`12356789-MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY

Cagayan de Oro City

GUIDANCE SERVICES UNIT

Manual

I. General Introduction

A. Highlights and Rationale

Guidance is defined as the process of helping individuals understand

themselves and their world. It is essential because of human needs
and desires. Around us are conditions and situations which reflect
wasted human energy, misspent lives, misery, poverty, disaster,
unnecessary loss of lives, and all because of lack of direction and
wrong choices of vocation, recreation, companions, educational
opportunities and sense of values. We cannot be completely satisfied
with the things we have or possess. Even those who claim that they do
not need any help find that they need someone to talk to in order to
have an outlet for their pent-up emotions and feelings. (Shertzer and
Stone)

The tendency to guide is instinctive in most of us. Within us is a desire

to help others sometimes latent, sometimes active, but the desire is
there. (Shertzer and Stone)

Guidance is an integral part of the university’s education program. It

aims to maximize the use of its materials and human resources in the
total development of the students in assisting them adjust to school
life, overcome various problems related to school work, day to day life
and the development of their habits, attitudes, skills and knowledge to
prepare them for successful employment or entrepreneurship.

B. Objectives of the Manual

The manual will serve as a guide in availing the services of

the unit. This will also help students, teachers and administrators
become aware of the services the unit offers, the procedures on how to
avail and the implementation of its programs and activities.

II. Flow and Procedure

Guidance Services is available to all bonafide students of the

university including alumni, returnees and those who wish to transfer
to the university, parents, visitors, teachers and colleagues. The
services can be availed simply by visiting the office or by appointment.
It is on a first come first serve basis. The client/s will be attended to by
the Officer of the Day/Student Assistant and will sign the log-book and
directed to the assigned counselor or to any available counselor.
III The VMGO of the Unit

VISION
Provide a client-friendly environment and services that will promote
behavioral competencies.

MISSION
To fully direct its efforts and commitment in guiding students
become highly motivated, value-laden, responsible, resilient to life’s
challenges and cultivate in them a sense of pride and maturity.

GOAL
To develop psychologically sound individuals by providing resources
and effective guidance services.

OBJECTIVE
To maximize the use of its resources in the development of
students’ well-being.

1V. The General Guidance Services Program

A. Individual Planning

1. Individual Inventory Service

Description
- is the collection, organization and utilization of
students’ data.

Flow of Implementation

 Freshmen students and transferees are required to fill-

out the Questionnaire for Initial Interview which also
serve as the Personal Data Sheet
 Download List of Officially Enrolled students from the
system
 The Applications for Admission together with the
Answer Sheets of the freshmen students and
transferees from the Admissions Office and the
Personal Data Sheets are filed by program
 Records of old students are also filed by program and
year level
 Interview and counseling notes are reflected in the
student’s individual Personal Data Sheet
 Records of student- leavers are pulled out and filed as
inactive
 Records of graduates are also pulled-out and filed by
program and college
 2. Career Center Services

Description
-aims to help students know themselves (values,
interests, skills, strengths and weaknesses), explore career
options thru the use of Occupational Brochures, Career Guide
and Psychological Test Results in career decision-making and
assist graduating students in their job application (resume
and application letter writing/critiquing )

Flow of Implementation

 Extend career guidance to students who visit the

office or referred by the Career Peer Assistant
 Coordinate/collaborate with Career Center Director in
the conduct of activities like OJT Orientation, Pre-
employment and Job Expo
 Perform tasks as assigned by the Career Center
Director

3. Follow-up Service

Description
- an integral part which monitors student’s progress
with regards to their academic performance, home and
other concerns

Flow of Implementation

 Students previously counseled with serious

problems/concerns are followed-up or advised to come
back for another counseling session
 Students referred by Student Affairs Welfare Office for
counseling for certain violations as provided in the
Student Handbook are also followed-up
 Students who failed to fill-out the Personal Data Sheets
are also required to visit the Guidance Office and
followed-up

B. Responsive Services

1. Orientation Program

Description
 -an activity conducted at the start of every semester
where all freshmen students and transferees are
gathered. The different student services like Medical,
Dental, Guidance, Scholarships, Sports, Cafeteria,
Academic and Non-academic policies are discussed.

Flow of Implementation

 Coordinate/collaborate with Student Affairs Welfare

Office
 Perform tasks as assigned by the Head, SAWO
 Discuss Guidance Services and other related topics

2. Interview and Counseling

Description

-a process by which a troubled person/client is

helped to feel and behave in a more personally
satisfying manner through interaction with a counselor
(Shetzer and Stone)

Flow of Implementation

 Announce/invite freshmen students during the

orientation program to visit the guidance office and
see their assigned guidance counselor for initial
interview
 issue call slip and check student’s class schedule in
the system
 send call slip through the student assistant in their
classroom
 attend to walk-in/invited student
 coordinate with subject teachers/chairmen to allow
students to visit the guidance office for interview and
counseling
 counsel students referred by instructors and SAWO
 conduct exit interview to graduating students

3. Information Service

Description
- designed to provide students with
educational, personal-social and career
information needed to understand themselves and
their environment

Flow of Implementation
  Plan for the date, venue and topics for discussion
and the resource person/s to be invited
 Prepare communication reflecting budget needed
and attached tentative program for approval
 Reserve venue by filling-out the reservation form
provided by the AVR staff
 Once communication/request is approved
disseminate information to the offices concerned
(Deans and Chairmen); provide a copy of the
approved communication, program and schedule
 Prepare communication for the resource speaker/s
 Coordinate with other persons involved in the
program and other units for other needs
 Post schedule in strategic places
 Registration by program/course
 Conduct Student’s Evaluation of the Activity at the
end of the program and consolidate the results
 Prepare summary of students’ attendance

V. Systems Support

A. Guidance Staff Professional Development

Description
- The guidance staff is encourage to attend
seminars/workshops/trainings annually to
enhance knowledge and skills in the field of
Guidance and Counseling.

Flow of implementation

 Inform staff of the invitation to attend

seminars/workshops/ trainings
 Interested staff will fill-out the Request to Attend
form and process for approval

B. Committee Participation

Description
- the Guidance Staff is assigned to the
different committees by the administration as
needed. At present, the staff is a member of the
Fact Finding Dialogue of SAWO and Ecumenical
Thanksgiving and Baccalaureate Celebration

Flow of implementation

1. Fact Finding Dialogue

 1.1 A memorandum is received for the schedule
and other
related information regarding the Fact Finding
Dialogue
signed by the Director, Student Affairs Welfare
Services
1.2 Attend the dialogue
1.3 Sign SAWS report to the Vice-President for Student
Affairs with the
recommendations of the case

2. Ecumenical Thanksgiving and Baccalaureate

Celebration
H
2.1 Receive official notice from the Chairman of
the
Committee
2.2 Prepare Invitation Letter to the celebrants
( Catholic, Muslim
and Evangelical) signed by the Chairman
2.3 Prepare communication requesting for Budget
(Celebrants’
honoraria and meals)
2.4 Prepare program and coordinate with
the staff at the
publication for reproduction
2.5 Send invitation letters to the celebrants
2.6 Coordinate with Sanghimig Chorale for the
Songs
2.7 Coordinate with other staff for the venue
2.8 Prepare and distribute Program to the different
offices
2.9 Post Information in strategic places
3.0 Coordinate with Faculty/Deans/Chairmen and
non-teaching
staff for students, faculty and personnel
attendance
3.1 Coordinate with the cafeteria staff for meals

VI. Job Descriptions

A. Guidance Coordinator

Specific Duties and Responsibilities:

