Emory College, Atlanta, Georgia Emory College Midyear School Report Students: Please complete the following information and give this form to your school counselor. It is your responsibility to see that this form is sent by your school to the Admission Office when midyear grades are reported at your school. Students Last Name:__________________ First:________________ Middle:________ Students Address: __________________________________________________________ School Name and Address: ___________________________________________________ School telephone number: (____) __________________________________ ACT/CEEB code #:_____________________________________________ Counselor: The Midyear Report is to be used to report the applicant's grades for the first term of the current school year and to note any significant additions or changes in his/her academic, extracurricular, or character record. Please return to the Office of Admission as soon as the information is available. List all subjects carried during the current year and indicate any that may be honors or advanced courses. Please designate any course designed to prepare students for CEEB Advanced Placement Tests by using the letters A.P. Fall Term Winter Term Spring Term ___________________________|___________________________|_______________________ ___________________________|___________________________|_______________________ ___________________________|___________________________|_______________________ ___________________________|___________________________|_______________________ ___________________________|___________________________|_______________________ ___________________________|___________________________|_______________________ ___________________________|___________________________|_______________________ ___________________________|___________________________|_______________________ Candidate Qualifications for Admission to Emory College Below Average Average Above Average Excellent Outstanding Academic Promise __ __ __ __ __ Character & Personality __ __ __ __ __ Overall Recommendation __ __ __ __ __ Report based on __ Personal Contacts __ Counseling Contacts __ Teachers Comments __ Records __ Other Comments or significant additions or changes in the applicant's academic, extracurricular, or character record since your previous report and ratings: Name (please print): ______________________________________________________ Signature: ________________________________________________________________ Return directly to: Office of Admission Boisfeuillet Jones Center Emory University Atlanta, Georgia 30322-1950 800.727.6036 Emory University does not discriminate in admissions, educational programs, or employment on the basis of or race, color, religion, sex, sexual orientation, national origin, age, disability, or veteran's status and prohibits such discrimination by its students, faculty, and staff. Students, faculty, and staff are assured of participation in university programs and in use of facilities without such discrimination. The university also complies with all applicable federal and Georgia statutes and regulations prohibiting unlawful discrimination. All members of the student body, faculty, and staff are expected to assist in making this policy valid in fact. Any inquiries regarding this policy should be directed to the Emory University Office of Equal Opportunity Programs, Administration Building, Atlanta, Georgia 30322. Telephone 404.727.6016 (V/TTY); fax 404.727.2666.