transfer full application 1011

Transfer Application for Fall 2011 Entrance

Harvard College Transfer Admissions • 2010–2011 H

ARVARD

For Entrance in Fall 2011 • Transfer Application Materials

Thank you for your interest in Harvard College. We know there are many fine colleges and universities from which to choose, and we are happy that you are looking closely at the exciting opportunities available here in Cambridge.

Our admissions procedures are designed to give you maximum freedom and flexibility to present yourself in your own words. We hope you will respond in whatever ways you feel will best demonstrate your interests and accomplishments. Here are some recom-mendations we hope you will consider as you complete your application.

Keep copies of all materials submitted and ask your teachers to do the same. Materials can be lost in the mail.•

Supplementary materials or portfolios may be submitted, but you should do so only if you have an unusual talent. Such materials are • neither required nor expected as the required components of the application provide ample basis on which to make our decisions. Because we cannot return materials, applicants should send only duplicates.

The answers to many questions about admissions requirements and deadlines are included on the following pages. For an expanded list of frequently asked questions with their answers, please consult the FAQ index on our website: www.admissions.college.harvard.edu.

Each admission decision is made without any regard for a candidate’s financial need — a policy we call “need-blind admission.” Indeed the Admissions Committee may respond favorably to evidence that a candidate has overcome significant obstacles, financial or otherwise. Once an applicant is admitted, we create an individual financial aid package that will enable that student’s family to meet the cost of attendance. Providing financial access to Harvard for every admitted student is one of our highest priorities.

We hope you will take every opportunity to explore whether Harvard might be a good match for your academic, extracurricular and personal interests. Please let us know if we can be of assistance to you during the admissions process. Best wishes for a happy and productive year.

Marlyn McGrathDirector of Admissions

William R. FitzsimmonsDean of Admissions and Financial Aid

Sarah C. DonahueDirector of Financial Aid

Marlene Vergara RotnerDirector of Transfer Admissions

The Committee on Transfer Admissions welcomes inquiries from all qualified students interested in transferring to Harvard College. Over the years we have found that transfer students contribute a great deal to college life here as well as gain much from their experience. We hope the information that follows will enable you to give careful consideration to Harvard as you make plans to continue your education.


Criteria for Eligibility as a Transfer Applicant

Once a student has completed one year of full-time study at asingle college or university, he or she ordinarily may apply toHarvard College only as a transfer student. Further guidelinesfor eligibility are as follows:

By the anticipated date of matriculation, applicants must have • satisfactorily completed a minimum of one continuous academic year in a degree program at one college, and not more than two academic years of full-time college study.

A minimum of sixteen Harvard courses—typically four terms— • are required for Harvard’s A.B. or S.B. degree.

Students who have completed more than two years of college • study with transferable credit, and those who have earned a bachelor’s degree, are not eligible to transfer to Harvard College. Students may not choose to relinquish academic credits, or a degree, in order to apply for transfer admission.

Students who will have completed less than one full-time continu-• ous year of study at one college by the anticipated date of ma-triculation at Harvard should apply as freshman candidates. (All such applicants, if admitted, will matriculate as regular freshmen without any transfer credit.)

Students who have completed one full-time year of college in a • regular degree program in lieu of their senior year of high school (under an early admission plan) should contact the Admissions Office before submitting an application.

Students are eligible to transfer only from a liberal arts curriculum • that is similar to Harvard’s. Candidates whose education has been in a vocational, professional, technical or performance program will not ordinarily qualify for transfer admission.

The Visiting Undergraduate Program, described on the last page, may be of interest to students too advanced to qualify for transfer.

This year the Committee will admit a small number of transfer students who present a clearly defined academic need for transfer, supported by both a proven record of achievement at the college level and strong faculty recommendations.

Candidates for transfer admission will be considered for Fall 2011 enrollment.

Academic Program

Transfer students are admitted to the same program of study for the A.B. or S.B. degree as those who enter Harvard as freshmen. They are expected to undertake a balanced program of study, devoting approximately one-half of their time to specialized courses in their concentration (i.e. major) and the remaining time to General Educa-tion courses and electives.

Harvard College offers study in a wide variety of liberal arts and sciences as well as a Bachelor of Science degree in engineering. Transfer students entering as juniors must declare a field of special-ization immediately upon matriculation. Entering sophomores will declare their field at the end of their first term here. Although the choice of concentration is not irrevocable, it is important for students to begin to work in their field as soon as possible, as doing advanced work depends on a strong, early foundation.

Forty-six fields of concentration are offered by departments and commit-tees. Within fields, there are various options for specialization. It is also possible to combine major fields, such as government with history or economics, classics with allied fields, or mathematics with philosophy. The following is a list of fields for specialization.

Afro-American StudiesAnthropologyApplied MathematicsAstronomy and AstrophysicsBiochemical SciencesBiologyChemical and Physical BiologyChemistryChemistry and PhysicsClassicsComparative Study of ReligionComputer ScienceEarth and Planetary SciencesEast Asian StudiesEconomicsEngineering SciencesEnglish and American Literature and LanguageEnvironmental Science and Public PolicyFolklore and MythologyGermanic Languages and LiteraturesGovernmentHistoryHistory and Literature

History of Art and ArchitectureHistory of ScienceHuman Evolutionary BiologyLinguisticsLiteratureMathematicsMolecular and Cellular BiologyMusicNear Eastern Languages and CivilizationsNeurobiologyOrganismic and Evolutionary BiologyPhilosophyPhysicsPsychologyRomance Languages and LiteraturesSanskrit and Indian StudiesSlavic Languages and LiteraturesSocial StudiesSociologyStatisticsVisual and Environmental StudiesWomen, Gender and Sexuality

The undergraduate curriculum does not include professional or vo-cational concentrations, such as accounting, advertising, agriculture, architecture, business, commercial art, communications, criminal justice, education, journalism, law or nursing.

While concentrating in a particular field, undergraduates also fulfillrequirements in the General Education Program. In doing so, each student will select one course from each of the following eight areas: Aesthetic and Interpretive Understanding, Culture and Belief, Empirical Reasoning, Ethical Reasoning, Science of Living Systems, Science of the Physical Universe, Societites of the World, and the U.S. in the World.

All undergraduates must also demonstrate a level of proficiency inexpository writing and a foreign language.

In the case of transfer students,

Proficiency in expository writing is evaluated on an individual basis • after admission.The foreign language requirement is met by one of the following • criteria: obtaining a score of 700 or higher on a College Board Subject Test, receiving a 5 on an A.P. exam, a 7 in an IB HL course, passing a Harvard placement test or by completing a full year course in a


foreign language. Any foreign language, ancient or modern, in which Harvard can arrange an examination is acceptable. The language requirement is ordinarily waived for any student whose native language is not English and who is proficient both in that language and in English.The General Education requirement for transfer students will be • reduced by one course per term of Harvard College credit granted for prior coursework. For detailed information, please visit www.generaleducation.fas.harvard.edu.

The academic year at Harvard includes a fall and a spring term. The fall term runs from late August to mid-December, and the spring term runs from early February to late May. In evaluating a transfer application, the Committee pays particular attention to how well the applicant’s academic aspirations can be satisfied by courses and pro-grams of study here and to whether degree requirements can be met in the two or three years that the student will have at Harvard.

For detailed information about course offerings, consult the under-graduate catalogue “Courses of Instruction” available online at: www.registrar.fas.harvard.edu/fasro/courses/.

Transfer of CreditCredit for work done at another college or university is granted to each admitted transfer student on an individual basis after evaluation by the Registrar’s Office. The maximum amount of credit allowed any transfer student is 8.0 full (year-long) courses, i.e., half of the 16.0 full courses required for the A.B. or S.B. degrees, or the equiva-lent of two full years of academic work.

Ordinarily, credit is granted for any course taken in a full-time, day-time program of study at an accredited degree-granting institution provided that the student:

completed at least one full academic year of undergraduate study • at one college

took courses comparable to those given at Harvard•

earned grades of “C” (or the equivalent) or better.•

Ordinarily, credit is not granted for:

online or distance education courses•

night or extension courses, or courses taken on a part-time basis or • for less than a full academic year

technical or vocational courses such as journalism, law, agri-• culture, nursing, business, communications or courses taken in military service

work done prior to admission in an isolated term, semester or • quarter at another college, unless the college from which the student is transferring has granted credit for that work

credit gained by accelerating in an academic year at another col-• lege

College Level Placement Exam (CLEP), Advanced Placement • Exam (AP) results, or any credit earned by examination, even when credited to the student’s degree by the college or university from which he or she wishes to transfer. Please note that credit is awarded to transfer students only for course work completed in college or university

summer school courses, except for•

those at the transfer student’s current college or university or for

courses at Harvard Summer School.

Evaluation of CandidatesIn evaluating transfer candidates, the Committee seeks students with clearly developing academic interests that can be well served by Har-vard. Students preparing to apply as transfer candidates should take challenging, liberal arts programs, including mathematics, science, and a foreign language, if they are not already proficient in these areas. The Committee also looks for strong preparation in the student’s expected field of specialization.

In regard to standardized test scores, most successful applicants have verbal and math SAT I scores of 600 or above and, for foreign applicants who submit a TOEFL result, a score of 600 or above on the paper test, or 250 or above on the computer test, or 100 or better on the iBT version. For those using the ACT as an alternative, the composite score is usually 30 or above.

Though good grades, strong programs, and test scores are important in determining the academic potential of a candidate, the Committee also looks beyond these for such qualities as creativity, resiliency, tenacity, intellectual curiosity, and independent thinking.

Other factors weighed in the evaluation of transfer candidates include significant non-academic talents and personal qualities such as a capacity for leadership, energy, enthusiasm, motivation and a sense of responsi-bility.

Harvard has very few places available for sophomore and junior trans-fers and the number of well-qualified candidates far exceeds the number of students admitted. It is therefore recommended that students who wish to transfer from their current colleges explore a variety of options.

HousingAll admitted transfer students are immediately eligible to live in the Har-vard Houses. In this way they share fully in the residential undergraduate experience of the College.

Costs and Financial Aid

The complete budget at Harvard College (exclusive of transportation) for 2010-2011 is $52,000. Tuition – $_____; Room and Board – $12,308; College Facilities Fees (for use of library and other University facilities including the Health Services) – $_____; Minimum for extras (books, clothing, dues, recreation, etc.) – $____. Please note these fees are sub-ject to change without notice and that costs can be expected to increase for 2011-2012.

Transfer students are eligible to apply for financial aid, which is awarded in the form of scholarships, loans, and jobs to students demonstrating need on the basis of family financial circumstances.

For Entrance in Fall 2011 • Transfer Application Instructions

Application Requirements and Timetable

Applying to Harvard

IMMEDIATELY Please send:

• The Universal College Transfer Application• The Harvard Transfer Application Supplement• The $75 application fee or a fee waiver request

Without your Universal Transfer Application, we cannot open your admission file or track supporting documents for your ap-plication. Once we have received your application and supple-ment, the Admissions Office will send you a confirmation notice between March 15 and April 5. No confirmation messages will be sent prior to March 15.

Transfer students will be unable to check their application status online. The Admissions Office will be unable to answer individu-al applicant questions or to respond to specific concerns by phone or e-mail. Please carefully review our website www.admissions.college.harvard.edu/apply/transfer/ for information pertaining to the Transfer Program.

March 15: Final deadline for all application materials.

Early June 2010: Decision letters mailed.

June 10, 2010: Reply date for admitted students. No deposit required.

Submitting an ApplicationWe encourage you to apply online using the Universal College Applica-tion (www.universalcollegeapp.com). You may also download forms from this website (www.admissions.college.harvard.edu/prospective/transfer) and submit by mail. Be certain to complete and submit the Harvard Transfer Application Supplement in addition.

Official Transcripts—Secondary SchoolAn official high school transcript and official test results are required. In order to be considered official, test scores – ACT, SAT I and (optional) SAT II: Subject – must be electronically submitted to us by the American College Testing Program or by the College Board.

If you were enrolled in an international rather than U.S. secondary school system, a certified copy of the appropriate exam results must be sent, e.g., A levels, Abitur, I.B., French Baccalaureate. All reports must be in English or accompanied by an official translation. Please attach an explanation of the marking system if it differs from the American system. Do not send the original certification of your international test results.