 Prepares/consolidates Annual Work and Financial Plan, Annual
Procurement Program/PPMP, Quarterly Monitoring and Evaluation of
Work and Financial Plan and other periodic reports and documents
that may be requested
 Plans, coordinates and spearheads guidance activities (Information
Service) e.g. Freshmen Orientation, lecture series/symposia etc.
 Serves as Guidance Counselor for the College of Arts and Sciences,
BS Information Technology and BS Auto-Mechanical Technology
students
 Assists the Director of the Career Center in providing Career
Services to the students (Career Advising, Pre-employment
Orientation, On the Job Training Orientation & Job Expo)
 Gathers, files and maintains students’ records
 Prepares/improves individual inventory forms
 Extends interview and counseling to students
 Visits satellite campuses and extends guidance services
 Makes referral to program chair and qualified personnel of different
colleges and units to further assist students
 Follows-up students previously counseled and walk-in
 Orients and supervises student assistants and student immersion
 Provides documents as requested for Accreditation
 Attends staff meetings called by VPSA and Director of SAWS
 Attends university-wide activities
 Coordinates with the Deans, Chairmen, Instructors and other office
personnel

Performs Other Related Tasks

 Attends to visitors queries
 Committee member on student’s investigation/dialogue conducted by
SAWS
 Committee member on Ecumenical Thanksgiving and Baccalaureate
Celebration
 Prepares/withdraws office supplies and materials

B. Guidance Counselor

Specific Duties and Responsibilities:

 Assists the Guidance Coordinator in preparing/consolidating Annual
Work and Financial Plan, Annual Procurement Program/PPMP,
Quarterly Monitoring and Evaluation of Work and Financial Plan and
other periodic reports and documents that may be requested
 Assists the Guidance Coordinator in making plans and coordination
in the conduct of guidance activities ( Freshmen Orientation ,
lecture series/symposia, etc. )
 Assists the Director of the Career Center in providing Career
Services to the students (Career Advising, Pre-employment
Orientation, On-the-Job Training Orientation & Job Expo)
 Gathers, files and maintains students’ records
 Prepares/improves individual inventory forms
 Extends interview and counseling to students
 Visits satellite campuses and extends guidance services
 Makes referral to program chair and qualified personnel of different
colleges and units to further assist students
 Follows-up students previously counseled or walk-in
 Provides documents as requested for Accreditation
 Attends staff meetings called by VPSA and Director of SAWS
 Attends university-wide activities
 Coordinates with the Deans, Chairmen, Instructors and other office
personnel

Performs Other Related Tasks

 Attends to visitors queries
 Committee member on student’s investigation/dialogue conducted by
SAWS
 Committee member on Fact-Finding
 Committee member on the Cafeteria Inspection Team
 Committee member on Ecumenical Thanksgiving and Baccalaureate
Celebration

VII. Forms

A. Evaluation

1. Client Satisfaction Survey

 CLIENT SATISFACTION SURVEY
The Guidance Services Unit (GSU) is carrying out a survey to
collect information on GSU clients’ satisfaction with the
services we provide.
In an effort to serve you better, we would appreciate it if you
would take a few minutes to answer the following questions as
honestly as possible. Your valuable responses will assist us in
providing you with best service possible.

Thank you for your help, it is greatly appreciated.

Guidance
Counselor

1. What is your purpose in visiting the Guidance office? Please

check.
____ Initial interview ____Terminal Interview
____ Referral ____ Counseling
____ Consultation ____ Follow up

2. What college do you belong?

____ CAS ____ CEA ____ CIIT ____ CPSEM

3. What is your year level?

____ 1st ____ 2nd ____ 3rd ____ 4th ____5th
4. What is your sex?
____ Male ____ Female
5. In general, how would you rate the Guidance Services?
____ Very good ____ Good ____ Acceptable ____ Non-
commendable

6. How do you feel about the waiting time, after the office opens
at 8:00 AM?
(Not when you arrive before it opens)
____ Much too long ____ Too long ____ About
right
7. Do you usually receive the service/s you need during your
visit?
____ Yes ____ No
8. When you arrived, how would you rate the assistance you
received from
the receiving section?
____ Prompt and helpful ____ Helpful after I
asked
____ Slow and unhelpful ____ Rude
9. Which term best describes the person who served you?
____ Friendly ____ Caring ____
Professional
 ____ Uncaring ____ Insensitive ____
Rude

10. Thank you for answering our questions today. Is there any
other
information/comments/suggestions/recommendations you
would like to provide? Use the space provided below.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
 2. Student’s Evaluation of Activity

MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY

Cagayan de Oro City

STUDENT'S EVALUATION OF ACTIVITY

Title of
Activity_____________________________________________________
Date: _______________Time: ______________ Venue:
____________________
Department: ___________ Course & Year Level: ______________
Sex:________

In an effort to serve you better, we would appreciate it if

you would take a few minutes to evaluate honestly this
activity by checking the column that corresponds to your
rating. Your valuable responses will help us improve in
conducting more activities in the future. Thank you for your
help.

