Freshman Applicant · Secondary School Report
C.W. Post Campus of Long Island University

TWO WAYS OF APPLYING:
(1) Print out and Fax to: (516) 299-2137
(2) Print out and mail this form along with candidate's application fee, official transcript, SAT or ACT scores (if available) and recommendation(s) (optional but preferred) to:

Undergraduate Admissions Office, C.W. Post Campus,
Long Island University, 720 Northern Blvd., Brookville, New York 11548-1300

Student Name: Last First Middle   If your educational records are in another name, please list it here:     Address: Number and Street
City	County	State	ZIP

E-mail Address:

Social Security Number: - -

Current Year Courses: Please indicate title, level and term of all courses you are taking this year:

To the Secondary School College Guidance Counselor:

The candidate ranks _______ in a class of _______ students. The rank is Weighted Unweighted

The candidate has a cumulative grade point average of:

unweighted _______ on a _______ scale

weighted _______ on a _______ scale

This rank covers a period from: (mm/yy) / to: (mm/yy) /

How many students share this rank? _______

If a precise rank is not available, please indicate rank to the nearest tenth from the top _______

Of this candidate's graduating class, _______% plan to attend a four-year college.

High school graduation date: _______

In comparison to other college preparatory students at our school, the applicant's course selection is:

most demanding very demanding demanding average

Please indicate the number of units this candidate has or will have completed by graduation.

English Social Studies Mathematics Foreign Languages Laboratory Science Electives

SAT	Dates taken/to be taken	mm/yy	Critical Reading	Math	Writing
		mm/yy	Critical Reading	Math	Writing
ACT	Dates taken/to be taken	mm/yy	English	Math	Natural Science	Social Science	Composite Score
		mm/yy	English	Math	Natural Science	Social Science	Composite Score

Signature of School Official and School Seal

E-mail Address: Date: