Transfer Application for Fall 2011 Entrance

Harvard College Transfer Admissions • 2010–2011

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For Entrance in Fall 2011 • Transfer Application Materials

Thank you for your interest in Harvard College. We know there are many fine colleges and universities from
which to choose, and we are happy that you are looking closely at the exciting opportunities available here in
Cambridge.

Our admissions procedures are designed to give you maximum freedom and flexibility to present yourself in your own words. We
hope you will respond in whatever ways you feel will best demonstrate your interests and accomplishments. Here are some recom-
mendations we hope you will consider as you complete your application.

• Keep copies of all materials submitted and ask your teachers to do the same. Materials can be lost in the mail.

• Supplementary materials or portfolios may be submitted, but you should do so only if you have an unusual talent. Such materials are
neither required nor expected as the required components of the application provide ample basis on which to make our decisions.
Because we cannot return materials, applicants should send only duplicates.

The answers to many questions about admissions requirements and deadlines are included on the following pages. For an expanded
list of frequently asked questions with their answers, please consult the FAQ index on our website: www.admissions.college.harvard.
edu.

Each admission decision is made without any regard for a candidate’s financial need — a policy we call “need-blind admission.”
Indeed the Admissions Committee may respond favorably to evidence that a candidate has overcome significant obstacles, financial or
otherwise. Once an applicant is admitted, we create an individual financial aid package that will enable that student’s family to meet
the cost of attendance. Providing financial access to Harvard for every admitted student is one of our highest priorities.

We hope you will take every opportunity to explore whether Harvard might be a good match for your academic, extracurricular and
personal interests. Please let us know if we can be of assistance to you during the admissions process. Best wishes for a happy and
productive year.

Marlene Vergara Rotner

Director of Transfer Admissions

William R. Fitzsimmons Marlyn McGrath Sarah C. Donahue

Dean of Admissions and Financial Aid Director of Admissions Director of Financial Aid
For Entrance in Fall 2011 • Transfer Application Materials

The Committee on Transfer Admissions welcomes inquiries from
all qualified students interested in transferring to Harvard College.
Over the years we have found that transfer students contribute
a great deal to college life here as well as gain much from their
experience. We hope the information that follows will enable you
to give careful consideration to Harvard as you make plans to
continue your education.
This year the Committee will admit a small number of transfer students
who present a clearly defined academic need for transfer, supported
by both a proven record of achievement at the college level and strong
faculty recommendations.
Candidates for transfer admission will be considered for Fall 2011
enrollment.

Criteria for Eligibility as a Transfer Applicant Forty-six fields of concentration are offered by departments and commit-
tees. Within fields, there are various options for specialization. It is also
Once a student has completed one year of full-time study at a possible to combine major fields, such as government with history or
single college or university, he or she ordinarily may apply to economics, classics with allied fields, or mathematics with philosophy.
Harvard College only as a transfer student. Further guidelines The following is a list of fields for specialization.
for eligibility are as follows:
Afro-American Studies History of Art and Architecture
• By the anticipated date of matriculation, applicants must have Anthropology History of Science
satisfactorily completed a minimum of one continuous academic Applied Mathematics Human Evolutionary Biology
year in a degree program at one college, and not more than two Astronomy and Astrophysics Linguistics
academic years of full-time college study. Biochemical Sciences Literature
• A minimum of sixteen Harvard courses—typically four terms— Biology Mathematics
are required for Harvard’s A.B. or S.B. degree. Chemical and Physical Biology Molecular and Cellular Biology
Chemistry Music
• Students who have completed more than two years of college Chemistry and Physics Near Eastern Languages and
study with transferable credit, and those who have earned a Classics Civilizations
bachelor’s degree, are not eligible to transfer to Harvard College. Comparative Study of Religion Neurobiology
Students may not choose to relinquish academic credits, or a Computer Science Organismic and Evolutionary
degree, in order to apply for transfer admission. Earth and Planetary Sciences Biology
• Students who will have completed less than one full-time continu- East Asian Studies Philosophy
ous year of study at one college by the anticipated date of ma- Economics Physics
triculation at Harvard should apply as freshman candidates. (All Engineering Sciences Psychology
such applicants, if admitted, will matriculate as regular freshmen English and American Literature Romance Languages and
without any transfer credit.) and Language Literatures
Environmental Science and Sanskrit and Indian Studies
• Students who have completed one full-time year of college in a Public Policy Slavic Languages and Literatures
regular degree program in lieu of their senior year of high school Folklore and Mythology Social Studies
(under an early admission plan) should contact the Admissions Germanic Languages and Sociology
Office before submitting an application. Literatures Statistics
Government Visual and Environmental
• Students are eligible to transfer only from a liberal arts curriculum
History Studies
that is similar to Harvard’s. Candidates whose education has been
History and Literature Women, Gender and Sexuality
in a vocational, professional, technical or performance program
will not ordinarily qualify for transfer admission. The undergraduate curriculum does not include professional or vo-
cational concentrations, such as accounting, advertising, agriculture,
The Visiting Undergraduate Program, described on the last page,
architecture, business, commercial art, communications, criminal justice,
may be of interest to students too advanced to qualify for transfer.
education, journalism, law or nursing.

Academic Program While concentrating in a particular field, undergraduates also fulfill

Transfer students are admitted to the same program of study for the
A.B. or S.B. degree as those who enter Harvard as freshmen. They
are expected to undertake a balanced program of study, devoting
approximately one-half of their time to specialized courses in their
concentration (i.e. major) and the remaining time to General Educa-
tion courses and electives.
Harvard College offers study in a wide variety of liberal arts and
sciences as well as a Bachelor of Science degree in engineering.
Transfer students entering as juniors must declare a field of special-
ization immediately upon matriculation. Entering sophomores will
declare their field at the end of their first term here. Although the
choice of concentration is not irrevocable, it is important for students
to begin to work in their field as soon as possible, as doing advanced
work depends on a strong, early foundation.
requirements in the General Education Program. In doing so, each
student will select one course from each of the following eight areas:
Aesthetic and Interpretive Understanding, Culture and Belief, Empirical
Reasoning, Ethical Reasoning, Science of Living Systems, Science of
the Physical Universe, Societites of the World, and the U.S. in the World.
All undergraduates must also demonstrate a level of proficiency in
expository writing and a foreign language.
In the case of transfer students,
• Proficiency in expository writing is evaluated on an individual basis
after admission.
• The foreign language requirement is met by one of the following
criteria: obtaining a score of 700 or higher on a College Board Subject
Test, receiving a 5 on an A.P. exam, a 7 in an IB HL course, passing a
Harvard placement test or by completing a full year course in a
For Entrance in Fall 2011 • Transfer Application Materials
foreign language. Any foreign language, ancient or modern, in
which Harvard can arrange an examination is acceptable. The
language requirement is ordinarily waived for any student whose
native language is not English and who is proficient both in that
language and in English.
• The General Education requirement for transfer students will be
reduced by one course per term of Harvard College credit granted
for prior coursework. For detailed information, please visit www.
generaleducation.fas.harvard.edu.
The academic year at Harvard includes a fall and a spring term. The
fall term runs from late August to mid-December, and the spring
term runs from early February to late May. In evaluating a transfer
application, the Committee pays particular attention to how well the
applicant’s academic aspirations can be satisfied by courses and pro-
grams of study here and to whether degree requirements can be met
in the two or three years that the student will have at Harvard.
For detailed information about course offerings, consult the under-
graduate catalogue “Courses of Instruction” available online at:
www.registrar.fas.harvard.edu/fasro/courses/.
Transfer of Credit
Credit for work done at another college or university is granted to
each admitted transfer student on an individual basis after evaluation
by the Registrar’s Office. The maximum amount of credit allowed
any transfer student is 8.0 full (year-long) courses, i.e., half of the
16.0 full courses required for the A.B. or S.B. degrees, or the equiva-
lent of two full years of academic work.
Ordinarily, credit is granted for any course taken in a full-time, day-
time program of study at an accredited degree-granting institution
provided that the student:
• completed at least one full academic year of undergraduate study
at one college
• took courses comparable to those given at Harvard
• earned grades of “C” (or the equivalent) or better.
Ordinarily, credit is not granted for:
• online or distance education courses
• night or extension courses, or courses taken on a part-time basis or
for less than a full academic year
• technical or vocational courses such as journalism, law, agri-
culture, nursing, business, communications or courses taken in
military service
• work done prior to admission in an isolated term, semester or
quarter at another college, unless the college from which the
student is transferring has granted credit for that work
• credit gained by accelerating in an academic year at another col-
lege
• College Level Placement Exam (CLEP), Advanced Placement
Exam (AP) results, or any credit earned by examination, even
when credited to the student’s degree by the college or university
from which he or she wishes to transfer. Please note that credit is
awarded to transfer students only for course work completed in
college or university
• summer school courses, except for
those at the transfer student’s current college or university or for
courses at Harvard Summer School.
Evaluation of Candidates
In evaluating transfer candidates, the Committee seeks students with
clearly developing academic interests that can be well served by Har-
vard. Students preparing to apply as transfer candidates should take
challenging, liberal arts programs, including mathematics, science, and
a foreign language, if they are not already proficient in these areas. The
Committee also looks for strong preparation in the student’s expected
field of specialization.
In regard to standardized test scores, most successful applicants have
verbal and math SAT I scores of 600 or above and, for foreign applicants
who submit a TOEFL result, a score of 600 or above on the paper test, or
250 or above on the computer test, or 100 or better on the iBT version.
For those using the ACT as an alternative, the composite score is usually
30 or above.
Though good grades, strong programs, and test scores are important in
determining the academic potential of a candidate, the Committee also
looks beyond these for such qualities as creativity, resiliency, tenacity,
intellectual curiosity, and independent thinking.
Other factors weighed in the evaluation of transfer candidates include
significant non-academic talents and personal qualities such as a capacity
for leadership, energy, enthusiasm, motivation and a sense of responsi-
bility.
Harvard has very few places available for sophomore and junior trans-
fers and the number of well-qualified candidates far exceeds the number
of students admitted. It is therefore recommended that students who wish
to transfer from their current colleges explore a variety of options.
Housing
All admitted transfer students are immediately eligible to live in the Har-
vard Houses. In this way they share fully in the residential undergraduate
experience of the College.
Costs and Financial Aid
The complete budget at Harvard College (exclusive of transportation) for
2010-2011 is $52,000. Tuition – $_____; Room and Board – $12,308;
College Facilities Fees (for use of library and other University facilities
including the Health Services) – $_____; Minimum for extras (books,
clothing, dues, recreation, etc.) – $____. Please note these fees are sub-
ject to change without notice and that costs can be expected to increase
for 2011-2012.
Transfer students are eligible to apply for financial aid, which is awarded
in the form of scholarships, loans, and jobs to students demonstrating
need on the basis of family financial circumstances.
 For Entrance in Fall 2011 • Transfer Application Instructions
Please read all the instructions and information carefully before filling out the Application for Transfer and the Harvard Transfer
Application Supplement.
Applying to Harvard
Harvard is accepting transfer applicants for Fall 2010 admis-
sion. The application deadline for admission is March 15. The
Committee on Transfer Admissions meets in May to consider
candidates and admit for the fall term.
Below is a description of the forms and documents required to
apply for transfer admission. You may apply online using the
Universal Transfer Application website www.universalcolleg-
eapp.com/ or download the forms from our website www.admis-
sions.college.harvard.edu/apply/forms/. If you are downloading
this application from our website, you must mark the mailing
envelopes with the designation, “Transfer Admissions.” It
will help us greatly to process your application if you are certain
to include this designation on all mailing envelopes.
As soon as you decide to apply, carefully complete and return
both the Application for Transfer and the Harvard Transfer Ap-
plication Supplement with a check or money order for $75 (U.S.)
payable to Harvard University. You may also pay the fee online
when submitting your application through the Universal Applica-
tion website at www.universalcollegeapp.com/index.cfm. The
application fee is non-refundable. To qualify for a fee waiver,
you must submit a letter from your college dean, counselor, or
financial aid advisor recommending a waiver on your behalf.
Application Requirements and Timetable
IMMEDIATELY
Please send:
• The Universal College Transfer Application
• The Harvard Transfer Application Supplement
• The $75 application fee or a fee waiver request
Without your Universal Transfer Application, we cannot open
your admission file or track supporting documents for your ap-
plication. Once we have received your application and supple-
ment, the Admissions Office will send you a confirmation notice
between March 15 and April 5. No confirmation messages will be
sent prior to March 15.
Transfer students will be unable to check their application status
online. The Admissions Office will be unable to answer individu-
al applicant questions or to respond to specific concerns by phone
or e-mail. Please carefully review our website www.admissions.
college.harvard.edu/apply/transfer/ for information pertaining to
the Transfer Program.
March 15: Final deadline for all application materials.
Early June 2010: Decision letters mailed.
June 10, 2010: Reply date for admitted students. No Please submit two recommendation forms from faculty members or
deposit required.
Submitting an Application
We encourage you to apply online using the Universal College Applica-
tion (www.universalcollegeapp.com). You may also download forms
from this website (www.admissions.college.harvard.edu/prospective/
transfer) and submit by mail. Be certain to complete and submit the
Harvard Transfer Application Supplement in addition.
Official Transcripts—Secondary School
An official high school transcript and official test results are required. In
order to be considered official, test scores – ACT, SAT I and (optional)
SAT II: Subject – must be electronically submitted to us by the American
College Testing Program or by the College Board.
If you were enrolled in an international rather than U.S. secondary
school system, a certified copy of the appropriate exam results must be
sent, e.g., A levels, Abitur, I.B., French Baccalaureate. All reports must
be in English or accompanied by an official translation. Please attach
an explanation of the marking system if it differs from the American
system. Do not send the original certification of your international test
results.
Official Transcripts—College
Official transcripts of all completed work from each post-secondary in-
stitution you have attended must be sent to the Office of Transfer Admis-
sions. For admissions purposes, transcripts issued directly to you, and
so marked, are acceptable, but photocopies are not. However, admitted
students will be required to submit official transcripts directly from the
Registrar(s) or Dean(s) of every post-secondary institution you have
attended. Students enrolled in international universities should provide
an official English translation and send an explanation of the marking
system. Transcripts that have been requested before the deadline will be
accepted even if received after the deadline.
Standardized Testing
All transfer applicants are required to have the results of either the SAT
I or the ACT (with Writing) reported directly from the College Board or
the American College Testing Program, respectively, even if you have
applied previously for freshman admission. Applicants are encouraged,
but not required, to submit the results of three College Board SAT II:
Subject Tests. In addition, if your native language is not English, you are
required to submit results from the TOEFL (Test of English as a Foreign
Language).
Please request that all scores be forwarded to the Office of Undergradu-
ate Admissions (CB Code 3434) (ACT Code 1840). Do not request
“Rush Reports.” Please present recent scores; standardized test results
more than three years old may not represent your ability. For informa-
tion about dates, times and exam centers for all SAT tests, contact The
College Board at 866-756-7346 or online at www.collegeboard.com. The
American College Testing Program can be reached at (319) 337-1270 or
online at www.act.org. College Board tests taken on or before the Janu-
ary testing date and ACT tests taken by February will reach us in time.
Professor Recommendation Forms
teaching assistants who have taught you and are familiar with your work.
If you have chosen a field of study, it is helpful to have at least one letter
from a professor in that field.
For Entrance in Fall 2011 • Transfer Application Instructions
The University’s Official Report
This report should be submitted by the appropriate dean or adminis-
trative officer. You need not know the official personally.
You should supply your faculty recommenders and dean with
stamped return envelopes that designate “Transfer Admissions.”
All additional correspondence and supplementary materials
must be carefully addressed to the Office of Transfer Admis-
sions as Freshman Admissions offices are also located at 86
Brattle Street and confusion can easily occur.
It is the responsibility of every applicant to maintain copies
of all materials submitted to this office as well as any cor-
respondence to you from the Harvard College Admissions
Office.
After You Have Applied
The Committee begins to review candidates as soon as possible
after all the required documents have been received. The evalua-
tion of candidates takes place during early spring. Candidates will
be notified of the Committee’s decision by mail at their permanent
home address in early June. The staff of the Admissions Office
will not give decisions over the phone until after the decisions are
mailed.
Any admission is contingent upon successful completion of all
courses in progress, verified by an official transcript sent to the
Committee by the registrar of your present college.
Transfer students are admitted for a specific matriculation date with
no deferment ordinarily possible. All decisions are final. The Com-
mittee cannot reconsider the candidacy of an applicant who is not
admitted.
The Admissions Office will be unable to answer individual appli-
cant questions or to respond to specific concerns by phone or e-mail.
Please carefully review our website www.admissions.college.har-
vard.edu/apply/transfer/ for information pertaining to the Transfer
Program.
Financial Aid
If you are applying for financial assistance, the financial aid time-
table for transfer candidates is as follows:
Immediately: Please review the financial aid application instruc-
tions found on the Prospective Students section of our website www.
fao.fas.harvard.edu/. The published deadlines are for prospective
freshmen. As a prospective transfer student, you should amend the
application deadlines as follows:
February 1: Submit the initial components of your financial aid
application, following the instructions found on the Prospective
Students section of our website. We realize that you may not have
access to your final 2009 tax information by this deadline and ask
that you use the best available estimated figures.
March 1: Final deadline for all application materials, including tax
and income documentation.
Interviews
We do not ordinarily schedule personal interviews for transfer applicants.
If the Committee needs further information, you will be contacted.
Contact Information
If you change your mailing address, phone number or e-mail address
after submitting your application, please contact the Transfer Admissions
Office by writing to adm-tran@fas.harvard.edu.
Please be sure to include your full legal name, date of birth and name
of your current college or university when contacting the Admissions
Office.
Send Updates
To send information updates to your application, please write to us or
send an e-mail to fileroom@fas.harvard.edu with the word “Transfer
Update” in the subject line. In the body of the message, please type your
full name and the information you would like to include in your file. We
do not open e-mail attachments.
Withdraw Your Application
To withdraw your application, please write to us or send an e-mail to
fileroom@fas.harvard.edu with the word “Withdraw-Transfer Student”
in the subject line. In the message body, please type your full name, date
of birth and name of current college. You will receive a confirmation via
regular mail.
E-Mail Decisions
You may indicate whether you would like to have your decision sent to
you via e-mail. If you choose this option, please alter your e-mail filters
to allow messages from college@fas.harvard.edu and fileroom@fas.
harvard.edu to reach your inbox. An official decision letter will be sent
via regular mail to all applicants who elect to receive an e-mail notifica-
tion.
Applicants Outside the United States
If you are applying from a school outside the United States, you should
follow the same procedures and timetables as candidates applying from
schools within the U.S.
Translations
We appreciate the effort that many applicants make in providing the
Transfer Admissions Committee with a translation of the recommenda-
tions submitted on their behalf. We ask, however, that any translations
include the name of the translator and that the original untranslated
reports be submitted as well.
All Applicants
Harvard Admission Policy
Harvard University makes all decisions concerning applicants, students,
faculty and staff on the basis of the individual’s qualifications to con-
tribute to Harvard’s educational objectives and institutional needs.
Discriminating against individuals on the basis of race, color, gender,
sexual orientation, religion, age, national or ethnic origin, political
beliefs, veteran status or disability unrelated to course requirements is
inconsistent with the purposes of a university and with the law.
For Entrance in Fall 2011 • Transfer Application Materials

