Counselor's Report Form
To be filled out by the high school counselor:
| Name | ________________________________________________ |
| SSN | ________________ |
| Address | ____________________________________________________________________ |
| City | ______________________________________ |
| State | _______ |
| Zip | __________________ |
| __ | Black Hills State University | __ | Dakota State University |
| __ | University of South Dakota | __ | Northern State University |
| __ | South Dakota School of Mines & Technology | __ | South Dakota State University |
We ask that you (counselor) assist the student by supplying the following information along with a transcript of completed courses. Completing this section is not mandatory; however it will speed the admissions process for the student.
At the end of ____ semesters, the student ranked ____ out of ____. Student's cumulative GPA (4 point scale) ______.
This ranking is __ exact __ approximate.
Check "yes" if the student is a South Dakota Regents Scholar ______ yes.
| College preparatory Subject Area | Semester 7 Unit/Grade (If not on transcript) | Semester 8 Unit/Grade (If not on transcript) |
|---|---|---|
| English _______________________________ | ____/____ | ____/____ |
| ______________________________________ | ____/____ | ____/____ |
| Advanced Math __________________________ | ____/____ | ____/____ |
| ______________________________________ | ____/____ | ____/____ |
| Lab Science ____________________________ | ____/____ | ____/____ |
| ______________________________________ | ____/____ | ____/____ |
| Social Studies __________________________ | ____/____ | ____/____ |
| ______________________________________ | ____/____ | ____/____ |
| ______________________________________ | ____/____ | ____/____ |
| ______________________________________ | ____/____ | ____/____ |
| Fine Arts ______________________________ | ____/____ | ____/____ |
| ______________________________________ | ____/____ | ____/____ |
| Counselor's Signature _____________________________ |
Date ____________ | |
| High School _____________________________ |
High School Telephone (____)____-_______ | |
Please mail or fax to:
Enrollment Service Center414 East Clark, SDU 317
Vermillion, SD 57069 USA
Fax (605) 677-6828