Official Transcripts—CollegeOfficial transcripts of all completed work from each post-secondary in-stitution you have attended must be sent to the Office of Transfer Admis-sions. For admissions purposes, transcripts issued directly to you, and so marked, are acceptable, but photocopies are not. However, admitted students will be required to submit official transcripts directly from the Registrar(s) or Dean(s) of every post-secondary institution you have attended. Students enrolled in international universities should provide an official English translation and send an explanation of the marking system. Transcripts that have been requested before the deadline will be accepted even if received after the deadline.

Standardized TestingAll transfer applicants are required to have the results of either the SAT I or the ACT (with Writing) reported directly from the College Board or the American College Testing Program, respectively, even if you have applied previously for freshman admission. Applicants are encouraged, but not required, to submit the results of three College Board SAT II: Subject Tests. In addition, if your native language is not English, you are required to submit results from the TOEFL (Test of English as a Foreign Language).

Please request that all scores be forwarded to the Office of Undergradu-ate Admissions (CB Code 3434) (ACT Code 1840). Do not request “Rush Reports.” Please present recent scores; standardized test results more than three years old may not represent your ability. For informa-tion about dates, times and exam centers for all SAT tests, contact The College Board at 866-756-7346 or online at www.collegeboard.com. The American College Testing Program can be reached at (319) 337-1270 or online at www.act.org. College Board tests taken on or before the Janu-ary testing date and ACT tests taken by February will reach us in time.

Please read all the instructions and information carefully before filling out the Application for Transfer and the Harvard Transfer Application Supplement.

Harvard is accepting transfer applicants for Fall 2010 admis-sion. The application deadline for admission is March 15. The Committee on Transfer Admissions meets in May to consider candidates and admit for the fall term.

Below is a description of the forms and documents required to apply for transfer admission. You may apply online using the Universal Transfer Application website www.universalcolleg-eapp.com/ or download the forms from our website www.admis-sions.college.harvard.edu/apply/forms/. If you are downloading this application from our website, you must mark the mailing envelopes with the designation, “Transfer Admissions.” It will help us greatly to process your application if you are certain to include this designation on all mailing envelopes.

As soon as you decide to apply, carefully complete and return both the Application for Transfer and the Harvard Transfer Ap-plication Supplement with a check or money order for $75 (U.S.) payable to Harvard University. You may also pay the fee online when submitting your application through the Universal Applica-tion website at www.universalcollegeapp.com/index.cfm. The application fee is non-refundable. To qualify for a fee waiver, you must submit a letter from your college dean, counselor, or financial aid advisor recommending a waiver on your behalf.

Professor Recommendation FormsPlease submit two recommendation forms from faculty members or teaching assistants who have taught you and are familiar with your work. If you have chosen a field of study, it is helpful to have at least one letter from a professor in that field.

For Entrance in Fall 2011 • Transfer Application Instructions

Financial Aid

If you are applying for financial assistance, the financial aid time-table for transfer candidates is as follows:

Immediately: Please review the financial aid application instruc-tions found on the Prospective Students section of our website www.fao.fas.harvard.edu/. The published deadlines are for prospective freshmen. As a prospective transfer student, you should amend the application deadlines as follows:

February 1: Submit the initial components of your financial aid application, following the instructions found on the Prospective Students section of our website. We realize that you may not have access to your final 2009 tax information by this deadline and ask that you use the best available estimated figures.

March 1: Final deadline for all application materials, including tax and income documentation.

After You Have Applied

Applicants Outside the United States

If you are applying from a school outside the United States, you should follow the same procedures and timetables as candidates applying from schools within the U.S.

Translations

We appreciate the effort that many applicants make in providing the Transfer Admissions Committee with a translation of the recommenda-tions submitted on their behalf. We ask, however, that any translations include the name of the translator and that the original untranslated reports be submitted as well.

Contact Information

If you change your mailing address, phone number or e-mail address after submitting your application, please contact the Transfer Admissions Office by writing to [email protected].

Please be sure to include your full legal name, date of birth and name of your current college or university when contacting the Admissions Office.

Send Updates

To send information updates to your application, please write to us or send an e-mail to [email protected] with the word “Transfer Update” in the subject line. In the body of the message, please type your full name and the information you would like to include in your file. We do not open e-mail attachments.

Withdraw Your Application

To withdraw your application, please write to us or send an e-mail to [email protected] with the word “Withdraw-Transfer Student” in the subject line. In the message body, please type your full name, date of birth and name of current college. You will receive a confirmation via regular mail.

E-Mail Decisions

You may indicate whether you would like to have your decision sent to you via e-mail. If you choose this option, please alter your e-mail filters to allow messages from [email protected] and [email protected] to reach your inbox. An official decision letter will be sent via regular mail to all applicants who elect to receive an e-mail notifica-tion.

The University’s Official ReportThis report should be submitted by the appropriate dean or adminis-trative officer. You need not know the official personally.

The Committee begins to review candidates as soon as possible after all the required documents have been received. The evalua-tion of candidates takes place during early spring. Candidates will be notified of the Committee’s decision by mail at their permanent home address in early June. The staff of the Admissions Office will not give decisions over the phone until after the decisions are mailed.

Any admission is contingent upon successful completion of all courses in progress, verified by an official transcript sent to the Committee by the registrar of your present college.

Transfer students are admitted for a specific matriculation date with no deferment ordinarily possible. All decisions are final. The Com-mittee cannot reconsider the candidacy of an applicant who is not admitted.

The Admissions Office will be unable to answer individual appli-cant questions or to respond to specific concerns by phone or e-mail. Please carefully review our website www.admissions.college.har-vard.edu/apply/transfer/ for information pertaining to the Transfer Program.

InterviewsWe do not ordinarily schedule personal interviews for transfer applicants. If the Committee needs further information, you will be contacted.

You should supply your faculty recommenders and dean with stamped return envelopes that designate “Transfer Admissions.”

All additional correspondence and supplementary materials must be carefully addressed to the Office of Transfer Admis-sions as Freshman Admissions offices are also located at 86 Brattle Street and confusion can easily occur.