Misrepresentation of Credentials will not be considered for transfer admission. The recommended
deadline for spring enrollment (late January) is October 15, and for
Occasionally, a candidate for admission will make inaccurate state- fall enrollment (late August) is April 15. For further information,
ments or submit false material in connection with his or her applica- please visit our website: www.admissions.college.harvard.edu/
tion. In most cases, these misrepresentations are discovered during apply/vus/.
the admission process and the application is rejected. If a misrepre-
sentation is discovered after a candidate has been admitted, the offer
of admission will be withdrawn.
If a misrepresentation is discovered after a student has registered, the Helpful Application Checklist
offer of admission normally will be revoked and the student will be
required to leave the College. If the discovery occurs after a degree
has been awarded, the degree will be rescinded.
Requirements for All Transfer Applicants:

The determination that an application contains misrepresentations Official score report from the SAT Reasoning Test or
or inaccuracies rests solely with the Admissions Office and will be ACT with Writing component
resolved outside the student disciplinary process.
Official score reports from two SAT Subject Tests
Important Excerpts from the Joint Statement for Candi- (optional)
dates on Common Ivy Group Admission Procedure
The Ivy Group is an association of eight institutions of higher Universal College Transfer Application
education established in 1954 primarily for the purpose of fostering
amateurism in athletics. Relations between the member institutions Harvard Transfer Application Supplement
have grown over the years, and representatives of these institutions
now meet regularly at a variety of levels to discuss topics that range Application fee of $75 or a request for a fee waiver
from the purely academic to the purely athletic and from fundamen-
tal educational philosophy to procedures in admissions. Official Secondary School Transcript
Each member institution has its own identity and character and and
protects its right to pursue its own educational objectives. Thus, al- Official College/University Transcript
though the Ivy Group institutions are similar in many respects, each
member institution will continue to make its own independent ad- Two Professor Recommendations
mission decisions according to its own particular admission policy.
All contacts with students by representatives of Ivy institutions are Financial Aid Application (by February 1, if you plan
intended to provide assistance and information and should be free to apply)
of any activity that applies undue pressure on the candidate. No
information referring to the admission or financial-aid status of an Update address, phone and e-mail address if there are
applicant to any Ivy institution may be considered official or reliable changes after you apply
unless it is received directly from that institution’s admission or
financial aid office.
Participating institutions: Brown University, Columbia University,
Cornell University, Dartmouth College, Harvard University, Univer-
sity of Pennsylvania, Princeton University, Yale University.

Visiting Undergraduate Student Program

The Visiting Undergraduate Student program is available for stu-
dents (usually juniors and seniors) who seek instruction in specific
fields of study at Harvard. The purpose of this program is to meet
the academic needs of undergraduates in other institutions who are
qualified and who wish to spend a term or a year of undergraduate
study at Harvard.
Applicants for this program should be enrolled in a full-time under-
graduate degree program in a college or university that will ordinar-
ily agree to accept Harvard credit towards the student’s diploma or
degree. Visiting Undergraduate Student status usually is limited to a
maximum of two terms, with extension possible only by reapplica-
tion.
Course loads of up to four courses per semester are permitted.
International students must undertake full-time study to meet visa
requirements. Neither financial aid nor on-campus housing is avail-
able. Students who are enrolled at the College as Visiting Students
 2010-11 TRANSFEr Application
For Spring 2011 or Fall 2011 Enrollment

APPLIC ANT
Legal name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Preferred name, if not first name (choose only one) ______________________ Former last name(s), if any _______________________________________

Female
Male
Birth date ____________________________________________________ US Social Security Number, if any ___________________________________
mm/dd/yyyy Optional, unless applying for US Federal financial aid with the FAFSA form

E-mail address ________________________________________________ IM address ____________________________________________________

Permanent home address __________________________________________________________________________________________________________

Number & Street Apartment #

____________________________________________________________________________________________________________________________
City/Town County or Parish State/Province Country ZIP/Postal Code

Preferred Telephone
Home
Cell Home (_______) __________________________________ Cell (_______) __________________________________
Area/Country/City Code Area/Country/City Code
If different from above, please give your current mailing address for all admission correspondence.

Current mailing address (from ___________ to ___________) ____________________________________________________________________________

(mm/dd/yyyy) (mm/dd/yyyy) Number and Street Apartment #

____________________________________________________________________________________________________________________________
City/Town County or Parish State/Province Country ZIP/Postal Code

If your current mailing address is a college or university, include name of school here: _____________________________________________________________

FUTURE PLANS
Your answers to these questions will vary for different colleges. If the online system did not ask you to answer some of the questions you see in this section, this college
chose not to ask that question of its applicants.

College ________________________________________________________ Deadline ______________________________________________________

mm/dd/yyyy
Entry Term:
Fall (Jul-Dec)
Spring (Jan-Jun) Do you intend to apply for need-based financial aid?
Yes
No
Academic Interests _____________________________________________ Do you intend to apply for merit-based scholarships?
Yes
No
Do you intend to be a full-time student?
Yes
No
____________________________________________________________
Do you intend to enroll in a degree program your first year?
Yes
No
____________________________________________________________ Do you intend to live in college housing? ______________________________
Career Interest _________________________________________________ What is the highest degree you intend to earn? _________________________

DEMOGRAPHICS
Citizenship Status ______________________________________________
Non-US Citizenship ______________________________________________
_____________________________________________________________
_____________________________________________________________
Years lived in the US? ____________________________________________
Birthplace ________________________________________________________
City/Town State/Province
1. Are you Hispanic/Latino?

Yes, Hispanic or Latino (including Spain)
No
_________________________________________________________________________
2. Regardless of your answer to the prior question, please indicate how you identify
yourself. (Check all that apply.)

American Indian or Alaska Native (including all Original Peoples of the Americas)
Country Are you Enrolled?
Yes
No If yes, please enter Tribal Enrollment Number________________

First Language _________________________________________________ _________________________________________________________________________

Primary language spoken at home _____________________________________
Asian (including Indian subcontinent and Philippines)
Are you proficient in any other languages? _______________________________ _________________________________________________________________________

_________________________________________________________________
Black or African American (including Africa and Caribbean)

Optional The items with a gray background are optional. No information you
provide will be used in a discriminatory manner.
Marital Status ____________________________________________________
Religious Preference _______________________________________________
US Armed Services veteran?
Yes
No
_________________________________________________________________________

Native Hawaiian or Other Pacific Islander (Original Peoples)
_________________________________________________________________________

White (including Middle Eastern)
_________________________________________________________________________

© 2010 The Common Application, Inc. AP-1 / 2010-11

 FAMILY
Please list both parents below, even if one or more is deceased or no longer has legal responsibilities toward you. Many colleges collect this information for demo-
graphic purposes even if you are an adult or an emancipated minor. If you are a minor with a legal guardian (an individual or government entity), then please list that
information below as well. If you wish, you may list step-parents and/or other adults with whom you reside, or who otherwise care for you, in the Additional Information
section online, or on an attached sheet if applying via mail.

