Bucknell University Office of Admissions
Bucknell University 
Lewisburg, Pennsylvania 17837 
Phone (570) 577-1101
 
MID-YEAR REPORT

TO THE APPLICANT:


After filling in the information below, give this form and the School Report to your college counselor.

Birthdate: ________________________ Gender ______ Social Security Number (optional): ____________________
                (mm/dd/yy)

Student name: __________________________________________________________________________________
  Last/family First Middle (complete) Jr. etc.
Address: ______________________________________________________________________________________
      Number and Street City or Town State Country Zip/Postal Code

TO THE SECONDARY SCHOOL COLLEGE COUNSELOR:


Please submit this form when midyear grades are available (end of first semester/trimester). Complete the following regarding the applicant's academic performance for the first semester/trimester of the current year. If you prefer, attach your own grade report form or a copy of the high school transcript. Feel free to provide any additional comments about the candidate on the reverse of this form or on a separate sheet of paper. Be sure to sign below.
 
Indicate if marking period is   __   trimester   __   semester       H.S. Graduation Date: _______

Course (include title & level) Grade Remarks







If available, please provide updated class rank or cumulative GPA through the senior fall semester/trimester.
Class rank _______ in a class of ______, covering a period from __________ (mm/yy) to __________ (mm/yy).

The rank is   __   weighted   __   unweighted. How many students share this rank? ____
If a precise rank is not availbe, please indicate rank to the nearest tenth from the top ____

Cumulative GPA: _______ on a _____ scale, covering a period from _________ (mm/yy) to __________ (mm/yy).
The GPA is   __   weighted   __   unweighted. The school's passing mark is _____.

Have there been any substantial additions to or changes in this candidate's academic, extracurricular, or character record since your previous report?  __   Yes   __   No  If yes, or if your recommendation for this student has changed since the School Report was submitted, please comment on the reverse:

 

 

 

 

 

 

Counselor's name (please print or type):___________________________ Signature:________________________
Date:__________________________________
Position:_________________________________________________ School: _________________________
High School CEEB/ACT Code:____________


Please use the space below, or a separate sheet of paper, for additional comments.

CONFIDENTIALITY


We value your comments highly and ask that you complete this form in the knowledge that it may be retained in the student's file should the applicant matriculate at a Bucknell University. In accordance with the Family Educational Rights and Privacy Act of 1974, matriculating students do have access to their permanent files which may include forms such as this one. Colleges do not provide access to admissions records to applicants, those students who are denied admission, or those students who decline an offer of admission. Again, your comments are important to us and we thank you for your cooperation. We are committed to administer all educational policies and activities without discrimination on the basis of race, color, religion, national or ethnic origin, age, handicap, or sex. The admissions process at private undergraduate institutions is exempt from the federal regulation implementing Title IX of the Education Amendments of 1972.