It is the responsibility of every applicant to maintain copies of all materials submitted to this office as well as any cor-respondence to you from the Harvard College Admissions Office.

All Applicants

Harvard Admission Policy

Harvard University makes all decisions concerning applicants, students, faculty and staff on the basis of the individual’s qualifications to con-tribute to Harvard’s educational objectives and institutional needs.

Discriminating against individuals on the basis of race, color, gender, sexual orientation, religion, age, national or ethnic origin, political beliefs, veteran status or disability unrelated to course requirements is inconsistent with the purposes of a university and with the law.


Requirements for All Transfer Applicants:

Official score report from the SAT Reasoning Test or ACT with Writing component

Official score reports from two SAT Subject Tests (optional)

Universal College Transfer Application

Harvard Transfer Application Supplement

Application fee of $75 or a request for a fee waiver

Official Secondary School TranscriptandOfficial College/University Transcript

Two Professor Recommendations

Financial Aid Application (by February 1, if you plan to apply)

Update address, phone and e-mail address if there are changes after you apply

Helpful Application Checklist

Misrepresentation of Credentials

Occasionally, a candidate for admission will make inaccurate state-ments or submit false material in connection with his or her applica-tion. In most cases, these misrepresentations are discovered during the admission process and the application is rejected. If a misrepre-sentation is discovered after a candidate has been admitted, the offer of admission will be withdrawn.

If a misrepresentation is discovered after a student has registered, the offer of admission normally will be revoked and the student will be required to leave the College. If the discovery occurs after a degree has been awarded, the degree will be rescinded.

The determination that an application contains misrepresentations or inaccuracies rests solely with the Admissions Office and will be resolved outside the student disciplinary process.

Important Excerpts from the Joint Statement for Candi-dates on Common Ivy Group Admission Procedure

The Ivy Group is an association of eight institutions of higher education established in 1954 primarily for the purpose of fostering amateurism in athletics. Relations between the member institutions have grown over the years, and representatives of these institutions now meet regularly at a variety of levels to discuss topics that range from the purely academic to the purely athletic and from fundamen-tal educational philosophy to procedures in admissions.

Each member institution has its own identity and character and protects its right to pursue its own educational objectives. Thus, al-though the Ivy Group institutions are similar in many respects, each member institution will continue to make its own independent ad-mission decisions according to its own particular admission policy.

All contacts with students by representatives of Ivy institutions are intended to provide assistance and information and should be free of any activity that applies undue pressure on the candidate. No information referring to the admission or financial-aid status of an applicant to any Ivy institution may be considered official or reliable unless it is received directly from that institution’s admission or financial aid office.

Participating institutions: Brown University, Columbia University, Cornell University, Dartmouth College, Harvard University, Univer-sity of Pennsylvania, Princeton University, Yale University.

Visiting Undergraduate Student Program

The Visiting Undergraduate Student program is available for stu-dents (usually juniors and seniors) who seek instruction in specific fields of study at Harvard. The purpose of this program is to meet the academic needs of undergraduates in other institutions who are qualified and who wish to spend a term or a year of undergraduate study at Harvard.

Applicants for this program should be enrolled in a full-time undergraduate degree program in a college or university that will ordinar-ily agree to accept Harvard credit towards the student’s diploma or degree. Visiting Undergraduate Student status usually is limited to a maximum of two terms, with extension possible only by reapplica-tion.

Course loads of up to four courses per semester are permitted. International students must undertake full-time study to meet visa requirements. Neither financial aid nor on-campus housing is avail-able. Students who are enrolled at the College as Visiting Students

will not be considered for transfer admission. The recommended deadline for spring enrollment (late January) is October 15, and for fall enrollment (late August) is April 15. For further information, please visit our website: www.admissions.college.harvard.edu/apply/vus/.

AP-1 / 2010-11© 2010 The Common Application, Inc. AP-1 / 2010-11© 2010 The Common Application, Inc.

2010-11 TRANSFEr ApplicationFor Spring 2011 or Fall 2011 Enrollment

APPLICANTLegal name ___________________________________________________________________________________________________________________ Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Preferred name, if not first name (choose only one) ______________________ Former last name(s), if any _______________________________________

Birth date ____________________________________________________ US Social Security Number, if any ___________________________________ mm/dd/yyyy Optional, unless applying for US Federal financial aid with the FAFSA form

E-mail address ________________________________________________ IM address ____________________________________________________

Permanent home address __________________________________________________________________________________________________________ Number & Street Apartment #

____________________________________________________________________________________________________________________________ City/Town County or Parish State/Province Country ZIP/Postal Code

Preferred Telephone � Home � Cell Home (_______) __________________________________ Cell (_______) __________________________________ Area/Country/City Code Area/Country/City Code

If different from above, please give your current mailing address for all admission correspondence.

Current mailing address (from ___________ to ___________) ____________________________________________________________________________ (mm/dd/yyyy) (mm/dd/yyyy) Number and Street Apartment #

____________________________________________________________________________________________________________________________ City/Town County or Parish State/Province Country ZIP/Postal Code

If your current mailing address is a college or university, include name of school here: _____________________________________________________________

FUTURE PLANSYour answers to these questions will vary for different colleges. If the online system did not ask you to answer some of the questions you see in this section, this college chose not to ask that question of its applicants.

College ________________________________________________________ Deadline ______________________________________________________ mm/dd/yyyy

Citizenship Status ______________________________________________

Non-US Citizenship ______________________________________________

_____________________________________________________________

_____________________________________________________________

Years lived in the US? ____________________________________________

Birthplace ________________________________________________________ City/Town State/Province Country

First Language _________________________________________________

Primary language spoken at home _____________________________________

Are you proficient in any other languages? _______________________________

_________________________________________________________________

Optional The items with a gray background are optional. No information you provide will be used in a discriminatory manner.

Marital Status ____________________________________________________

Religious Preference _______________________________________________

US Armed Services veteran? � Yes � No

1. Are you Hispanic/Latino?

� Yes, Hispanic or Latino (including Spain) � No

_________________________________________________________________________

2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check all that apply.)