Guidance
Counselor

Rating Scale Verbal Description

3.5 - 4.0 Excellent

2.5 - 3.49 Very Satisfactory
1.5 - 2.49 Satisfactory
1.0 - 1.49 Needs Improvement

CRITERIA 4 3 2 1
1. Relevance/appropriateness of the activity
2. Organization of the activity
3. Benefit to the students
4. Extent of audience participation
5. Audio and visual presentation
6. Attainment of objectives of the activity
7. Over-all impression of the activity

Comments/Suggestions/Recommendations:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________
 Thank you!

GUIDANCE SERVICES UNIT

ACCOMPLISHMENT REPORT

A. INDIVIDUAL INVENTORY

B. INTERVIEW AND COUNSELING

Number of student/s served by program:

 Initial Interview
Course Male Female Total

 Walk-in (Counseling/Consultation/other matters)

Course Male Female Total

 Referral
Course Male Female Total

 Follow-up
Course Male Female Total

 Exit Interview
Course Male Female Total

Summary:

Course Male Female Total

Initial Interview
 Walk-in (Counseling/Consultation/ and others)

Referral

Follow-up

Exit Interview

Total

C. INFORMATION SERVICE
Summary of Attendance:

Course Male Female Total

Total

D. Other Related Tasks

5.Forms (Description)
A. Guidance Forms

a. Student’s Personal Data Sheet and Guide to Initial

Interview - this form is filled-out by the student during
his/her admission to the university. It contains personal
information about the student and will serve as a guide to
the counselor in getting important details with regards to
adjustment to college life. At the bottom is the
“Counselor’s Notes” where counseling and interview notes
are written or recorded by the counselor

b. Call-slip - is used by the counselor to call or invite

student/s to visit the office for interview and counseling
or for other reasons

c. Reasons for Student’s Failures - is used as a guide for

counselors in conducting interview and counseling to
student/s who obtained academic deficiencies or failing
grades usually during mid-term

d. Referral Slip - is used in making a referral after extending

interview and counseling to a student/s and found to
have other needs that can be helped or facilitated by
other professionals or qualified personnel like Physician,
Chairman of the program, Dentist etc…

e. Logbook of Guidance Counselor - a record of the daily or

weekly activities, reminders and upcoming activities.
 f. Evaluation of the Activity - is filled-out by the students to
evaluate the activities held or conducted. The information
provided will help improve the succeeding activities or
programs.

g. Individual Performance Commitment and Review (IPCR) - a

report prepared by the individual staff annually to assess
or evaluate his/her performance .

h. Office Performance Commitment and Review - is a

consolidated report of output or performance of the staff,
prepared by the Head of the Unit to assess or evaluate
the unit’s performance

i. Visitor/Client Logbook - a logbook where visitors and

clients sign

j. Interview and Counseling Profile Form - is used to record

names of students who availed of the interview and
counseling service. It also shows student’s course, sex,
contact number and counseling remarks. This is kept with
strict confidentiality.

k. Exit Interview Form - is a questionnaire filled-out by the

graduating students and used by the counselor as guide in
conducting exit interview . The interview aims to help
them prepare for their Job Application Journey and future
career plans

B. Office Forms
a. Request of Materials, Equipment, Furniture and Fixtures
(to be attached to PPMP) - this form is prepared and
submitted together with the Annual Work and Financial
Plan. The unit’s office supplies, materials, equipment
and other needs are reflected therein.

b. Inventory of Materials, Equipment, Furniture and

Fixtures (to be attached to MR Form) - an
acknowledgement receipt of all equipments received
from the administration which is under the employee’s
responsibility and accountability

c. Annual Work and Financial Plan - this presents the

unit’s Goals, Indicators, Strategies/Activities with
Quarterly Physical Targets and corresponding
Expenditure Items

d. Quarterly Monitoring and Evaluation of Work and

Financial Plan - this form presents the unit’s
accomplishments whether the targets indicated in the
AWFP are met

6. Appendices
 A. Guidance Forms
 Student’s Personal Data Sheet and Guide to Initial Interview
 Call-slip
 Reasons for Student’s Failures
 Referral Slip
 Logbook of Guidance Counselor
 Evaluation of the Activity
 Individual Performance Commitment and Review (IPCR)
 Office Performance Commitment and Review
 Visitor/Client Logbook
 Interview and Counseling Profile Form
 Exit Interview Form

B. Office Forms
 Request of Materials, Equipment, Furniture and Fixtures
 Inventory of Materials , Equipment, Furniture and Fixtures
 Annual Work and Financial Plan
 Quarterly Monitoring and Evaluation of Work and Financial Plan

GUIDANCE SERVICES UNIT

MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY
Cagayan de Oro City

STUDENT’S PERSONAL DATA SHEET AND INITIAL INTERVIEW FORM

Course/Major: ________________________ Student No. _________________ Date of Admission:

___________
Please Check your status: _____ New Student _____ Returnee _____
Transferee
(PLEASE WRITE IN CAPITAL LETTERS)

Last Name First Name

Middle Name
Date of Birth: ____________________________ Age: ____ Sex: ____ Cellphone
No:_________________
Email Address: ______________________________________ FB Account Name:
______________________
Home Address:
_____________________________________________________________________________
Present Address:
_________________________________________________________________________
Father’s Name: _________________________ Occupation: ____________________ Contact No.:
__________
Mother’s Name: ________________________ Occupation: ____________________ Contact No.:
__________
Guardian’s Name: _______________________Occupation: ___________________ Contact No.:
__________
Name of High School Graduated:
_______________________________________________________________
Address: ____________________________________________________ No. of brothers: __ No. of
sisters: ___
=====================================================
=====================================
Please answer the following questions honestly:
1. Why did you choose this particular course?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2. Briefly describe yourself:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
3. How would you describe your family? Please check below:
_________ a. A family with harmonious relationship among family members.
_________ b. A family having conflict with some family members
_________ c. A family with separated parents.
_________ d. A family with parents working abroad.
_________ e. Others
__________________________________________________________________________________________
4. Where do you live right now? Please check on the space provided:
_________at home _________ boarding house _________ relatives _________ friends
________others
5. Describe your living condition. Please check on the space provided:
_______a. conducive for studying _______ b. not conducive for studying Why?
______________________
__________________________________________________________________________________________
================================DO NOT ANSWER BELOW THIS
LINE=============================
6. Describe your student life. Please check on the space provided:
________ Adjusting ________ Struggling _______ Enjoying _______ Excelling
Academically
________ Has Failing Grades _______ Others _______________
Needs Help (What kind of help or assistance?)
____________________________________________________
7. What factors affect your studies or performance in the class? Please check
on the space provided:
___ a. physical defect or sickness ___ f. home problem ___
texting/chatting
___ b. influence of barkada ___ g. poor attitude ___ computer
games
___ c. poor study habit ___ h. lack of interest ___
surfing the net (FB., etc .)
___ d. love affair/broken hearted ___ I. too many outside ___ others
___________
___ e. financial problem interests
___________
8. How will you cope such factor/s that affect your studies?
__________________________________________________________________________________________
__________________________________________________________________________________________

Counselor's Notes:
_________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
GUIDANCE SERVICES UNIT
Mindanao University of Science & Technology
Cagayan de Oro City

CALL SLIP

Name:_______________________________________________________
Course/Year & Section:
________________________Date:____________

