PERSONAL INFORMATION

Last Name:        First Name:  
Purdue ID Number:

Date:

Home Street Address:

City, State, Zip:

Telephone:

Email Address:

MATH PLACEMENT TEST RESULTS: ART CRT

HIGH SCHOOL EXPERIENCES

1. How did you feel about these subjects in high school?  Respond to each subject area using the following scale:

Liked        Indifferent        Disliked         Did Not Have

Art - Choose one - Liked Indifferent Disliked Did Not Have               Biology - Choose one - Liked Indifferent Disliked Did Not Have         

Chemistry - Choose one - Liked Indifferent Disliked Did Not Have             English - Choose one - Liked Indifferent Disliked Did Not Have

Foreign Language - Choose one - Liked Indifferent Disliked Did Not Have             History - Choose one - Liked Indifferent Disliked Did Not Have        

Mathematics - Choose one - Liked Indifferent Disliked Did Not Have           Music - Choose one - Liked Indifferent Disliked Did Not Have

Physics - Choose one - Liked Indifferent Disliked Did Not Have          Social Studies - Choose one - Liked Indifferent Disliked Did Not Have       

Other (type in name of subject) - Choose one - Liked Indifferent Disliked

Other (type in name of subject) - Choose one - Liked Indifferent Disliked

2. Describe your special accomplishments and interests, not just in class work, but in other activities as well (e.g., hobbies, art, leadership, extracurricular activities, sports).

3. List any college courses and/or Advanced Placement (AP) tests taken while in high school.

College Course(s):

What?   When?   Where?   Grade:

What?   When?   Where?   Grade:

What?   When?   Where?   Grade:

Advanced Placement (AP) test(s) taken:

What?  When?  Where?  Score: 5 4 3 2 1 - select -

What?  When?  Where?  Score: 5 4 3 2 1 - select -

What?  When?  Where?  Score: 5 4 3 2 1 - select -

What?  When?  Where?  Score: 5 4 3 2 1 - select -

What?  When?  Where?   Score: 5 4 3 2 1 - select -

4. List the most recent math course taken while in high school (calculus, pre-calculus, algebra, etc).
When was math last taken?

5. What foreign language was studied in high school?
How many years were studied?
When was it last taken?

EXPECTATIONS ABOUT COLLEGE

1. How many hours per week do you expect to study during your first semester at Purdue?

2. How many hours per week do you plan to work during your first semester at Purdue?

3. Listed below are several reasons students often give for attending Purdue University.  From the list, please select and rank order your top three reasons for attending Purdue.  Leave the other spaces blank.

 a) #1 Reason #2 Reason #3 Reason [blank] Purdue has a very good academic reputation.

 b)  #1 Reason #2 Reason #3 Reason [blank] Purdue has a good reputation for its social activities.

 c) #1 Reason #2 Reason #3 Reason [blank] Purdue has an Undergraduate Studies Program

 d) #1 Reason #2 Reason #3 Reason [blank] Purdue has low tuition.

 e) #1 Reason #2 Reason #3 Reason [blank] I wanted to live near home.

 f) #1 Reason #2 Reason #3 Reason [blank] Purdue graduates gain admission to top grad/professional schools.

 g) #1 Reason #2 Reason #3 Reason [blank] Purdue graduates get good jobs.

 h) #1 Reason #2 Reason #3 Reason [blank] Purdue is the right size of institution for me.

EDUCATIONAL PLANS

1.  How decided are you about a major?  (Check only one)

 a) I have tentatively decided on a major:

 b) I have an idea of my desired major, but am not yet ready to commit myself to it.

 c) I have several ideas but cannot decide on one.

 d) I am completely undecided about an academic major.

2.  How anxious are you about choosing a major?  (Check one)

  Very Anxious

  Somewhat Anxious

  Not Anxious

3.  In what career area(s) do you have some interest?  (Check as many as apply) 

Other career area(s)

4.  Do you have any questions about Purdue?  How can we help you?

PERSONAL

1.  In regard to success in college, my greatest assets are:

2.  In regard to success in college, my greatest weaknesses are:

3.  In regard to my educational plans, I feel:

4.  Please indicate occupation and education level for each parent:                       

  a. Mother

     Occupation 

     Highest Education achieved  (HS grad, BA/BS, MA/MS, etc.)

  b. Father

     Occupation 

     Highest Education achieved  (HS grad, BA/BS, MA/MS, etc.)

Thank you for taking the time to fill out this survey.  Please check it over to make certain that it is filled out completely and accurately.  The information you provide will be used by your Academic Advisor to help you choose classes when you come to STAR.

When you're ready to submit your responses click on the "Submit Information to USP" button below.