� American Indian or Alaska Native (including all Original Peoples of the Americas)

Are you Enrolled? � Yes � No If yes, please enter Tribal Enrollment Number________________

_________________________________________________________________________

� Asian (including Indian subcontinent and Philippines)

_________________________________________________________________________

� Black or African American (including Africa and Caribbean)

_________________________________________________________________________

� Native Hawaiian or Other Pacific Islander (Original Peoples)

_________________________________________________________________________

� White (including Middle Eastern)

_________________________________________________________________________

Entry Term: � Fall (Jul-Dec) � Spring (Jan-Jun)

Academic Interests _____________________________________________

____________________________________________________________

____________________________________________________________

Career Interest _________________________________________________

Do you intend to apply for need-based financial aid? � Yes � No

Do you intend to apply for merit-based scholarships? � Yes � No

Do you intend to be a full-time student? � Yes � No

Do you intend to enroll in a degree program your first year? � Yes � No

Do you intend to live in college housing? ______________________________

What is the highest degree you intend to earn? _________________________

DEMOGRAPHICS

� Female � Male

AP-2 / 2010-11© 2010 The Common Application, Inc.

FAMILYPlease list both parents below, even if one or more is deceased or no longer has legal responsibilities toward you. Many colleges collect this information for demo-graphic purposes even if you are an adult or an emancipated minor. If you are a minor with a legal guardian (an individual or government entity), then please list that information below as well. If you wish, you may list step-parents and/or other adults with whom you reside, or who otherwise care for you, in the Additional Information section online, or on an attached sheet if applying via mail.

HouseholdParents’ Marital Status (relative to each other): � Never married � Married � Widowed � Separated � Divorced (date ________________________) mm/yyyyWith whom do you make your permanent home? � Parent 1 � Parent 2 � Both � Legal Guardian � Ward of the Court/State � Other

Legal Guardian (if other than a parent)

Relationship to you _______________________________________________

____________________________________________________________Last/Family/Sur First/Given Middle Title (Mr./Ms./Dr., etc.)

Home address if different from yours

____________________________________________________________

____________________________________________________________

Preferred Telephone: � Home � Cell � Work

(_______) ____________________________________________________Area/Country/City Code

E-mail _______________________________________________________

Occupation _____________________________________________________

Employer _____________________________________________________

College (if any) ___________________________________ CEEB ________

Degree _________________________________________ Year _________

Graduate School (if any) ____________________________ CEEB ________

Degree _________________________________________ Year _________

SiblingsPlease give names and ages of your brothers or sisters. If they are enrolled in grades K-12 (or international equivalent), list their grade levels. If they have attended or are currently attending college, give the names of the undergraduate institution, degree earned, and approximate dates of attendance. If more than three siblings, please list them in the Additional Information section.

____________________________________________________________Name Age & Grade Relationship

College Attended ___________________________________ CEEB _______

Degree earned _________________________ Dates __________________or expected mm/yyyy – mm/yyyy







Parent 1: � Mother � Father � Unknown

Is Parent 1 living? � Yes � No (Date Deceased ____________________) mm/yyyy


Country of birth ________________________________________________


____________________________________________________________

____________________________________________________________



E-mail _______________________________________________________

Occupation _____________________________________________________

Employer _____________________________________________________


Degree _________________________________________ Year _________


Degree _________________________________________ Year _________

Parent 2: � Mother � Father � Unknown

Is Parent 2 living? � Yes � No (Date Deceased ____________________) mm/yyyy


Country of birth ________________________________________________


____________________________________________________________

____________________________________________________________



E-mail _______________________________________________________

Occupation _____________________________________________________

Employer _____________________________________________________


Degree _________________________________________ Year _________


Degree _________________________________________ Year _________


EDUCATION

Colleges & Universities Are you currently enrolled in college? � Yes � No

Current or most recent college or university attended _____________________________________________________________________________________

Entry Date __________________ Exit Date __________________ School Type � Public � Independent This is a � 2-year � 4-year institution mm/yyyy mm/yyyyAddress ________________________________________________________________________________ CEEB/ACT code ___________________________ Number & Street __________________________________________________________________________________________________________________________________ City/Town State/Province Country ZIP/Postal CodeAdvisor’s name (Mr./Ms./Dr., etc.) ______________________________________________ Advisor’s title __________________________________________

E-mail __________________________________ Telephone (_______) ______________________ Fax (_______) _________________________________ Area/Country/City Code Number Ext. Area/Country/City Code Number

List all other colleges or universities, including summer schools as well as summer and other programs, you have attended, beginning with your first year of college.

College/University Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Degree Candidate? Dates Attended Degree(s) Earned Yes No (mm/yyyy)_________________________________ ___________________________________________ � � __________________ ___________________________________________________ ___________________________________________ � � __________________ ___________________________________________________ ___________________________________________ � � __________________ __________________Do you expect to earn a degree prior to enrolling at the college to which you are applying? � Yes � No If so, what type of degree? _________________________Are you a member of Phi Theta Kappa? � Yes � No

Secondary SchoolsList all secondary schools you have attended. Please have a School Report form, Official Transcript, and School Profile sent from each institution as soon as possible.Name of School & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Dates Attended (mm/yyyy)_____________________________________________ _______________________________________________________ _________________________________________________________________ _______________________________________________________ _________________________________________________________________ _______________________________________________________ ____________________Secondary School Graduate Date __________________ mm/dd/yyyy

Please list any community program/organization that has provided free assistance with your application process: ______________________________________________If your education was interrupted, please indicate so here and provide details in the Additional Information section: ___________________________________________

ACADEMICSThe self-reported information in this section is not intended to take the place of your official records. Please note the requirements of each institution to which you are applying and arrange for official transcripts and score reports to be sent from your secondary school and the appropriate testing agencies. Where “Best Scores” are requested, please report the highest individual scores you have earned so far, even if those scores are from different test dates.Secondary School Class Rank _________ Class Size _________ Weighted? � Yes � No GPA _________ Scale _________ Weighted? � Yes � NoGrades (if available) (if available)

ACT Exam Dates: ________ ________ ________ Best Scores: _________ ______ _________ ______ _________ ______ (past & future) mm/yyyy mm/yyyy mm/yyyy (so far) COMP mm/yyyy English mm/yyyy Math mm/yyyy