Household
Parents’ Marital Status (relative to each other):
Never married
Married
Widowed
Separated
Divorced (date ________________________)
mm/yyyy
With whom do you make your permanent home?
Parent 1
Parent 2
Both
Legal Guardian
Ward of the Court/State
Other
Parent 1:
Mother
Father
Unknown Parent 2:
Mother
Father
Unknown
Is Parent 1 living?
Yes
No (Date Deceased ____________________) Is Parent 2 living?
Yes
No (Date Deceased ____________________)
mm/yyyy mm/yyyy

____________________________________________________________ ____________________________________________________________
Last/Family/Sur First/Given Middle Title (Mr./Ms./Dr., etc.) Last/Family/Sur First/Given Middle Title (Mr./Ms./Dr., etc.)

Country of birth ________________________________________________ Country of birth ________________________________________________

Home address if different from yours Home address if different from yours

____________________________________________________________ ____________________________________________________________

____________________________________________________________ ____________________________________________________________
Preferred Telephone:
Home
Cell
Work Preferred Telephone:
Home
Cell
Work
(_______) ____________________________________________________ (_______) ____________________________________________________
Area/Country/City Code Area/Country/City Code

E-mail _______________________________________________________ E-mail _______________________________________________________

Occupation _____________________________________________________ Occupation _____________________________________________________

Employer _____________________________________________________ Employer _____________________________________________________

College (if any) ___________________________________ CEEB ________ College (if any) ___________________________________ CEEB ________

Degree _________________________________________ Year _________ Degree _________________________________________ Year _________

Graduate School (if any) ____________________________ CEEB ________ Graduate School (if any) ____________________________ CEEB ________

Degree _________________________________________ Year _________ Degree _________________________________________ Year _________

Legal Guardian (if other than a parent) Siblings

Please give names and ages of your brothers or sisters. If they are enrolled in
Relationship to you _______________________________________________ grades K-12 (or international equivalent), list their grade levels. If they have
attended or are currently attending college, give the names of the undergraduate
____________________________________________________________ institution, degree earned, and approximate dates of attendance. If more than
Last/Family/Sur First/Given Middle Title (Mr./Ms./Dr., etc.)
three siblings, please list them in the Additional Information section.
Home address if different from yours
____________________________________________________________
____________________________________________________________ Name Age & Grade Relationship

____________________________________________________________ College Attended ___________________________________ CEEB _______

Preferred Telephone:
Home
Cell
Work
Degree earned _________________________ Dates __________________
or expected mm/yyyy – mm/yyyy
(_______) ____________________________________________________
Area/Country/City Code
____________________________________________________________
E-mail _______________________________________________________ Name Age & Grade Relationship

College Attended ___________________________________ CEEB _______

Occupation _____________________________________________________

Employer _____________________________________________________ Degree earned _________________________ Dates __________________

or expected mm/yyyy – mm/yyyy
College (if any) ___________________________________ CEEB ________
____________________________________________________________
Name Age & Grade Relationship
Degree _________________________________________ Year _________
College Attended ___________________________________ CEEB _______
Graduate School (if any) ____________________________ CEEB ________
Degree earned _________________________ Dates __________________
Degree _________________________________________ Year _________ or expected mm/yyyy – mm/yyyy
© 2010 The Common Application, Inc. AP-2 / 2010-11
 EDUC ATION
Colleges & Universities Are you currently enrolled in college?
Yes
No
Current or most recent college or university attended_____________________________________________________________________________________
Entry Date __________________ Exit Date __________________ School Type
Public
Independent This is a
2-year
4-year institution
mm/yyyy mm/yyyy
Address ________________________________________________________________________________ CEEB/ACT code ___________________________
Number & Street
__________________________________________________________________________________________________________________________________
City/Town State/Province Country ZIP/Postal Code
Advisor’s name (Mr./Ms./Dr., etc.) ______________________________________________ Advisor’s title __________________________________________
E-mail __________________________________ Telephone (_______) ______________________ Fax (_______) _________________________________
Area/Country/City Code Number Ext. Area/Country/City Code Number
List all other colleges or universities, including summer schools as well as summer and other programs, you have attended, beginning with your first year of college.
College/University Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Degree Candidate? Dates Attended Degree(s) Earned
Yes No (mm/yyyy)
_________________________________ ___________________________________________

__________________ __________________
_________________________________ ___________________________________________

__________________ __________________
_________________________________ ___________________________________________

__________________ __________________
Do you expect to earn a degree prior to enrolling at the college to which you are applying?
Yes
No If so, what type of degree? _________________________
Are you a member of Phi Theta Kappa?
Yes
No
Secondary Schools
List all secondary schools you have attended. Please have a School Report form, Official Transcript, and School Profile sent from each institution as soon as possible.
Name of School & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Dates Attended (mm/yyyy)
_____________________________________________ _______________________________________________________ ____________________
_____________________________________________ _______________________________________________________ ____________________
_____________________________________________ _______________________________________________________ ____________________
Secondary School Graduate Date __________________
mm/dd/yyyy
Please list any community program/organization that has provided free assistance with your application process: ______________________________________________
If your education was interrupted, please indicate so here and provide details in the Additional Information section:___________________________________________

AC ADEMICS
The self-reported information in this section is not intended to take the place of your official records. Please note the requirements of each institution to which you are
applying and arrange for official transcripts and score reports to be sent from your secondary school and the appropriate testing agencies. Where “Best Scores” are
requested, please report the highest individual scores you have earned so far, even if those scores are from different test dates.
Secondary
School Class Rank _________ Class Size _________ Weighted?
Yes
No GPA _________ Scale _________ Weighted?
Yes
No
Grades (if available) (if available)

ACT Exam Dates: ________ ________ ________ Best Scores: _________ ______ _________ ______ _________ ______
(past & future) mm/yyyy mm/yyyy mm/yyyy (so far) COMP mm/yyyy English mm/yyyy Math mm/yyyy
_________ ______ _________ ______ _________ ______
Reading mm/yyyy Science mm/yyyy Writing mm/yyyy

SAT Exam Dates: ________ ________ ________ Best Scores: _________ ______ _________ ______ _________ ______
(past & future) mm/yyyy mm/yyyy mm/yyyy (so far) Critical Reading mm/yyyy Math mm/yyyy Writing mm/yyyy

