Instructions for the student - Print this form and the instruction sheet. Then complete Section 1 and submit the form to your guidance counselor to complete the remaining sections.

PDF Version of the College Prep Form. To view this file, you need Adobe Acrobat Reader, a free download.
  SECTION 1:
To be completed by the student (please print)
Last Name                    First                   Middle initial


 Social Security Number
        _     _
High School Name                             City               State               Zip
  SECTION 2:
College Preparatory Curriculum (to be completed by the guidance counselor or principal)
IMPORTANT - only total numbers of courses taken or in progress should be listed in the spaces.
Please do not list courses by name.
College Preparatory
Subject Areas
and Typical Examples

See "College Preparatory Curriculum Common Definition" for brief description		 Course Work
Completed
(Enter the number
of units completed as
of the end of the junior
or senior year.) Please
circle which year.
1 unit = 1 credit		 Course Work
in Progress
(if currently a senior,
enter the number
of units taken during
the senior year.)
College Preparatory
Subject Areas
and Typical Examples

See "College Preparatory Curriculum Common Definition" for brief description		 Course Work
Completed
(Enter the number
of units completed as
of the end of the junior
or senior year.) Please
circle which year.
1 unit = 1 credit		 Course Work
in Progress
(if currently a senior,
enter the number
of units taken during
the senior year.)
College Preparatory English
English 9, 10, 11, 12; American Literature; English I, II, III, IV; English Literature; etc.

College Preparatory Mathematics
(Algebra I counts when taken in eighth grade)
Algebra I, Geometry, Algebra II, Precalculus/
Calculus or alternative curriculum as described.

College Preparatory Science
(with significant laboratory experience)
Earth Science, Biology, Chemistry,
Physics, etc.

College Preparatory Social Studies
World History, American History, American Government, Principles of Democracy, etc.

Foreign Languages (Two units must be in the same language. High school-level foreign language counts when taken in eighth grade.) Spanish, French, Latin, German, Russian, etc.

The Arts
Art/Studio Art, Visual Arts, Photography, Cinema, Music, Dance, Theatre, Drama, Oral Interpretation, etc.

  SECTION 3:
Verification of Student Data (to be completed by the guidance counselor or principal)
For Ohio counselors only. Non Ohio counselors, please continue.

This student is exempt from passing or has passed all sections of the Ohio Ninth Grade Proficiency Test and is eligible to receive a high school diploma.

  YES      NO

____________/___________ based on ____________
   Cumulative        Class                Semesters
   class rank         size

___________ based on ____________
   Cumulative             Semesters
     GPA

  This is a weighted rank.
The GPA scale is:
   4.0      Other, please specify ________
   weighted     un weighted
   The student will have completed college credit while in high school.

__________________________________________________
 Previous high school(s)           City            State

  SECTION 4:
Official Validation of Correct Information (to be completed by the guidance counselor or principal)
The high school official identified here certifies that the information contained on this form is accurate and complete.
Signature of counselor or principal (original signature)

X		 High school telephone number

(    ) 		High school ACT/CEEB code
 Date completed

Admissions Procedures for Students: New | Returning | Transfer
College Prep Form Instructions | Undergraduate Admissions

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