_________ ______ _________ ______ _________ ______ Reading mm/yyyy Science mm/yyyy Writing mm/yyyy

SAT Exam Dates: ________ ________ ________ Best Scores: _________ ______ _________ ______ _________ ______ (past & future) mm/yyyy mm/yyyy mm/yyyy (so far) Critical Reading mm/yyyy Math mm/yyyy Writing mm/yyyy

TOEFL/ Exam Dates: ________ ________ ________ Best Score: _________ ______ ______IELTS (past & future) mm/yyyy mm/yyyy mm/yyyy (so far) Test Score mm/yyyy

AP/IB/SAT Subjects

Best Scores: ________ __________________________________ _____ ________ __________________________________ _____ (per subject, so far) mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score

________ __________________________________ _____ ________ __________________________________ _____ mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score



Current Courses Please indicate title, level (100-level, 200-level, etc.) and credit value of all courses you are taking this year. Indicate quarter classes taken in the same semester on the appropriate semester line. If you’re not currently enrolled in college, please list the classes you took during 12th grade. First Semester/Trimester Second Semester/Trimester Third Trimester or additional first/second term courses if more space is needed

________________________________________ ________________________________________ _________________________________________________________________________________ ________________________________________ _________________________________________________________________________________ ________________________________________ _________________________________________________________________________________ ________________________________________ _________________________________________________________________________________ ________________________________________ _________________________________________________________________________________ ________________________________________ _________________________________________________________________________________ ________________________________________ _________________________________________________________________________________ ________________________________________ _________________________________________


Honors Briefly list any academic distinctions or honors you have received since the 11th grade or international equivalent (e.g. National Merit, Cum Laude Society).

Grade level Honor Level of Recognition School State/ National Inter-

11 12 FY SO JR Regional national

� � � � � _________________________________________________________________________________ � � � �� _________________________________________________________________________________ � � � �� _________________________________________________________________________________ � � � �� _________________________________________________________________________________ � � � �� _________________________________________________________________________________ � � � �

EXTRACURRICULAR ACTIVITIES & WORK EXPERIENCEExtracurricular Please list your principal extracurricular, volunteer, and work activities in their order of importance to you. Feel free to group your activities and paid work experience separately if you prefer. Use the space available to provide details of your activities and accomplishments (specific events, varsity letter, musical instrument, employer, etc.). To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach a résumé.

Grade levelApproximate time spent

When did you participate in the activity?

Positions held, honors won, letters earned, or employer

If applicable, do you plan

to participate in college?

11 12 FY SO JR Hours per week

Weeks per year

School year

Summer/School Break

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________

� � � � � � � ________________________________________________________________ �Activity _________________________________________________________________________________________________________________


WRITING

Short Answer Please briefly elaborate on one of your extracurricular activities or work experiences in the space below or on an attached sheet (150 words or fewer).

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Personal Essay This personal essay helps us become acquainted with you as a person and student, apart from courses, grades, test scores, and other objective data. It will also demonstrate your ability to organize your thoughts and express yourself.

Please provide a statement (250 words minimum) that addresses your reasons for transferring and the objectives you hope to achieve, and attach it to your application before submission. NOTE: Your Common Application essay should be the same for all colleges. Do not customize it in any way for individual colleges. Colleges that want customized essay responses will ask for them on a supplement form.

Additional Information If there is any additional information you’d like to provide regarding special circumstances, additional qualifications, etc., please do so in the space below or on an attached sheet.

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Disciplinary History � Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent)

forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution? � Yes � No

� Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? � Yes � No [Note that you are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.]

If you answered “yes” to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances, and reflects on what you learned from the experience.

SIGNATURE

Application Fee Payment If this college requires an application fee, how will you be paying it?

� Online Payment � Will Mail Payment � Online Fee Waiver Request � Will Mail Fee Waiver Request

Required Signature� I certify that all information submitted in the admission process-including the application, the personal essay, any supplements, and any other supporting

materials-is my own work, factually true, and honestly presented, and that these documents will become the property of the institutions to which I am applying and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree should the information I have certified be false.

� I acknowledge that I have reviewed the application instructions for each college receiving this application. I understand that all offers of admission are conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based, as well as honorable dismissal from the school.

� I affirm that I will send an enrollment deposit (or equivalent) to only one institution; sending multiple deposits (or equivalent) may result in the withdrawal of my admission offers from all institutions. [Note: students may send an enrollment deposit (or equivalent) to a second institution where they have been admitted from the waitlist, provided that they inform the first institution that they will no longer be enrolling.]

Signature _______________________________________________________________________________________________ Date ___________________ mm/dd/yyyy

Common Application member institution admission offices do not discriminate on the basis of race, color, ethnicity, national origin, religion, creed, sex, age, marital status, parental status, physical disability, learning disability, political affiliation, veteran status, or sexual orientation.

Committee on Transfer Admissions86 Brattle StreetCambridge, MA 02138617-495-1551Fax: 617-495-8821

Harvard Transfer Application

Supplement

IMPORTANT — CHECK THE APPROPRIATE BOX BELOW:

Academic class you expect to enter at Harvard College:

Sophomore Junior

Application Deadline is March 1, 2011.

Full legal name Last/Family First Middle Jr., etc.

Prefer to be called Date of Birth (MM/DD/YYYY)

Address No. and Street Apt./Unit

City State/Province Country Zip/Postal Code

Telephone Number

Fax number Contact person

E-mail address Contact person

If you can be reached by fax or e-mail, please provide a fax number or e-mail address and name of the contact person.

Yes NoWould you like your ad-mission decision e-mailed to you? Final decisions will also be mailed to your permanent home address.

Application fee payment Check/Money Order attached Counselor approved fee waiver attached Credit card payment online

Application confirmation Once you have submitted your application, we will send an e-mail confirming your status as an applicant. Confirmation messages will be sent between December 1 and April 1.

TAS

If married, list your spouse’s name and any college attended.

Name College attended

If you have children, please list their names and ages.

Please list the cities and countries where you have lived, with years of residence in each.

