Serein Ali Cameron

Please fill out this form as accurately and completely. Dont be afraid to brag about yourself a little. Your
counselor and teachers will use this information in recommending you for scholarships, college admission, and
other honors/awards.
SECTION 1: GENERAL INFORMATION
Full Name: Serein Ali Cameron
Nickname: None.
Name of Parents you live with: Iman Leger
Siblings (Name & Ages): Kareem Cameron 16; Cheyanne Leger 11
Year of Graduation: 2019
SECTION 2: ACADEMIC AND TESTING INFORMATION
ACADEMICS:
Unweighted Overall GPA: 3.00
Weighted Overall GPA: 3.00
Class Rank: ____ out of ____
TESTING:
PSAT/SAT:
Date Taken: ___________ Overall Score: ______ Reading: ______ Math: ______ Writing: ______
Date Taken: ___________ Overall Score: ______ Reading: ______ Math: ______ Writing: ______
Date Taken: ___________ Overall Score: ______ Reading: ______ Math: ______ Writing: ______
ACT:
Date Taken: ___________
Overall Score: ______ English: _______ Math: ______ Science: ______ Writing: _____
Date Taken: ___________
Overall Score: ______ English: _______ Math: ______ Science: ______ Writing: _____
Have you registered for a future ACT / SAT?

Yes or No

Date: __________

SECTION 3: CLUBS, HONORS, & AWARDS (Begin with 9th grade)

Clubs and Organizations:
Name of club or organization
Art Club

Responsibilities
Member

Years Involved / Grades

2016-2017

Awards and Honors:

Name of Award

Reason for Award

Year

Responsibilities / Positions

Year

Extra-Curricular Activities:
Activity

SECTION 4: VOLUNTEER AND WORK

Volunteer / Community Service :
Activity

Responsibilities / Positions

Year

Responsibilities / Positions

Year

Work Experience:
Employed by
Babysitting

I would take care of 4 child. Ages

from 1-6

2016-2017

SECTION 5: GETTING TO KNOW YOU

1. What do you consider your strongest personal asset? Why?
2. What is your biggest weakness? Why?
3. What three adjectives best describe you?
A.
B.
C.
4. List three teachers, mentors, or coaches who would speak highly of you.
A.
B.
C.
5. Identify some things you would like for someone writing a recommendation to know about you?
(Hardships you have overcome; accomplishments youre particularly proud of, ect.)

6. Is there anything unusual or unique about your familycultural background, traditions, shared
interests and activities, family size and your place in order of the children, travel, crises, etc.that has
had a significant impact on you?
7. What are your hobbies or interests outside of school? Explain why.
8. List at least two of your academic strengths and give at least one example. (Be specifici.e., problem
solving, writing, creative thinking. Do not just list your strong subject areas.)
9. What are your proudest personal and academic accomplishments during high school?
Personal:
Academic:
10. Have you met with your counselor at MHS? Do they know who you are? Would they remember you?
I havent met with my MHS counselor yet. Im pretty sure they do not know who I am yet.