_________________________________

Students Name

_________________________________
Address

_________________________________
City, State, Zip Code

_________________________________
Area Code & Phone Number

_________________________________
Email

Objective: Description of your future plans, the college/university you plan to attend and what you want to major in.
one to two sentences)
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Education:
___________________

Graduation Date: __________/__________

Full Name of High School

(Month, Year)

GPA: __________________________
___________________
Address of High School

Class Rank: _____________________

___________________
City, State, Zip Code

___________________
Area Code/Phone Number

Special Program: List all the academic programs, seminars and/or workshops that youve attended from grades 9-the
present. Indicate the month and year you participated.
For example:
University of Texas at El Paso (UTEP) Upward Bound Program
Advance Via Individual Determination Program (AVID)

(September, 2009-present)
(September, 2009-present)

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_____________________________________________________________________________________
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Honors/Awards: List awards/honors received along with month and/or year you received the honor.
For example:
Whos Who Among Americas High School Students
Upward Bound Student Government Association
President

(2010-2011)
(October, 2010-2011)
(2010-2011)

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Advanced Placement/Honors and/or Dual Credit Courses:

For example:
English 4
__________

Government
___________

Pre-Calculus
__________

English Dual Credit 1301

____________________

Extracurricular Activities: List student organizations you have or are participating in , any offices held and dates of
participation. If no office was held put that you were a member
For example:
Upward Bound Student Government Association
President
Fundraising Co-Chair

(2009-present)
(2010-2011)
(2011)

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_____________________________________________________________________________________
_____________________________________________________________________________________
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Community Service: List all community service activities youve volunteered for and/or assisted with.
Include the dates of the events with the day, month and/or year.
For example:
Chamizals Music Under the Stars volunteer
(Summer, 2011 & 2012)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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Employment: List jobs held, internships, volunteer work that had job duties, etc.
For example:
University of Texas at El Paso, New Student Orientation
Student Intern
500 W. University
El Paso, Texas 79968

(June-August, 2011)

Communicated with new students and parents, answered general orientation questions, and registered incoming
students for New Student Orientation.

References: List names of people you trust that would be able to tell others about your skills and capabilities. Possible
references to use: teachers, principals, bosses/supervisors, people you volunteered for, etc
Name: Mark Jurado
Professional Title: College Advisor
Department: Upward Bound Program
Company Name: University of Texas at El Paso
Address: Graham Hall-Room 208
City, State, Zip Code: El Paso, Texas 79968
Telephone Number: (915) 747-7647
E-Mail Address: mhjurado@utep.edu

Brief Statement:
Mr. Mark Jurado is the College Admissions Advisor for the UTEP Upward Bound Program. He has known me for the past
three years and is my senior advisor for college admissions and financial aid processes.

Name:
Professional Title:
Department:
Company Name:
Address
City, State, Zip Code:
Telephone Number:
E-Mail Address:
Brief Statement:
_____________________________________________________________________________________
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