What is your intended field of specialization at Harvard? 01 Afro-American Studies

02 Anthropology 03 Applied Math 04 Astronomy and Astrophysics05 Biochemical Sciences06 Biology07 Chemistry08 Chemistry and Physics09 Classics10 Comparative Study of Religion11 Computer Science12 Earth and Planetary Sciences13 East Asian Studies14 Economics

15 Engineering Sciences 16 English and American Literature and Language 17 Environmental Science and Public Policy18 Folklore and Mythology19 Germanic Languages and Literature20 Government21 History22 History and Literature23 History of Science24 History of Art and Architecture25 Linguistics26 Literature27 Mathematics28 Music

29 Near Eastern Languages and Civilizations30 Neurobiology 31 Organismic and Evolutionary Biology 32 Philosophy 33 Physics34 Psychology35 Romance Languages and Literatures36 Sanskrit and Indian Studies37 Slavic Languages and Literatures38 Social Studies39 Sociology40 Statistics41 Visual and Environmental Studies42 Women, Gender and Sexuality

For the following two questions, please use the number or numbers indicating your choice in the box or space provided.

At this time, which two college activities or sports interest you most?

01 Arts, Visual Arts02 Dramatics 03 Vocal Music04 Band05 Orchestra06 Writing / Literary Magazine07 Journalism08 Student Government09 Debate10 Social Service11 Ethnic Groups12 Religious Groups13 Political Groups14 Dance

First Choice

15 Outdoor Activities16 Baseball 17 Basketball18 Crew–Heavyweight19 Crew–Lightweight20 Fencing21 Field Hockey22 Football23 Golf24 Hockey25 Lacrosse26 Sailing27 Ski–Alpine28 Ski–Nordic Racing

Second Choice

29 Soccer30 Softball 31 Squash32 Swimming, Diving33 Tennis34 Track, Cross-Country35 Volleyball36 Water Polo37 Wrestling38 Cheerleading39 Martial Arts40 MUN41 Gender and Sexuality

42 Other

If a sport, indicate intended level of participation.

Intercollegiate Intercollegiate

Club / Intramural / Recreational Club / Intramural / Recreational

Harvard Transfer Supplement: Side 2 of 4

TAS

GPA Please indicate your current college GPA .

If you have previously applied for admission to Harvard, please indicate for which you applied.

Freshman applicant? Yes No September 20 Transfer Applicant? Yes No 20

Did you attend Harvard as a Visiting Undergraduate Student? Yes No

If “yes,” please indicate dates attended: to . (MM/YYYY) (MM/YYYY)

Briefly, please indicate the most influential factors in your original decision to attend your present college, such as location, cost, size of student body, only option, special program offered, Early Decision plan, etc.

What alternatives to transferring to Harvard are you considering?

If you have earned or will earn credit for any college-level courses online, please list them here, including semester completed.

Along with the Common or Universal College Transfer Application, we require two Instructor Evaluation forms to be completed by college faculty members and returned with your application. To help us determine that your application is complete, please provide the names of the two faculty members you have selected to write on your behalf.

Based upon your intended field of specialization, briefly outline your academic plans at Harvard College.

Please describe your current postgraduate/career plans.

Briefly discuss one book that has strongly influenced you.

Harvard Transfer Supplement: Side 3 of 4

1) 2)

TAS

Required Additional Personal StatementIn addition to understanding your reasons for seeking transfer admission to Harvard College, the Admissions Committee would like you to write about anything that would help us to know you better.

Signature Date

01/10Harvard Transfer Supplement: Side 4 of 4

TAS

© 2010 The Common Application, Inc. OR-1/ 2010-11

TO THE APPLICANTThis form must accompany an official copy of your transcript and must be completed by a college official(s) who has access to your academic record and your disciplinary record. Please follow these steps to ensure the form is completely accurately and in its entirety. Step 1: Complete all relevant questions below, including the signature statement. Step 2: Give this form to a dean or college official who has access to your academic record and ask that official to com-plete the academic portion of this form. Step 3: If the official completing the academic portion does not also have access to your disciplinary record, please ask the individual to securely forward the form to a second official who can answer those questions before duplicating this form and mailing it to your colleges along with copies of your official transcript(s).

Legal name ___________________________________________________________________________________________________________________ Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________ mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________ Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code

College/university you now attend ________________________________________________ CEEB/ACT code ______________________________________

Current year courses—please indicate title, level, and credit value of all courses you are taking this year. Indicate quarter classes taken in the same semester on the appropriate semester line.

First Semester/Quarter Grade Second Semester/Quarter Grade Third Quarter Grade

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

________________________________________ ________________________________________ _________________________________________

How many college credits have you earned prior to this academic year? ________ How many college credits will you earn this academic year? ________

TO THE COLLEGE OFFICIALIf you have access to the applicant’s academic record and disciplinary record, please complete this form in its entirety. Attach the applicant’s official transcript (check copies for readability). Use both pages to complete your evaluation for this student, and be sure to sign below. If you have access to the applicant’s academic record only, please complete the relevant portion of this form, then forward to the appropriate official for completion of the disciplinary questions, asking that official to mail the form to the applicant’s colleges after doing so.College official’s name (Mr./Ms./Dr., etc.) _____________________________________________________________________________________________ Please print or type

Signature _________________________________________________________________________________________________ Date _____________________ mm/dd/yyyy

Title ___________________________________________________________ College or university _____________________________________________

College or university address ______________________________________________________________________________________________________ City/Town State/Province Country ZIP/Postal Code

College official’s telephone (_______) ____________________________________ College official’s fax (_______) _____________________________________ Area/Country/City Code Number Ext. Area/Country/City Code Number Ext.

College or university CEEB/ACT code ___________________________ College official’s e-mail ___________________________________________________ mm/dd/yyyy

2010-11 COLLEGE OFFICIAL’S ReportFor Spring 2011 or Fall 2011 Enrollment

� Female� Male

OR

IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Federal Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by the Common Application member institution(s) to which I am applying. I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact officials at my current and former schools should they have questions about the school forms submitted on my behalf.

I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents submitted by me and on my behalf, unless at least one of the following is true:

1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).2. I waive my right to access below, regardless of the institution to which it is sent:

� Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.� No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or

on my behalf to the institution at which I’m enrolling, if that institution saves them after I matriculate.

