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Sample Secondary School ReportWINCHESTER THURSTON SCHOOL SECONDARY SCHOOL REPORT FORMSection I: Student Information__________________________________________Name of College______________due dateNAME Bellum Sarah SSN 555-55-5555Last First MiddleADDRESSStreetPittsburghPACity State ZipE-MAIL ADDRESS BIRTHDAY PHONEI am applying for: Early Decision I Early Decision II Early Action Regular DecisionI recognize the confidential nature of this document and I do I do not waive my right to access.STUDENT’S SIGNATURE ___________________________________DATE _____/_____/_____Section II: School InformationAt Winchester Thurston School all subjects are given credit, and all students are college preparatory.The class of 2012 has 63 members. All plan to attend a four-year college.Winchester Thurston School requires that students report any disciplinary record in their own portion of the application.This student has has not been suspended while attending Winchester Thurston School.WINCHESTER THURSTON SCHOOL DOES NOT REPORT GPA OR CLASS RANK.This student’s course selection is most rigorous very rigorous rigorous.I have known this student for ____________________ in my capacity as college advisor. classroom teacher.This report is based on personal observation and contact with the student and family. teacher comments. student records.Please see the attached letter of recommendation for an assessment of the student’s abilities and character. A copy of the student’stranscript is included, along with a profile of Winchester Thurston School.Counselor’s Signature ____________________________________ Date _____________________Counselor Dr. David Seward Title Director of College CounselingWinchester Thurston School CEEB Code 3 9 3 9 7 0555 Morewood Ave. Phone 412.578.7517Pittsburgh, PA 15213 Fax 412.224.4588E-mail sewardd@winchesterthurston.org14