choose to learn about when you learn on your own? Consider, but don’t
limit yourself, to the following: a) your recreational reading; b) interests pursued beyond
classroom assignments (though the initial interest may have been sparked by a
classroom assignment); c)topics chosen for research papers;

4. Where have you traveled or lived that has had considerable influence on you?
How did it influence you?
 5. Describe a time you took a risk or stepped outside of your comfort zone. What did
you take away from this experience?

6. Are there any circumstances that have interfered with your high school academic
performance? Consider family problems, health problems, after school
responsibilities, moving, cultural differences, etc.

7. Is there anything else you would like the colleges to know about you? Think
about what you would want an admission officer at your top choice college to
know.

FINALLY…QUICK TAKES (asked by some universities/colleges)

Favorite book:
________________________________________________________________________

Favorite website:
_______________________________________________________________________

Favorite Song:
______________________________________________________________________

Favorite line from a movie or book:

__________________________________________________________

Favorite movie: ______________________________________________________

Your favorite keepsake/memento:
___________________________________________________________

Favorite word: _______________________________________________

What five words best describe you?

_________________________________________________________

In the follow section, please limit your response to 50 words or less.

What would you do with a free afternoon?

What were your favorite events (performances, exhibits, sporting events, etc) this past year?

What historical moment or event do you wish you could have witnessed?

If you were a college admission reader, what question would you ask that we have not?

Your strengths

Your Weakness

I know it took a while for you to answer this questioner, but this information will
help me a lot in getting to know you. THANK YOU!!!!!