Scribd
Upload
48 views1 page

High School Counseling Form

This document is a form for high school counselors to provide information about prospective students applying to Indiana University-Purdue University Fort Wayne (IPFW). The form requests the student's class rank, GPA, dual credit college courses taken, status of CORE 40 or other Indiana diplomas, results of end-of-course assessments, and 21st Century Scholar status. The counselor must sign and provide their contact information and verify the high school's accreditation status.

Uploaded by

Akash Rana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
48 views1 page

High School Counseling Form

This document is a form for high school counselors to provide information about prospective students applying to Indiana University-Purdue University Fort Wayne (IPFW). The form requests the student's class rank, GPA, dual credit college courses taken, status of CORE 40 or other Indiana diplomas, results of end-of-course assessments, and 21st Century Scholar status. The counselor must sign and provide their contact information and verify the high school's accreditation status.

Uploaded by

Akash Rana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

INDIANA UNIVERSITY

PURDUE UNIVERSITY
FORT WAYNE
High School Counselor
OFFICE OF ADMISSIONS Form
INDIANA UNIVERSITY
PURDUE UNIVERSITY
FORT WAYNE
Name: ____________________________________________________
OFFICE OF ADMISSIONS
Birthdate: _____ / _____ / ________

This section is forINDIANA


currentUNIVERSITY
high school students only. (To be completed by the high school guidance counselor)
PURDUE UNIVERSITY
FORT WAYNE
Please complete the information below and attach any other information that might help IPFW make an informed admission decision. Attach an official copy
of the applicant’s high school transcript, including courses in progress and SAT or ACT scores, and mail to:

IPFW Admissions

2101 East Coliseum Boulevard
Fort Wayne, IN 46805-1499
Fax 260-481-5450

The applicant ranks ______ in a graduating class of ______ students (rank calculated at the end of the sixth seventh eighth semester).

Applicant’s cumulative grade-point average is ___________ based on a 4.0 scale 12.0 scale other _________

Colleges where students will or have completed dual credit classes

___________________________________________________________ ____________________________________________________________

___________________________________________________________ ____________________________________________________________

Indiana residents only.


Please do not leave blank.
➤ Applicant: Is pursuing CORE 40 Diploma
Is pursuing Academic Honors Diploma
yes

yes
no

no

Is pursuing Technical Honors Diploma yes no


Passed English End of Course Assessment yes no waiver

Passed Math End of Course Assessment yes no waiver

Is a Twenty-first Century Scholar yes no

Note: If senior-year courses in progress are not on the official transcript, a printout of the student's senior class schedule must be included.

Comments:

___________________________________________________________ ________________________________________________ _____________


Counselor’s Signature Counselor’s Name (Please Print) Date

_________________________________________________ ___ ___ ___ ___ ___ ___ (____________)_________________________


High School CEEB Code Number Guidance Office Phone Number

______________________________________________ ____________________ ______________________________________


City State Guidance Counselor Email Address

Accreditation: High school is (please check one) accredited by a state educational agency. not accredited by a state educational agency.
02-13-858

IPFW is an Equal Opportunity/Equal Access University.

You might also like