Full Name: _____________________________________________________________ Section: _______

AcademicsAcademics

Favorite Subjects and Academic Strengths

Honors / Awards Received (H1 - H3)

If you are an IB student, list your courses here:

HL: _____________ _____________ _____________

SL: _____________ _____________ _____________

General Plans for Studying Abroad

Briefly describe your reasons for applying to schools abroad. How does studying abroad help you achieve future goals?

Write down your intended major (course of study): ______________________

Experience, Skills, and InterestsExtracurriculars: List your four most significant extra-curricular commitments at Xavier (from H1 to now)

Experience, Skills, and InterestsExtracurriculars: List your four most significant extra-curricular commitments at Xavier (from H1 to now)

Experience, Skills, and InterestsExtracurriculars: List your four most significant extra-curricular commitments at Xavier (from H1 to now)

Organization Positions Held Contributions

Significant Involvements Outside of Xavier School:Significant Involvements Outside of Xavier School:Significant Involvements Outside of Xavier School:

Other Skills and Interests: Other Skills and Interests: Other Skills and Interests:

SAT Plans and ScoresIf you haven’t taken the tests yet, write down when you intend to take them.

SAT Plans and ScoresIf you haven’t taken the tests yet, write down when you intend to take them.

SAT Plans and ScoresIf you haven’t taken the tests yet, write down when you intend to take them.

SAT Plans and ScoresIf you haven’t taken the tests yet, write down when you intend to take them.

SAT Plans and ScoresIf you haven’t taken the tests yet, write down when you intend to take them.

SAT Plans and ScoresIf you haven’t taken the tests yet, write down when you intend to take them.

SAT Plans and ScoresIf you haven’t taken the tests yet, write down when you intend to take them.

Test Date Taken

Critical Reading Score

Critical Reading Score

Writing ScoreWriting Score

Math Score

SAT I

SAT I (if taken again)

SAT Subject TestsSAT Subject TestsSAT Subject Tests Date TakenDate Taken ScoreScore

Study Abroad Facilitation Information Form

Target SchoolsTarget SchoolsTarget SchoolsTarget SchoolsTarget Schools

You are advised to apply to a RANGE of schools. “Dream” schools are schools that do not guarantee acceptance even to students with the highest possible test scores and the highest possible grades. “Reach” schools are schools that you have a reasonable chance of being accepted into given your academic and extracurricular achievements. “Safety” schools are schools that you are highly confident will admit you based on your academic and extracurricular achievements. SAT Range refers to the range of SAT scores that accepted students to this school typically achieve (info can be found online).

You are advised to apply to a RANGE of schools. “Dream” schools are schools that do not guarantee acceptance even to students with the highest possible test scores and the highest possible grades. “Reach” schools are schools that you have a reasonable chance of being accepted into given your academic and extracurricular achievements. “Safety” schools are schools that you are highly confident will admit you based on your academic and extracurricular achievements. SAT Range refers to the range of SAT scores that accepted students to this school typically achieve (info can be found online).

You are advised to apply to a RANGE of schools. “Dream” schools are schools that do not guarantee acceptance even to students with the highest possible test scores and the highest possible grades. “Reach” schools are schools that you have a reasonable chance of being accepted into given your academic and extracurricular achievements. “Safety” schools are schools that you are highly confident will admit you based on your academic and extracurricular achievements. SAT Range refers to the range of SAT scores that accepted students to this school typically achieve (info can be found online).

You are advised to apply to a RANGE of schools. “Dream” schools are schools that do not guarantee acceptance even to students with the highest possible test scores and the highest possible grades. “Reach” schools are schools that you have a reasonable chance of being accepted into given your academic and extracurricular achievements. “Safety” schools are schools that you are highly confident will admit you based on your academic and extracurricular achievements. SAT Range refers to the range of SAT scores that accepted students to this school typically achieve (info can be found online).

You are advised to apply to a RANGE of schools. “Dream” schools are schools that do not guarantee acceptance even to students with the highest possible test scores and the highest possible grades. “Reach” schools are schools that you have a reasonable chance of being accepted into given your academic and extracurricular achievements. “Safety” schools are schools that you are highly confident will admit you based on your academic and extracurricular achievements. SAT Range refers to the range of SAT scores that accepted students to this school typically achieve (info can be found online).

Name of School App. Deadline (mm/dd/yy)

SAT Range (if applicable) Reason for applying to this school

Dream 1

Dream 2

Dream 3

Reach 1

Reach 2

Reach 3

Reach 4

Safety 1

Safety 2

Safety 3

Information for RecommendationsInformation for RecommendationsInformation for Recommendations

Recommendation # 1 (H3 / H4 Teacher)

Name: ______________________________Accomplishments in this teacher’s class:

Recommendation # 2 (H3 / H4 Teacher)

Name: ______________________________Accomplishments in this teacher’s class:

Optional Character Recommendation (mentor, moderator)

Name: ______________________________Accomplishments under this person’s supervision: