Printable Secondary School Report Form - Maryville University

Freshman Admission 2015School Report FormApplicants should complete Section I and submit the form to their school counselor. Counselors should completeSection II and forward the form along with the respective transcripts to Maryville University’s Admission Office.SECTION I (to be completed by student)Name________________________________________________________________________________________________________First Middle LastSocial Security number: ___________|__________|______________Date of birth: _______________________________________mm/dd/yyyyAddress: _____________________________________________________________________________________________________Number/Street______________________________________________________________________________________________________________City State Zip CountryI recognize the confidential nature of this form and I do do not waive my right to access.Signature of applicant_____________________________________________________________________________Date___________________________________________________________________________________________Senior Year Courses: Current year courses – please indicate title, level (AP, IB, advanced honors, etc.)and credit value of all courses you are taking this year.First Term CoursesSecond Term Courses________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________650 Maryville University Drive, St. Louis, MO 63141 • www.maryville.edu • 800.627.9855