TOEFL/ Exam Dates: ________ ________ ________ Best Score: _________ ______ ______
IELTS (past & future) mm/yyyy mm/yyyy mm/yyyy (so far) Test Score mm/yyyy

AP/IB/SAT Best Scores: ________ __________________________________ _____ ________ __________________________________ _____

Subjects (per subject, so far) mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score

________ __________________________________ _____ ________ __________________________________ _____

mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score

________ __________________________________ _____ ________ __________________________________ _____

mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score

________ __________________________________ _____ ________ __________________________________ _____

mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score

Current Courses Please indicate title, level (100-level, 200-level, etc.) and credit value of all courses you are taking this year. Indicate quarter classes taken in the
same semester on the appropriate semester line. If you’re not currently enrolled in college, please list the classes you took during 12th grade.
First Semester/Trimester Second Semester/Trimester Third Trimester
or additional first/second term courses if more space is needed
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
© 2010 The Common Application, Inc. AP-3 / 2010-11
Honors Briefly list any academic distinctions or honors you have received since the 11th grade or international equivalent (e.g. National Merit, Cum Laude Society).
Grade level Honor Level of Recognition
School State/ National Inter-
11 12 FY SO JR Regional national





_________________________________________________________________________________









_________________________________________________________________________________









_________________________________________________________________________________









_________________________________________________________________________________









_________________________________________________________________________________

EXTRACURRICULAR ACTIVITIES & WORK EXPERIENCE

Extracurricular Please list your principal extracurricular, volunteer, and work activities in their order of importance to you. Feel free to group your activities and
paid work experience separately if you prefer. Use the space available to provide details of your activities and accomplishments (specific events, varsity letter, musical
instrument, employer, etc.). To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach a résumé.
Approximate When did you participate If applicable,
Grade level time spent in the activity? do you plan
Summer/ Positions held, honors won, letters earned, or employer
to participate
11 12 FY SO JR Hours Weeks School School
per week per year year Break in college?

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

________________________________________________________________

Activity _________________________________________________________________________________________________________________

© 2010 The Common Application, Inc. AP-4 / 2010-11

 WRITING
Short Answer Please briefly elaborate on one of your extracurricular activities or work experiences in the space below or on an attached sheet (150 words or fewer).

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Personal Essay This personal essay helps us become acquainted with you as a person and student, apart from courses, grades, test scores, and other objective
data. It will also demonstrate your ability to organize your thoughts and express yourself.

Please provide a statement (250 words minimum) that addresses your reasons for transferring and the objectives you hope to achieve, and attach it to your
application before submission. NOTE: Your Common Application essay should be the same for all colleges. Do not customize it in any way for individual colleges.
Colleges that want customized essay responses will ask for them on a supplement form.

Additional Information If there is any additional information you’d like to provide regarding special circumstances, additional qualifications, etc., please do so in the
space below or on an attached sheet.

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Disciplinary History

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent)
forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from
the institution?
Yes
No
 Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime?
Yes
No
[Note that you are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed,
annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.]
If you answered “yes” to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances, and
reflects on what you learned from the experience.

SIGNATURE
Application Fee Payment If this college requires an application fee, how will you be paying it?

Online Payment
Will Mail Payment
Online Fee Waiver Request
Will Mail Fee Waiver Request
Required Signature
 I certify that all information submitted in the admission process-including the application, the personal essay, any supplements, and any other supporting
materials-is my own work, factually true, and honestly presented, and that these documents will become the property of the institutions to which I am applying
and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or
revocation of course credit, grades, and degree should the information I have certified be false.
 I acknowledge that I have reviewed the application instructions for each college receiving this application. I understand that all offers of admission are conditional,
pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based, as well as honorable dismissal from the school.
 I affirm that I will send an enrollment deposit (or equivalent) to only one institution; sending multiple deposits (or equivalent) may result in the withdrawal of my
admission offers from all institutions. [Note: students may send an enrollment deposit (or equivalent) to a second institution where they have been admitted from
the waitlist, provided that they inform the first institution that they will no longer be enrolling.]

Signature _______________________________________________________________________________________________ Date ___________________

mm/dd/yyyy

Common Application member institution admission offices do not discriminate on the basis of race, color, ethnicity, national origin, religion, creed, sex,
age, marital status, parental status, physical disability, learning disability, political affiliation, veteran status, or sexual orientation.

© 2010 The Common Application, Inc. AP-5 / 2010-11

 Committee on Transfer Admissions Harvard Transfer Application
86 Brattle Street
Cambridge, MA 02138
617-495-1551 Supplement
Fax: 617-495-8821

IMPORTANT — CHECK THE APPROPRIATE BOX BELOW:

Academic class you expect to enter at Harvard College:

Sophomore Junior

Application Deadline is March 1, 2011.

TAS
Full legal name
Last/Family First Middle Jr., etc.

Prefer to be called Date of Birth

(MM/DD/YYYY)

Address
No. and Street Apt./Unit

City State/Province Country Zip/Postal Code

Telephone Number

If you can be reached Fax number Contact person

by fax or e-mail, please
provide a fax number or
e-mail address and name E-mail address Contact person
of the contact person.

Would you like your ad- Yes No

mission decision e-mailed
to you? Final decisions
will also be mailed to your
permanent home address.

Application fee payment Check/Money Order attached Counselor approved fee waiver attached Credit card payment online

Application confirmation Once you have submitted your application, we will send an e-mail confirming your status as an applicant. Confirmation messages will be sent
between December 1 and April 1.

If married, list your

spouse’s name and any
college attended.
Name College attended

If you have children,

please list their names
and ages.

Please list the cities and

countries where you
have lived, with years of
residence in each.
GPA Please indicate your current college GPA .

If you have previously
applied for admission to
Harvard, please indicate
for which you applied.
Freshman applicant? Yes No September 20 Transfer Applicant? Yes No 20
Did you attend Harvard as a Visiting Undergraduate Student? Yes No
If “yes,” please indicate dates attended: to .
(MM/YYYY) (MM/YYYY)

For the following two questions, please use the number or numbers indicating your choice in the box or space provided.

What is your intended

field of specialization at
Harvard? 01 Afro-American Studies 15 Engineering Sciences 29 Near Eastern Languages and Civilizations
02 Anthropology 16 English and American Literature and Language 30 Neurobiology
03 Applied Math 17 Environmental Science and Public Policy 31 Organismic and Evolutionary Biology
04 Astronomy and Astrophysics 18 Folklore and Mythology 32 Philosophy
05 Biochemical Sciences 19 Germanic Languages and Literature 33 Physics
06 Biology 20 Government 34 Psychology
07 Chemistry 21 History 35 Romance Languages and Literatures

TAS
08 Chemistry and Physics 22 History and Literature 36 Sanskrit and Indian Studies
09 Classics 23 History of Science 37 Slavic Languages and Literatures
10 Comparative Study of Religion 24 History of Art and Architecture 38 Social Studies
11 Computer Science 25 Linguistics 39 Sociology
12 Earth and Planetary Sciences 26 Literature 40 Statistics
13 East Asian Studies 27 Mathematics 41 Visual and Environmental Studies
14 Economics 28 Music 42 Women, Gender and Sexuality

At this time, which 01 Arts, Visual Arts 15 Outdoor Activities 29 Soccer

two college activities 02 Dramatics 16 Baseball 30 Softball
or sports interest you 03 Vocal Music 17 Basketball 31 Squash
most? 04 Band 18 Crew–Heavyweight 32 Swimming, Diving
05 Orchestra 19 Crew–Lightweight 33 Tennis
06 Writing / Literary Magazine 20 Fencing 34 Track, Cross-Country
07 Journalism 21 Field Hockey 35 Volleyball
08 Student Government 22 Football 36 Water Polo
09 Debate 23 Golf 37 Wrestling
10 Social Service 24 Hockey 38 Cheerleading
11 Ethnic Groups 25 Lacrosse 39 Martial Arts
12 Religious Groups 26 Sailing 40 MUN
13 Political Groups 27 Ski–Alpine 41 Gender and Sexuality
14 Dance 28 Ski–Nordic Racing

First Choice Second Choice 42 Other

If a sport, indicate Intercollegiate Intercollegiate

intended level of
participation. Club / Intramural / Recreational Club / Intramural / Recreational

Briefly, please indicate the most influential factors in your original decision to attend your present college, such as location, cost, size of
student body, only option, special program offered, Early Decision plan, etc.

Harvard Transfer Supplement: Side 2 of 4

What alternatives to transferring to Harvard are you considering?

If you have earned or will earn credit for any college-level courses online, please list them here, including semester completed.

TAS
Along with the Common or Universal College Transfer Application, we require two Instructor Evaluation forms to be completed by
college faculty members and returned with your application. To help us determine that your application is complete, please provide the
names of the two faculty members you have selected to write on your behalf.

1) 2)

Based upon your intended field of specialization, briefly outline your academic plans at Harvard College.

Please describe your current postgraduate/career plans.

Briefly discuss one book that has strongly influenced you.

Harvard Transfer Supplement: Side 3 of 4

Required Additional Personal Statement
In addition to understanding your reasons for seeking transfer admission to Harvard College, the Admissions Committee would like you
to write about anything that would help us to know you better.

TAS

Signature Date

01/10
Harvard Transfer Supplement: Side 4 of 4
 2010-11 COLLEGE OFFICIAL’S Report OR
For Spring 2011 or Fall 2011 Enrollment

TO THE APPLIC ANT

This form must accompany an official copy of your transcript and must be completed by a college official(s) who has access to your academic record
and your disciplinary record. Please follow these steps to ensure the form is completely accurately and in its entirety. Step 1: Complete all relevant questions
below, including the signature statement. Step 2: Give this form to a dean or college official who has access to your academic record and ask that official to com-
plete the academic portion of this form. Step 3: If the official completing the academic portion does not also have access to your disciplinary record, please ask the
individual to securely forward the form to a second official who can answer those questions before duplicating this form and mailing it to your colleges along with
copies of your official transcript(s).

Female
Legal name ___________________________________________________________________________________________________________________
Male
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code

College/university you now attend ________________________________________________ CEEB/ACT code ______________________________________

Current year courses—please indicate title, level, and credit value of all courses you are taking this year. Indicate quarter classes taken in the same semester on the
appropriate semester line.
First Semester/Quarter Grade Second Semester/Quarter Grade Third Quarter Grade
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
How many college credits have you earned prior to this academic year? ________ How many college credits will you earn this academic year? ________

IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Federal
Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by the Common Application member institution(s) to which I am applying.
I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact
officials at my current and former schools should they have questions about the school forms submitted on my behalf.
I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents
submitted by me and on my behalf, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. I waive my right to access below, regardless of the institution to which it is sent:

Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.

No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or
on my behalf to the institution at which I’m enrolling, if that institution saves them after I matriculate.
Required Signature _______________________________________________________________________________________ Date _________________

TO THE COLLEGE OFFICIAL

If you have access to the applicant’s academic record and disciplinary record, please complete this form in its entirety. Attach the applicant’s official transcript (check
copies for readability). Use both pages to complete your evaluation for this student, and be sure to sign below. If you have access to the applicant’s academic record only,
please complete the relevant portion of this form, then forward to the appropriate official for completion of the disciplinary questions, asking that official to mail the form
to the applicant’s colleges after doing so.
College official’s name (Mr./Ms./Dr., etc.) _____________________________________________________________________________________________
Please print or type
Signature _________________________________________________________________________________________________ Date _____________________
mm/dd/yyyy
Title ___________________________________________________________ College or university _____________________________________________

College or university address ______________________________________________________________________________________________________

City/Town State/Province Country ZIP/Postal Code
College official’s telephone (_______) ________________________________
____ College official’s fax (_______) _____________________________________
Area/Country/City Code Number Ext. Area/Country/City Code Number Ext.
College or university CEEB/ACT code ___________________________ College official’s e-mail ___________________________________________________
mm/dd/yyyy

© 2010 The Common Application, Inc. OR-1/ 2010-11

Background Information

Cumulative GPA: ________ on a _________ scale, covering a period from ____________ to ____________ School Seal
(mm/yyyy) (mm/yyyy)

This GPA is
weighted
unweighted. The school’s passing mark is ________________________________.

Highest GPA in class ____________________________________ Graduation date ___________________

(mm/dd/yyyy)

If you know this student, please indicate for how long and in what context. ____________________________________________________________________

If you know this student, what are the first words that come to your mind to describe this student? _________________________________________________

Ratings Compared to other students in his or her class year, how do you rate this student in terms of:
Very good One of the top few
Good (above (well above Excellent Outstanding I’ve encountered
No basis Below average Average average) average) (top 10%) (top 5%) (top 1%)
Academic achievement
Extracurricular accomplishments
Personal qualities and character
OVERALL

Evaluation Please provide comments that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference you’ve
prepared for this student. We especially welcome a broad-based assessment and encourage you to consider describing or addressing:
• The applicant’s academic, extracurricular, and personal characteristics.
• Relevant context for the applicant’s performance and involvement, such as particularities of family situation or responsibilities, work obligations, or other
circumstances, either positive or negative.
• Observed problematic behaviors, perhaps separable from academic performance, that an admission committee should explore further.

If you are completing only the questions pertaining to the applicant’s disciplinary record, please provide the following information:
College official’s name (Mr./Ms./Dr., etc.) _____________________________________________________________________________________________
Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

Title ___________________________________________________________ College official’s e-mail __________________________________________

College official’s telephone (_______) ________________________________

____ College official’s fax (_______) _____________________________________
Area/Country/City Code Number Ext. Area/Country/City Code Number Ext.

Is this applicant in good academic standing?
Yes
No
 Is this applicant eligible to return to your school?
Yes
No
If you answered no to either or both questions, please attach a separate sheet of paper or use your written recommendation to provide details.

Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that
resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution?
Yes
No
 To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime?
Yes
No
If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each
incident and explain the circumstances.

Check here if you would prefer to discuss this applicant over the phone with each admission office.

I recommend this student:
No basis
With reservation
Fairly strongly
Strongly
Enthusiastically
© 2010 The Common Application, Inc. OR-2/ 2010-11
 2010-11 COLLEGE INSTRUCTOR EVALUATION IE
For Spring 2011 or Fall 2011 Enrollment

TO THE APPLIC ANT

After completing all the relevant questions below, give this form to an instructor who has taught you a full-credit college class. If applying via mail, please also give
that instructor stamped envelopes addressed to each institution that requires an Instructor Evaluation.

Female

Male
Legal name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code

College or university you now attend ______________________________________________ CEEB/ACT code ______________________________________

IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Federal
Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by the Common Application member institution(s) to which I am applying.
I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact
officials at my current and former schools should they have questions about the school forms submitted on my behalf.
I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents
submitted by me and on my behalf, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. I waive my right to access below, regardless of the institution to which it is sent:

Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.

No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or
on my behalf to the institution at which I’m enrolling, if that institution saves them after I matriculate.
Required Signature _______________________________________________________________________________________ Date _________________

TO THE INSTRUCTOR
The Common Application membership finds candid evaluations helpful in choosing from among highly qualified candidates. You are encouraged to keep this form in
your private files for use should the student need additional recommendations. Please submit your references promptly, and remember to sign below.

Instructor’s name (Mr./Ms./Dr., etc.) _______________________________________________________ Subject taught _______________________________

Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

College or university _____________________________________________________________________________________________________________

School address ________________________________________________________________________________________________________________

Number & Street City/Town State/Province Country ZIP/Postal Code

Instructor’s telephone (_______) ________________________________________________ Instructor’s e-mail ____________________________________

Area/Country/City Code Number Ext.

Background Information
How long have you known this student and in what context? _______________________________________________________________________________

What are the first words that come to your mind to describe this student? _____________________________________________________________________

List the courses you have taught this student, noting for each the student’s year in school (first-year, sophomore, etc.) and the level of course difficulty
(100-level, 200-level; etc.).
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
© 2010 The Common Application, Inc. IE-1/ 2010-11
INSTRUCTOR EVALUATION 2
Ratings Compared to other students to whom you have taught this class, how do you rate this student in terms of:
Very good One of the top few
Good (well above Excellent Outstanding I’ve encountered
No basis Below average Average (above average) average) (top 10%) (top 5%) (top 1%)

Academic achievement
Intellectual promise
Quality of writing
Creative, original thought
Productive class discussion
Respect accorded by faculty
Disciplined work habits
Maturity
Motivation
Leadership
Integrity
Reaction to setbacks
Concern for others
Self-confidence
Initiative, independence
OVERALL

Evaluation Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in
your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may
have prepared on behalf of this student.)

© 2010 The Common Application, Inc. IE-2/ 2010-11

INSTRUCTOR EVALUATION 2
 2010-11 COLLEGE INSTRUCTOR EVALUATION IE
For Spring 2011 or Fall 2011 Enrollment

TO THE APPLIC ANT

After completing all the relevant questions below, give this form to an instructor who has taught you a full-credit college class. If applying via mail, please also give
that instructor stamped envelopes addressed to each institution that requires an Instructor Evaluation.

Female

Male
Legal name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

Birth date __________________________________________________________________ Social Security # _____________________________________

mm/dd/yyyy (Optional)

Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code

College or university you now attend ______________________________________________ CEEB/ACT code ______________________________________

IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Federal
Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by the Common Application member institution(s) to which I am applying.
I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact
officials at my current and former schools should they have questions about the school forms submitted on my behalf.
I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents
submitted by me and on my behalf, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. I waive my right to access below, regardless of the institution to which it is sent:

Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.

No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or
on my behalf to the institution at which I’m enrolling, if that institution saves them after I matriculate.
Required Signature _______________________________________________________________________________________ Date _________________

TO THE INSTRUCTOR
The Common Application membership finds candid evaluations helpful in choosing from among highly qualified candidates. You are encouraged to keep this form in
your private files for use should the student need additional recommendations. Please submit your references promptly, and remember to sign below.

Instructor’s name (Mr./Ms./Dr., etc.) _______________________________________________________ Subject taught _______________________________

Please print or type

Signature _________________________________________________________________________________________________ Date _____________________

mm/dd/yyyy

College or university _____________________________________________________________________________________________________________

School address ________________________________________________________________________________________________________________

Number & Street City/Town State/Province Country ZIP/Postal Code

Instructor’s telephone (_______) ________________________________________________ Instructor’s e-mail ____________________________________

Area/Country/City Code Number Ext.

Background Information
How long have you known this student and in what context? _______________________________________________________________________________

What are the first words that come to your mind to describe this student? _____________________________________________________________________

List the courses you have taught this student, noting for each the student’s year in school (first-year, sophomore, etc.) and the level of course difficulty
(100-level, 200-level; etc.).
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
© 2010 The Common Application, Inc. IE-1/ 2010-11
INSTRUCTOR EVALUATION 2
Ratings Compared to other students to whom you have taught this class, how do you rate this student in terms of:
Very good One of the top few
Good (well above Excellent Outstanding I’ve encountered
No basis Below average Average (above average) average) (top 10%) (top 5%) (top 1%)

Academic achievement
Intellectual promise
Quality of writing
Creative, original thought
Productive class discussion
Respect accorded by faculty
Disciplined work habits
Maturity
Motivation
Leadership
Integrity
Reaction to setbacks
Concern for others
Self-confidence
Initiative, independence
OVERALL

Evaluation Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in
your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may
have prepared on behalf of this student.)

© 2010 The Common Application, Inc. IE-2/ 2010-11

INSTRUCTOR EVALUATION 2