Required Signature _______________________________________________________________________________________ Date _________________

© 2010 The Common Application, Inc. OR-2/ 2010-11

Evaluation Please provide comments that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference you’ve prepared for this student. We especially welcome a broad-based assessment and encourage you to consider describing or addressing:• The applicant’s academic, extracurricular, and personal characteristics.• Relevant context for the applicant’s performance and involvement, such as particularities of family situation or responsibilities, work obligations, or other

circumstances, either positive or negative.• Observed problematic behaviors, perhaps separable from academic performance, that an admission committee should explore further.

If you know this student, please indicate for how long and in what context. ____________________________________________________________________

If you know this student, what are the first words that come to your mind to describe this student? _________________________________________________

Ratings Compared to other students in his or her class year, how do you rate this student in terms of:

� Is this applicant in good academic standing? � Yes � No

� Is this applicant eligible to return to your school? � Yes � No

If you answered no to either or both questions, please attach a separate sheet of paper or use your written recommendation to provide details.

� Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution? � Yes � No

� To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime? � Yes � No

If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each incident and explain the circumstances.

� Check here if you would prefer to discuss this applicant over the phone with each admission office.

I recommend this student: � No basis � With reservation � Fairly strongly � Strongly � Enthusiastically

Background Information

Cumulative GPA: ________ on a _________ scale, covering a period from ____________ to ____________ (mm/yyyy) (mm/yyyy)

This GPA is � weighted � unweighted. The school’s passing mark is ________________________________.

Highest GPA in class ____________________________________ Graduation date ___________________ (mm/dd/yyyy)

No basis Below average AverageGood (above

average)

Very good (well above

average)Excellent (top 10%)

Outstanding (top 5%)

One of the top few I’ve encountered

(top 1%)

Academic achievement

Extracurricular accomplishments

Personal qualities and character

OVERALL

School Seal

If you are completing only the questions pertaining to the applicant’s disciplinary record, please provide the following information:

College official’s name (Mr./Ms./Dr., etc.) _____________________________________________________________________________________________ Please print or type


Title ___________________________________________________________ College official’s e-mail __________________________________________

College official’s telephone (_______) ____________________________________ College official’s fax (_______) _____________________________________ Area/Country/City Code Number Ext. Area/Country/City Code Number Ext.

© 2010 The Common Application, Inc. IE-1/ 2010-11INSTRUCTOR EVALUATION 2

TO THE APPLICANTAfter completing all the relevant questions below, give this form to an instructor who has taught you a full-credit college class. If applying via mail, please also give that instructor stamped envelopes addressed to each institution that requires an Instructor Evaluation.




College or university you now attend ______________________________________________ CEEB/ACT code ______________________________________

TO THE INSTRUCTORThe Common Application membership finds candid evaluations helpful in choosing from among highly qualified candidates. You are encouraged to keep this form in your private files for use should the student need additional recommendations. Please submit your references promptly, and remember to sign below.

Instructor’s name (Mr./Ms./Dr., etc.) _______________________________________________________ Subject taught _______________________________ Please print or type


College or university _____________________________________________________________________________________________________________

School address ________________________________________________________________________________________________________________ Number & Street City/Town State/Province Country ZIP/Postal Code

Instructor’s telephone (_______) ________________________________________________ Instructor’s e-mail ____________________________________ Area/Country/City Code Number Ext.

Background InformationHow long have you known this student and in what context? _______________________________________________________________________________

What are the first words that come to your mind to describe this student? _____________________________________________________________________

List the courses you have taught this student, noting for each the student’s year in school (first-year, sophomore, etc.) and the level of course difficulty (100-level, 200-level; etc.).

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

2010-11 COLLEGE INSTRUCTOR EVALUATIONFor Spring 2011 or Fall 2011 Enrollment

� Female� Male

IE








Evaluation Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may have prepared on behalf of this student.)

Ratings Compared to other students to whom you have taught this class, how do you rate this student in terms of:


Intellectual promise

Quality of writing

Creative, original thought

Productive class discussion

Respect accorded by faculty

Disciplined work habits

Maturity

Motivation

Leadership

Integrity

Reaction to setbacks

Concern for others

Self-confidence

Initiative, independence

OVERALL

No basis Below average AverageGood

(above average)


(top 1%)Excellent (top 10%)


average)Outstanding

(top 5%)


TO THE APPLICANTAfter completing all the relevant questions below, give this form to an instructor who has taught you a full-credit college class. If applying via mail, please also give that instructor stamped envelopes addressed to each institution that requires an Instructor Evaluation.




College or university you now attend ______________________________________________ CEEB/ACT code ______________________________________

TO THE INSTRUCTORThe Common Application membership finds candid evaluations helpful in choosing from among highly qualified candidates. You are encouraged to keep this form in your private files for use should the student need additional recommendations. Please submit your references promptly, and remember to sign below.

Instructor’s name (Mr./Ms./Dr., etc.) _______________________________________________________ Subject taught _______________________________ Please print or type


College or university _____________________________________________________________________________________________________________

School address ________________________________________________________________________________________________________________ Number & Street City/Town State/Province Country ZIP/Postal Code

Instructor’s telephone (_______) ________________________________________________ Instructor’s e-mail ____________________________________ Area/Country/City Code Number Ext.

Background InformationHow long have you known this student and in what context? _______________________________________________________________________________

What are the first words that come to your mind to describe this student? _____________________________________________________________________

List the courses you have taught this student, noting for each the student’s year in school (first-year, sophomore, etc.) and the level of course difficulty (100-level, 200-level; etc.).

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

2010-11 COLLEGE INSTRUCTOR EVALUATIONFor Spring 2011 or Fall 2011 Enrollment

� Female� Male

IE








Evaluation Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may have prepared on behalf of this student.)

Ratings Compared to other students to whom you have taught this class, how do you rate this student in terms of:


Intellectual promise

Quality of writing

Creative, original thought

Productive class discussion

Respect accorded by faculty

Disciplined work habits

Maturity

Motivation

Leadership

Integrity

Reaction to setbacks

Concern for others

Self-confidence

Initiative, independence

OVERALL

No basis Below average AverageGood

(above average)


(top 1%)Excellent (top 10%)


average)Outstanding

(top 5%)

transfer full application 1011

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