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Activities Intake Form – High School
High School Activities Form
Please list all of your activities that you have participated in since beginning high school (ninth grade) through now, as well as ones you plan on participating in senior year. No activity is too small! Leadership roles and honors you have received are especially important to capture on college applications. List everything you can think of and we will sort through them together. NOTE: Do not navigate away from this page until you hit the 'Submit' button when you are finished. Your information may be lost if you leave this page without submitting.
Name
*
First
Middle
Last
Date of Birth
*
Date Format: MM slash DD slash YYYY
Current School
*
Current School's Location
*
City
State / Province / Region
Year of Graduation
*
2020
2021
2022
2023
Other
Academic Honors
Please list any academic honors you have received in high school, including Honor Roll, National Honor Society, General Awards, Class Officer, etc. Please click on the '+' sign to add more than one honor/award.
Academic Honors/Recognition Information
Honor/Award Name
Grade(s) participated/received (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
Academic-related School Clubs/Activities
Examples include academic clubs, debate/speech, student government, DECA, school newspaper, etc.
Have you participated in any academic-related school clubs or organizations (not including sports or fine and performing arts)?
*
Yes
No
Academic-related School Club/Activity Information
*
Activity Name
Position
Grade(s) participated (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
If you have participated in more than one academic-related school club/activity, please click on the '+' sign to add each one.
Athletics - High School
Have you played on a high school sports team?
*
Yes
No
High School Sport(s) Information
Sport
Level (Freshman, JV, Varsity)
Position
Grade(s) participated (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
If you have played on more than one team or more than one sport in high school, please click on the '+' sign to add each sport.
Athletics - Club
Have you played on a club sports team since ninth grade?
*
Yes
No
Club Sport(s) Information
*
Sport
Club Name
Position
Grade(s) participated (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
If you have played for more than one club team or more than one club sport while in high school, please click on the '+' sign to add each sport and team.
Have you attended any athletic showcases/tournaments on your own since ninth grade?
*
Yes
No
Showcase/Tournament Information
*
Sport
Showcase/Tournament Name
City, State
Grade(s) participated (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
Please click on the '+' sign to add each event you have attended.
Fine and Performing Arts
Have you participated in any art, music, dance, and/or theater activities or performances in high school?
*
Yes
No
Art, Music, Dance, Theater Information
*
Activity Name
Organization Name
Position
Grade(s) participated (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
If you have participated in more than one fine or performing arts activity while in high school, please click on the '+' sign to add each one.
Community Service / Volunteering
Examples include blood drives, fundraising walks, food pantry assistance, charity events, etc.
Have you participated in any community service projects in high school?
*
Yes
No
Community Service Information
*
Organization Name
Location (Town, State)
Position
Grade(s) participated (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
If you have volunteered for more than one event/project while in high school, please click on the '+' sign to add each one.
Employment
Employment may include working camps, babysitting, etc.
Have you had a paid job while in high school?
*
Yes
No
Employment Information
*
Company Name
Location (Town, State)
Job Title
Grade(s) participated (9-12)
Months worked (i.e. Sept. - Nov.)
Avg. number of hours worked per week
If you have had more than one job while in high school, please click on the '+' sign to add each one.
Career Exploration
Have you participated in an internship, job shadow, or informational interview?
*
Yes
No
Career Exploration Information
*
Company Name
Location (Town, State)
Grade(s) participated (9-12)
Career/Job Title of person you shadowed
Was it an Internship, Job Shadow, or Informational Interview?
Months participated (i.e. Sept. - Nov.)
Hours per week
If you have had more than one career exploration experience, please click on the '+' sign to add each one.
Additional Extracurricular Activities
Examples include Boy Scouts, CCD, Summer Camps, Certifications (e.g. CPR, Lifeguard), Cultural Events, Foreign Travel, ROTC, etc.
Are there any other extracurricular activities (including outside of high school) that you have participated in since ninth grade?
*
Yes
No
Additional Extracurricular Activity Information
*
Activity Name
Organization Name
Position
Grade(s) participated (9-12)
Months participated (i.e. Sept. - Nov.)
Hours per week
Please click on the '+' sign to add each additional activity.
Hobbies
Examples include collecting stamps/coins, caring for a pet, Legos, video games, reading, biking, hiking, skiing, movies, traveling, spending time with family and friends, etc.
Please list any hobbies and other interests outside of the classroom that have not been captured on this form yet.
Next Steps
Thank you for taking the time to fill out this Activities Intake Form. We will discuss each activity in more detail and develop your Activity Sheet/Resume at our next meeting.
Phone
This field is for validation purposes and should be left unchanged.
IECA Associate Member
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MBTI® Certified Practitioner