Please drop by my office…

 _____ during your vacant period
_____ before going home at the end of the class
_____ at once, if possible

Time: A.M. - 9:00 - 11:00

P.M. - 1:30 - 5:00

_______________________
Guidance Counselor

MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY

Cagayan de Oro City

Reasons for Student’s Failure

(Confidential)

Name: ___________________________________________ Course, Yr. & Section:

_______________
Subject: ___________________ Grade: ____ Instructor:
_________________________Date: ______

Directions: Please check the possible cause/s or reason/s below which you
believe made you fail in
the subject
 Possible Causes/Reasons for Failure

_______ Excessive academic load _______ Poor academic

background
_______ Frequent absences _______ Assignments
not clear
_______ Illness or poor physical health _______ Poor study
habits
_______ Concern over home problems _______ Emotional
maladjustment
_______ Dislike classmates _______ Financial worries
_______ Too many outside interests _______ Lack of interest
_______ Noisy environment or surroundings _______Others (specify)
_______ Lack of ability
_____________________________
_______ Failed to hand in a requirement _____________________________

________________
Student’s Signature

GUIDANCE SERVICES UNIT

MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY
Cagayan de Oro City

REFERRAL SLIP

Name of Student Referred:

________________________________________________________________
 Last Name First Name
M.I.

Course/Year: ____________________________________ Sex: _________ Date:

____________________

Referred to : ________________________________________________________

Department/Unit: ____________________________________________________

Reason/purpose of referral:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Referred by:

___________________________________________
Signature Over Printed Name

MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY

Cagayan de Oro City

STUDENT'S EVALUATION OF ACTIVITY

Title of Activity:
_____________________________________________________________
Date: _____________________ Time: _________________ Venue:
___________________
Department: ____________________ Course & Year Level:
__________________________ Sex: ________
In an effort to serve you better, we would appreciate it if you would
take a few minutes to evaluate honestly this activity by checking on the
column that corresponds to your rating. Your valuable responses will help
us improve in conducting more activities in the future. Thank you for your
help. It is greatly appreciated.
SAWS Director
Rating Scale: Verbal Description
3.5 - 4.0 Excellent
2.5 - 3.49 Very Satisfactory
1.5 - 2.49 Satisfactory
1.0 - 1.49 Needs Improvement

CRITERIA 4 3 2 1
1. Relevance of the activity/appropriateness
2. Organization of the activity
3. Benefit to the students
4. Extent of audience participation
5. Audio and visual presentation
6. Attainment of objectives of the activity
7. Over- all impression of the activity

Comments/Suggestions/Recommendations:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Thank you!

Guidance Services Unit

MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY

INTERVIEW AND COUNSELING PROFILE FORM

COUNSELING
No Dat Name Se Course Conta Remarks
. e x and Year ct
Level
Numb
er

GUIDANCE SERVICES UNIT

MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY

EXIT INTERVIEW FORM

__________________________________________________________________________________
Last Name First Name Middle Name
Course/Major: _______ Sex: __ Contact Numbers: _____________ Date of Graduation: __________
Permanent Address: _________________________________________________________________
Email Address: _____________________________________________________________________

Please answer the following questions honestly. Use additional paper if

necessary:

1. What do you like most about MUST?

__________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
2. What do you like least about MUST? _________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
3. Are you satisfied with the learnings that you get in your 4/5 years stay in MUST? Please Explain.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
4. Any suggestions for the improvement of any aspects in MUST?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
5. How do you see yourself 5 to 10 years from now?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

6. OJT /Work Experiences:

Skills Learned/ Duration of
Name of Company Address Enhanced Training/Work

7. Co- Curricular/Extra-Curricular Activities:

Participation/Role/ Distinction/
Name of Organization/ Activity/Event Date Position Awards Received

8. Scholarships/Financial Assistance Availed : ____________________________________________

9. Distinction/Honors /Awards Received: ________________________________________________
__________________________________________________________________________________
---------------------------------------------------------------------------------------------------------------------------
Counselor's Notes:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Interviewed by: ______________________________________ Date:_____________________