DO NOT STAPLE, PLEASE!

A P P L I C A T I O N F O R F R E S H M A N A D M I S S I O N

Instructions for
Office of Admissions
Massachusetts Institute of Technology
Room 10-100
77 Massachusetts Avenue
Cambridge, MA 02139-4307
Fax: (617) 687-9184 Guidance Counselors
Dear Counselor,

On behalf of MIT, I would like to thank you sincerely for your efforts and service through education. My staff and I read every
letter sent in by teachers and counselors from across the planet, and we know for a fact that your comments are instrumental
in helping us to create an amazing freshman class.

You will likely have many secondary school report requests sitting on your desk, and wed like to make this one as painless
as possible. A full and candid report from the school is an integral part of our college application. The MIT Secondary School
Report Form is designed for U.S. school systems but may be adapted for international school use. Since many international
school systems do not calculate GPA or class rank, these spaces may be left blank.

I ask that you submit the following documents to us, to aid in our selection process:

Secondary School Report: Please complete the secondary school report on the next page. If school regulations preclude
disclosure of certain information, indicate that such is the case next to all affected questions.

Transcript: Please attach a copy of the students most recent transcript including:
1. Subjects taken, year taken, and grades: Since many grades are not available until after decisions are made, please
send predicted grades (if available).
2. Subjects failed or repeated
3. Subjects in progress
4. Test results, such as SAT, ACT, or AP; or any external examinations, such as International Baccalaureate, A Levels,
French Baccalaureate, or CBSE, that are required for entrance to universities in your country. (Please note that
these results do not substitute for official score reports.)

Summary and Recommendation: Your written, summative comments on the applicant are most useful during our review
process. Please attach an appraisal, assessing personal and academic qualities that may be an indication of promise as a
college student. In my experience, the most helpful letters contain anecdotes and personal experiences, rather than a listing
of a students achievements, and help paint a complete picture of the applicant.

If you have already drafted a letter, no worries! However, I would appreciate any MIT-specific comments you might have,
which you can write in the blank space on the bottom of the Secondary School Report. Please be sure to include the
applicants name on any attached pages, and keep a copy for your records.

School Profile: This helps to add important context to the application and your comments.

It is our hope that you write candidly. We think the process of mutual selection by college and student can be greatly enhanced
if you discuss openly with the applicant your perceptions of his or her match with MIT as you prepare to fill out this form.
Again, many, many thanks for your words and your time.

Best wishes,

Stu Schmill
Dean of Admissions

HOW TO SUBMIT APPLICATION DOCUMENTS

Docufide
If your school uses Naviance/Docufide
to submit letters of evaluation and
transcripts, you can send these docu-
ments directly to MIT, a registered
Docufide Document recipient. We
encourage you to use Docufide over
other means of document submis-
sion, if possible. Please do not send
additional copies via fax or mail.
or Fax
1. All letters must be typed or writ-
ten on official school letterhead and
signed by the evaluator. Letters not on
school letterhead and not signed by
evaluators will not be accepted.
2. Documents may be faxed to:
(617) 687-9184
or Mail
1. All letters must be typed or writ-
ten on official school letterhead and
signed by the evaluator. Letters not on
school letterhead and not signed by
evaluators will not be accepted.
2. Envelopes may be addressed to:
MIT Admissions
77 Massachusetts Avenue
Rm 10-100
Cambridge, MA 02139

Do not mail or fax this page, please!

DO NOT STAPLE, PLEASE!
A P P L I C A T I O N F O R F R E S H M A N A D M I S S I O N
Office of Admissions
Massachusetts Institute of Technology
Room 10-100 1413647_ssr
77 Massachusetts Avenue
Cambridge, MA 02139-4307 MIT Record ID

Fax: (617) 687-9184

Morrissey Peter F
Last / Family name First / Given name Middle initial

Secondary School Report 03/04/1995

Date of birth ( month / day / year )
TO THE APPLICANT
Sign your name below only if you agree to voluntarily waive your right I am applying for:
of access to review this recommendation. Early Action
All materials postmarked by November 1
Regular Action
Applicant signature Date All materials postmarked by January 1
We are required under the Family Educational Rights and Privacy Act (Buckley Amendment) to make evaluator comments available to the
student only if he or she subsequently enrolls at MIT and has not signed the waiver above.
TO THE GUIDANCE COUNSELOR
A. Please complete the following:

Students GPA Highest GPA in class Students class rank Class size % to 4-year college

Unweighted
Weighted

B. Your acquaintance with the applicant: Know only through records See from time to time Know well

C. The main factor(s) contributing to respect accorded by peers seem(s) to be:

Accomplishment Superiority Success in Interest in Leadership in Personality
in activities in studies athletics other students activities

D. Have you noticed a lack of peer respect for this applicant? If so, what seem(s) to be the main contributing factor(s)?
No lack of peer Superiority Lack of interest Manners, Conceit Other:
respect observed in studies in other people personal habits

E. Has this student ever been dismissed, suspended or placed on probation, or incurred serious disciplinary action?
No YesIf yes, please explain on a separate sheet of paper.

F. Do you have any reservations about the candidates integrity? No YesIf you do, please explain in your summary.

G. Compared to other students in your school who are planning to attend college, check how you would rate the applicant:
Below average Average Good Excellent Outstanding One of the top few encountered
(Above average) Top 10% Top 5% in my career
Academic achievement

Personal qualities and character

Extracurricular accomplishments

Overall

H. How strongly do you recommend this student for MIT? With reservation Fairly strongly Strongly My strongest recommendation

I. We understand that you may have already written a general letter for the applicant. However, we would very much appreciate any
MIT-specific comments you have regarding him or her. Please use this space to write your comments. Thanks kindly!

Print name Phone number Ext.

High school Email

Evaluator signature Date