©2011 The Common Application, Inc.

2011-12 SCHOOL REPORT
For Spring 2012 or Fall 2012 Enrollment
TO THE APPLICANT
After completing all the relevant questions below, give this form to your secondary school counselor or another school official who knows you better. If applying
via mail, please also give that school official stamped envelopes addressed to each institution that requires a School Report.
Legal Name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.
Birth Date ___________________________________________________ CAID (Common App ID) _______________________________________________
mm/dd/yyyy
Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code
School you now attend ________________________________________________________ CEEB/ACT Code _____________________________________
Current year courses—please indicate title, level (AP, IB, advanced honors, 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.
Full Year/First Semester/First Trimester Second Semester/Second Trimester Third Trimester
or additional first/second term courses if more space is needed
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
________________________________________ ________________________________________ _________________________________________
SR-1 / 2011-12
TO THE SECONDARY SCHOOL COUNSELOR
Attach applicant’s official transcript, including courses in progress, a school profile, and transcript legend. (Check transcript copies for readability.) Use both pages to
complete your evaluation for this student. Be sure to sign below before mailing directly to the college/university admission office. Do not mail this form to
The Common Application offices.
Counselor’s Name (Mr./Mrs./Ms./Dr.) ________________________________________________________________________________________________
Please print or type
Signature _________________________________________________________________________________________________ Date _____________________
mm/dd/yyyy
Title ___________________________________________________________ School _______________________________________________________
School Address ________________________________________________________________________________________________________________
Number & Street City/Town State/Province Country ZIP/Postal Code
School Website Address _________________________________________________________________________________________________________
Counselor’s Telephone (_______) ____________________________________ ____ Counselor’s Fax (_______) _________________________________ ________
Area/Country/City Code Number Ext. Area/Country/City Code Number
School CEEB/ACT Code ____________________________ Counselor’s E-mail _________________________________________________________________
ć Female
ć Male
SR
IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Family 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:
ć 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.
ć 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 _________________
8334040 Cole M Dattel
1
Dattel Cole Mayer
07/29/1993
leawood KS United States of America
66211
Barstow School
261605
11600 brookwood

AP Calculus
AP Government and Politics
English H
Introduction to Physics
Singers H
BTVN
Singers H
©2011 The Common Application, Inc. SR-2/ 2011-12
Evaluation Please provide comments that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference you have prepared for
this student. Alternatively, you may attach a reference written by another school official who can better describe the student. We especially welcome a broad-based assessment
and encourage you to consider describing or addressing:
º The applicant's academic, extracurricular, and personal characteristics.
º Relevant context for the applicant's performance and involvement, such as particularities of famil] situation or responsioilities, after-school work ooligations, sioling childcare,
or other circumstances, either positive or negative.
º 0oserved proolematic oehaviors, perhaps separaole from academic performance, that an admission committee should explore further.
Ratings Compared to other students in his or her class year, how do you rate this student in terms of:

Has the applicant ever been found responsible for a disciplinary violation at your school from the 9
th
grade (or the international equivalent) forward, whether related
to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension,
removal, dismissal, or expulsion from your institution. ć Yes ć No ć School policy prevents me from responding

To your knowledge, has the applicant ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime?
ć Yes ć No ć School policy prevents me from responding.
[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 to be kept confidential by a court.]
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.
Applicants are expected to immediately notify the institutions to which they are applying should there be any changes to the information requested in this application,
including disciplinary history.
ć Check here if you would prefer to discuss this applicant over the phone with each admission office.
I recommend this student: ć No basis ć With reservation ć Fairly strongly ć Strongly ć Enthusiastically
Background Information
No basis
Below
average Average
Good (above
average)
Very good
(well above
average)
Excellent
(top 10%)
Outstanding
(top 5%)
One of the top
few I’ve encoun-
tered
(top 1%)
Academic achievement
Extracurricular accomplishments
Personal qualities and character
OVERALL
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? ______________________________________________________________________
How many courses does your school offer:
AP _________ IB _________ Honors _________
If school policy limits the number a student may take in
a given year, please list the maximum allowed:
AP _________ IB _________ Honors _________
Is the applicant an IB Diploma candidate? ć Yes ć No
Are classes taken on a block schedule? ć Yes ć No
In comparison with other college preparatory students
at your school, the applicant’s course selection is:
ć most demanding
ć very demanding
ć demanding
ć average
ć below average
Class Rank ___________ Class Size ___________ Covering a period from __________ to __________.
(mm/yyyy) (mm/yyyy)
The rank is ć weighted ć unweighted. How many additional students share this rank? __________ _______
How do you report class rank? quartile _____________ quintile _____________ decile ______________
Cumulative GPA: ________ on a _________ scale, covering a period from ____________ to ____________
(mm/yyyy) (mm/yyyy)
This GPA is ć weighted ć unweighted. The school’s passing mark is ________________________________.
Highest GPA in class ____________________________________ Graduation Date ___________________
(mm/dd/yyyy)
Percentage of graduating class immediately attending: ___________four-year ________ two-year institutions
8334040 Cole M Dattel
2
©2011 The Common Application, Inc. OR-1/ 2011-12
2011-12 OPTIONAL GRADE Report
For Spring 2012 or Fall 2012 Enrollment
TO THE APPLICANT
The Optional Grade Report may be used at any point in the academic year to submit updated grades to your colleges and universities, but it should not be used as
a substitute for the Midyear or Final Report. After completing the information in this section, give this form to your school counselor or another school official who
knows you better. If applying via mail, please also give that school official stamped envelopes addressed to each institution to which you have applied.
Legal Name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.
Birth Date ___________________________________________________ CAID (Common App ID) _______________________________________________
mm/dd/yyyy
Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code
School you now attend ________________________________________________________ CEEB/ACT Code _____________________________________
Counselor’s Name (Mr./Mrs./Ms./Dr.) ________________________________________________________________________________________________
Please print or type
Signature _________________________________________________________________________________________________ Date _____________________
mm/dd/yyyy
Title ___________________________________________________________ School _______________________________________________________
School Address ________________________________________________________________________________________________________________
Number & Street City/Town State/Province Country ZIP/Postal Code
School Website Address _________________________________________________________________________________________________________
Counselor’s Telephone (_______) ____________________________________ ____ Counselor’s Fax (_______) _________________________________ ________
Area/Country/City Code Number Ext. Area/Country/City Code Number
School CEEB/ACT Code ____________________________________ Counselor’s E-mail _________________________________________________________
TO THE SCHOOL COUNSELOR
This form is not a substitute for the Midyear or Final Report. Please use this form only if you wish to update the applicant’s grades at another point in the year.
Attach the applicant’s official transcript, including courses in progress and transcript legend. (Please check transcript copies for readability.) Be sure to sign below
before mailing directly to the college/university admission office. Do not mail this form to The Common Application offices.
ć Female
ć Male
OR
IMPORTANT PRIVACY NOTE: In accordance with the Family Educational Rights and Privacy Act (FERPA), the original School Report submitted on your behalf
reflects your choice to waive or not waive your right of access to all recommendations and supporting documents. That response applies to all subsequent reports,
including this one. You chose the following:
ć 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.
ć 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.
Background Information If any of the information below has changed for this student since the School Report was submitted, please enter the new information in
the appropriate section below.
Class Rank _______ Class Size ______ Covering a period from _______ to ______.
(mm/yyyy) (mm/yyyy)
The rank is ć weighted ć unweighted.
How many additional students share this rank?__________
Cumulative GPA: _____ on a _____ scale, covering a period from _______ to ______.
(mm/yyyy) (mm/yyyy)
This GPA is ć weighted ć unweighted. The school’s passing mark is _____________.
Highest GPA in class _____________________ Graduation Date ________________
(mm/dd/yyyy)
ć We do not rank. Instead, please indicate quartile _______________________ quintile _______________________ decile _______________________
Have there been any changes to the senior year courses listed on the original School Report? ć Yes ć No
Have there been any changes in the applicant’s disciplinary status at your school since you submitted the original School Report?
ć Yes ć No ć School policy prevents me from responding
To your knowledge, have there been any changes to the applicant’s criminal history since you submitted the original School Report?
ć Yes ć No ć School policy prevents me from responding
Do you wish to update your original evaluation of this applicant? ć Yes ć No
If you responded yes to any of the preceding questions, please attach an explanation.
ć Check here if you would prefer to discuss this applicant over the phone with each admission office.
8334040 Cole M Dattel
3
Dattel Cole Mayer

07/29/1993
leawood KS United States of America 66211 11600 brookwood
Barstow School 261605

©2011 The Common Application, Inc. MR-1 / 2011-12
2011-12 MIDYEAR Report
For Spring 2012 or Fall 2012 Enrollment
TO THE APPLICANT
After completing the information in this section, give this form to your school counselor or another school official who knows you better. If applying via mail,
please also give that school official stamped envelopes addressed to each institution to which you have applied.
Legal Name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.
Birth Date ___________________________________________________ CAID (Common App ID) _______________________________________________
mm/dd/yyyy
Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code
School you now attend ________________________________________________________ CEEB/ACT Code _____________________________________
Counselor’s Name (Mr./Mrs./Ms./Dr.) ________________________________________________________________________________________________
Please print or type
Signature _________________________________________________________________________________________________ Date _____________________
mm/dd/yyyy
Title ___________________________________________________________ School _______________________________________________________
School Address ________________________________________________________________________________________________________________
Number & Street City/Town State/Province Country ZIP/Postal Code
School Website Address _________________________________________________________________________________________________________
Counselor’s Telephone (_______) ____________________________________ ____ Counselor’s Fax (_______) _________________________________ ________
Area/Country/City Code Number Ext. Area/Country/City Code Number
School CEEB/ACT Code ____________________________________ Counselor’s E-mail _________________________________________________________
TO THE SCHOOL COUNSELOR
Please submit this form when midyear grades are available (end of first semester or second trimester). Attach applicant’s official transcript, including courses
in progress and transcript legend. (Please check transcript copies for readability.) Be sure to sign below before mailing directly to the college/university
admission office. Do not mail this form to The Common Application offices.
ć Female
ć Male
MR
IMPORTANT PRIVACY NOTE: In accordance with the Family Educational Rights and Privacy Act (FERPA), the original School Report submitted on your behalf
reflects your choice to waive or not waive your right of access to all recommendations and supporting documents. That response applies to all subsequent reports,
including this one. You chose the following:
ć 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.
ć 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.
Background Information If any of the information below has changed for this student since the School Report was submitted, please enter the new information in
the appropriate section below.
Class Rank _______ Class Size ______ Covering a period from _______ to ______.
(mm/yyyy) (mm/yyyy)
The rank is ć weighted ć unweighted.
How many additional students share this rank?__________
ć We do not rank. Instead, please indicate quartile ____ quintile ____ decile ______
Cumulative GPA: _____ on a _____ scale, covering a period from _______ to ______.
(mm/yyyy) (mm/yyyy)
This GPA is ć weighted ć unweighted. The school’s passing mark is _____________.
Highest GPA in class _____________________ Graduation Date ________________
(mm/dd/yyyy)
Have there been any changes to the senior year courses listed on the original School Report? ć Yes ć No
Have there been any changes in the applicant’s disciplinary status at your school since you submitted the original School Report?
ć Yes ć No ć School policy prevents me from responding
To your knowledge, have there been any changes to the applicant’s criminal history since you submitted the original School Report?
ć Yes ć No ć School policy prevents me from responding
Do you wish to update your original evaluation of this applicant? ć Yes ć No
If you responded yes to any of the preceding questions, please attach an explanation.
ć Check here if you would prefer to discuss this applicant over the phone with each admission office.
8334040 Cole M Dattel
4
Dattel Cole Mayer
07/29/1993
leawood KS United States of America
66211
Barstow School
261605
11600 brookwood

©2011 The Common Application, Inc.
2011-12 final Report
For Spring 2012 or Fall 2012 Enrollment
TO THE APPLICANT
After completing the information in this section, give this form to your school counselor or another school official who knows you better. If applying via mail, please also
give that school official stamped envelopes addressed to all institutions requesting a final transcript.
Legal Name ___________________________________________________________________________________________________________________
Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.
Birth Date ___________________________________________________ CAID (Common App ID) _______________________________________________
mm/dd/yyyy
Address ________________________________________________________________________________________________________________________
Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code
School you now attend ________________________________________________________ CEEB/ACT Code _____________________________________
Counselor’s Name (Mr./Mrs./Ms./Dr.) ________________________________________________________________________________________________
Please print or type
Signature _________________________________________________________________________________________________ Date _____________________
mm/dd/yyyy
Title ___________________________________________________________ School _______________________________________________________
School Address ________________________________________________________________________________________________________________
Number & Street City/Town State/Province Country ZIP/Postal Code
School Website Address _________________________________________________________________________________________________________
Counselor’s Telephone (_______) ____________________________________ ____ Counselor’s Fax (_______) _________________________________ ________
Area/Country/City Code Number Ext. Area/Country/City Code Number
School CEEB/ACT Code __________________________________ Counselor’s E-mail __________________________________________________________
TO THE SCHOOL COUNSELOR
Please submit this form when final grades are available (end of second semester or third trimester). Attach applicant’s official transcript and transcript legend.
(Please check transcript copies for readability.) Be sure to sign below before mailing directly to the college/university admission office. Do not mail this
form to The Common Application offices.
ć Female
ć Male
FR
IMPORTANT PRIVACY NOTE: In accordance with the Family Educational Rights and Privacy Act (FERPA), the original School Report submitted on your behalf
reflects your choice to waive or not waive your right of access to all recommendations and supporting documents. That response applies to all subsequent reports,
including this one. You chose the following:
ć 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.
ć 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.
Background Information If any of the information below has changed for this student since the Midyear Report was submitted, please enter the new information
in the appropriate section below.
Have there been any changes to the senior year courses listed on the original School Report? ć Yes ć No
Have there been any changes in the applicant’s disciplinary status at your school since you submitted the original School Report?
ć Yes ć No ć School policy prevents me from responding
To your knowledge, have there been any changes to the applicant’s criminal history since you submitted the original School Report?
ć Yes ć No ć School policy prevents me from responding
Do you wish to update your original evaluation of this applicant? ć Yes ć No
If you responded yes to any of the preceding questions, please attach an explanation.
ć Check here if you would prefer to discuss this applicant over the phone with each admission office.
Class Rank _______ Class Size ______ Covering a period from _______ to ______.
(mm/yyyy) (mm/yyyy)
The rank is ć weighted ć unweighted.
How many additional students share this rank?__________
ć We do not rank. Instead, please indicate quartile ____ quintile ____ decile ______
Cumulative GPA: _____ on a _____ scale, covering a period from _______ to ______.
(mm/yyyy) (mm/yyyy)
This GPA is ć weighted ć unweighted. The school’s passing mark is _____________.
Highest GPA in class _____________________ Graduation Date ________________
(mm/dd/yyyy)
FR-1 / 2011-12 8334040 Cole M Dattel
5
Dattel Cole Mayer
07/29/1993
leawood KS United States of America
66211
Barstow School
261605
11600 brookwood

or expulsion from your institution.] If you answered “yes” to either or both questions. [Note that you are not required to answer “yes” to this question. has the applicant ever been adjudicated guilty or convicted of a misdemeanor. please attach a separate sheet of paper or use your written recommendation to give the approximate date of each incident and explain the circumstances. annulled. please list the maximum allowed: AP _________ IB _________ Honors _________ Is the applicant an IB Diploma candidate? Yes No Are classes taken on a block schedule? Yes No In comparison with other college preparatory students at your school. The school’s passing mark is _____ ______________________ _____. Check here if you would prefer to discuss this applicant over the phone with each admission office. Alternatively. destroyed. Yes No School policy prevents me from responding To your knowledge. suspension. pardoned. but are not limited to: probation. how do you rate this student in terms of: Very good (well above average) One of the top few I’ve encounOutstanding tered (top 5%) (top 1%) No basis Below average Average Good (above average) Excellent (top 10%) Academic achievement Extracurricular accomplishments Personal qualities and character OVERALL Evaluation Please provide comments that will help us differentiate this student from others. We especially welcome a broad-based assessment and encourage you to consider describing or addressing: or other circumstances. the applicant’s course selection is: most demanding very demanding demanding average below average 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? ______________________________________________________________ ________ Ratings Compared to other students in his or her class year. Applicants are expected to immediately notify the institutions to which they are applying should there be any changes to the information requested in this application. Feel free to attach an additional sheet or another reference you have prepared for this student. erased. or provide an explanation. if the criminal adjudication or conviction has been expunged. that resulted in a disciplinary action? These actions could include. Inc. sealed. How many additional students share this rank? __________ ______ _ How do you report class rank? quartile _____________ quintile _____________ decile ______________ Cumulative GPA: ________ on a _________ scale. . either positive or negative. whether related to academic misconduct or behavioral misconduct. (mm/dd/yyyy) Highest GPA in class ____________________________________ Graduation Date _______________ _ ___ Percentage of graduating class immediately attending: ___________four-year _______ two-year institutions _ How many courses does your school offer: AP _________ IB _________ Honors _________ If school policy limits the number a student may take in a given year. (mm/yyyy) (mm/yyyy) The rank is weighted unweighted. covering a period from ____________ to _________ ___ (mm/yyyy) (mm/yyyy) This GPA is weighted unweighted. or otherwise ordered to be kept confidential by a court. felony. Has the applicant ever been found responsible for a disciplinary violation at your school from the 9th grade (or the international equivalent) forward. dismissal.Background Information Class Rank ___________ Class Size ___________ Covering a period from __________ to __________. you may attach a reference written by another school official who can better describe the student. impounded. I recommend this student: © No basis 8334040 With reservation Cole M Dattel 2 Fairly strongly Strongly Enthusiastically SR-2/ 2011-12 2011 The Common Application. including disciplinary history. or other crime? Yes No School policy prevents me from responding. removal.

After completing the information in this section. The school’s passing mark is _____________. Area/Country/City Code Number School CEEB/ACT Code ____________________________________ Counselor’s E-mail _____________________________________________________ ___ _ Background Information If any of the information below has changed for this student since the School Report was submitted. including this one. Instead. I do waive my right to access. 8334040 Cole M Dattel 3 OR-1/ 2011-12 . including courses in progress and transcript legend. 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. No. Do not mail this form to The Common Application offices.) Be sure to sign below before mailing directly to the college/university admission office. the original School Report submitted on your behalf reflects your choice to waive or not waive your right of access to all recommendations and supporting documents. please enter the new information in the appropriate section below. How many additional students share this rank?_________ _ This GPA is weighted unweighted. Check here if you would prefer to discuss this applicant over the phone with each admission office. Please use this form only if you wish to update the applicant’s grades at another point in the year. (Please check transcript copies for readability. If applying via mail. You chose the following: Yes. covering a period from _______ to ______. Female Dattel Cole Mayer Legal Name ___________________________________________________________________________________________________________________ Male Last/Family/Sur (Enter name exactly as it appears on official documents. have there been any changes to the applicant’s criminal history since you submitted the original School Report? Yes No School policy prevents me from responding Do you wish to update your original evaluation of this applicant? Yes No If you responded yes to any of the preceding questions. and I understand I will never see this form or any other recommendations submitted by me or on my behalf. That response applies to all subsequent reports. 07/29/1993 Birth Date ___________________________________________________ CAID (Common App ID) _______________________________________________ mm/dd/yyyy 11600 brookwood leawood KS United States of America 66211 Address ________________________________________________________________________________________________________________________ Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code Barstow School 261605 School you now attend ________________________________________________________ CEEB/ACT Code _____________________________________ IMPORTANT PRIVACY NOTE: In accordance with the Family Educational Rights and Privacy Act (FERPA). (mm/yyyy) (mm/yyyy) Cumulative GPA: _____ on a _____ scale./Mrs. Class Rank _______ Class Size ______ Covering a period from _______ to ______. © 2011 The Common Application. please attach an explanation.) First/Given Middle (complete) Jr. please also give that school official stamped envelopes addressed to each institution to which you have applied. etc.2011-12 OPTIONAL GRADE Report For Spring 2012 or Fall 2012 Enrollment OR TO THE APPLIC ANT The Optional Grade Report may be used at any point in the academic year to submit updated grades to your colleges and universities. if that institution saves them after I matriculate. Attach the applicant’s official transcript. give this form to your school counselor or another school official who knows you better. TO THE SCHOOL COUNSELOR This form is not a substitute for the Midyear or Final Report. please indicate quartile _______________________ quintile _______________________ decile _______________________ Have there been any changes to the senior year courses listed on the original School Report? Yes No Have there been any changes in the applicant’s disciplinary status at your school since you submitted the original School Report? Yes No School policy prevents me from responding To your knowledge. Counselor’s Name (Mr../Dr. (mm/yyyy) (mm/yyyy) The rank is weighted unweighted./Ms. but it should not be used as a substitute for the Midyear or Final Report.) ________________________________________________________________________________________________ Please print or type Signature _________________________________________________________________________________________________ Date _____________________ mm/dd/yyyy Title ___________________________________________________________ School ______________________________________ _____________ ___ _ School Address ________________________________________________________________________________________________________________ Number & Street City/Town State/Province Country ZIP/Postal Code School Website Address _________________________________________________________________________________________________________ Counselor’s Telephone (_______) _______________________________________ Counselor’s Fax (_______) _____________________________ _______ _ _____ Area/Country/City Code Number Ext. I do not waive my right to access. Inc. (mm/dd/yyyy) Highest GPA in class _____________________ Graduation Date ________________ We do not rank.

/Dr. including courses in progress and transcript legend. please also give that school official stamped envelopes addressed to each institution to which you have applied. I do waive my right to access. TO THE SCHOOL COUNSELOR Please submit this form when midyear grades are available (end of first semester or second trimester).) Be sure to sign below before mailing directly to the college/university admission office. please attach an explanation. etc. Instead. and I understand I will never see this form or any other recommendations submitted by me or on my behalf. Female Dattel Cole Mayer Legal Name ___________________________________________________________________________________________________________________ Male Last/Family/Sur (Enter name exactly as it appears on official documents. the original School Report submitted on your behalf reflects your choice to waive or not waive your right of access to all recommendations and supporting documents. including this one. No. Check here if you would prefer to discuss this applicant over the phone with each admission office./Mrs. How many additional students share this rank?_________ _ We do not rank. if that institution saves them after I matriculate.) First/Given Middle (complete) Jr. You chose the following: Yes. The school’s passing mark is _____________./Ms. give this form to your school counselor or another school official who knows you better. Inc. (Please check transcript copies for readability. Area/Country/City Code Number School CEEB/ACT Code ____________________________________ Counselor’s E-mail _____________________________________________________ ___ _ Background Information If any of the information below has changed for this student since the School Report was submitted.2011-12 MIDYEAR Report For Spring 2012 or Fall 2012 Enrollment MR TO THE APPLIC ANT After completing the information in this section.) ________________________________________________________________________________________________ Please print or type Signature _________________________________________________________________________________________________ Date _____________________ mm/dd/yyyy Title ___________________________________________________________ School ______________________________________ _____________ ___ _ School Address ________________________________________________________________________________________________________________ Number & Street City/Town State/Province Country ZIP/Postal Code School Website Address _________________________________________________________________________________________________________ Counselor’s Telephone (_______) _______________________________________ Counselor’s Fax (_______) _____________________________ _______ _ _____ Area/Country/City Code Number Ext. 07/29/1993 Birth Date ___________________________________________________ CAID (Common App ID) _______________________________________________ mm/dd/yyyy 11600 brookwood leawood KS United States of America 66211 Address ________________________________________________________________________________________________________________________ Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code Barstow School 261605 School you now attend ________________________________________________________ CEEB/ACT Code _____________________________________ IMPORTANT PRIVACY NOTE: In accordance with the Family Educational Rights and Privacy Act (FERPA). have there been any changes to the applicant’s criminal history since you submitted the original School Report? Yes No School policy prevents me from responding Do you wish to update your original evaluation of this applicant? Yes No If you responded yes to any of the preceding questions. covering a period from _______ to ______.. (mm/yyyy) (mm/yyyy) The rank is weighted unweighted. Do not mail this form to The Common Application offices. That response applies to all subsequent reports. Counselor’s Name (Mr. I do not waive my right to access. (mm/dd/yyyy) Highest GPA in class _____________________ Graduation Date ________________ Have there been any changes to the senior year courses listed on the original School Report? Yes No Have there been any changes in the applicant’s disciplinary status at your school since you submitted the original School Report? Yes No School policy prevents me from responding To your knowledge. please enter the new information in the appropriate section below. (mm/yyyy) (mm/yyyy) Cumulative GPA: _____ on a _____ scale. If applying via mail. 8334040 Cole M Dattel 4 MR-1 / 2011-12 . please indicate quartile ____ quintile ____ decile ______ This GPA is weighted unweighted. Class Rank _______ Class Size ______ Covering a period from _______ to ______. 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. © 2011 The Common Application. Attach applicant’s official transcript.

/Ms. TO THE SCHOOL COUNSELOR Please submit this form when final grades are available (end of second semester or third trimester). including this one.. have there been any changes to the applicant’s criminal history since you submitted the original School Report? Yes No School policy prevents me from responding Do you wish to update your original evaluation of this applicant? Yes No If you responded yes to any of the preceding questions./Mrs. etc. Check here if you would prefer to discuss this applicant over the phone with each admission office. Counselor’s Name (Mr. Female Dattel Cole Mayer Legal Name ___________________________________________________________________________________________________________________ Male Last/Family/Sur (Enter name exactly as it appears on official documents. Attach applicant’s official transcript and transcript legend.) Be sure to sign below before mailing directly to the college/university admission office. 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. Do not mail this form to The Common Application offices. I do waive my right to access. give this form to your school counselor or another school official who knows you better. No. Instead. © 2011 The Common Application. please enter the new information in the appropriate section below. please indicate quartile ____ quintile ____ decile ______ This GPA is weighted unweighted. 07/29/1993 Birth Date ___________________________________________________ CAID (Common App ID) _______________________________________________ mm/dd/yyyy 11600 brookwood leawood KS United States of America 66211 Address ________________________________________________________________________________________________________________________ Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code Barstow School 261605 School you now attend ________________________________________________________ CEEB/ACT Code _____________________________________ IMPORTANT PRIVACY NOTE: In accordance with the Family Educational Rights and Privacy Act (FERPA). You chose the following: Yes.) ________________________________________________________________________________________________ Please print or type Signature _________________________________________________________________________________________________ Date _____________________ mm/dd/yyyy Title ___________________________________________________________ School ______________________________________ _____________ ___ _ School Address ________________________________________________________________________________________________________________ Number & Street City/Town State/Province Country ZIP/Postal Code School Website Address _________________________________________________________________________________________________________ Counselor’s Telephone (_______) _______________________________________ Counselor’s Fax (_______) _____________________________ _______ _ _____ Area/Country/City Code Number Ext. Class Rank _______ Class Size ______ Covering a period from _______ to ______. (mm/yyyy) (mm/yyyy) Cumulative GPA: _____ on a _____ scale. That response applies to all subsequent reports. the original School Report submitted on your behalf reflects your choice to waive or not waive your right of access to all recommendations and supporting documents. if that institution saves them after I matriculate. and I understand I will never see this form or any other recommendations submitted by me or on my behalf./Dr. please also give that school official stamped envelopes addressed to all institutions requesting a final transcript. Inc. I do not waive my right to access. How many additional students share this rank?_________ _ We do not rank. The school’s passing mark is _____________. covering a period from _______ to ______. (mm/yyyy) (mm/yyyy) The rank is weighted unweighted. please attach an explanation.2011-12 final Report For Spring 2012 or Fall 2012 Enrollment FR TO THE APPLIC ANT After completing the information in this section. Area/Country/City Code Number School CEEB/ACT Code __________________________________ Counselor’s E-mail _____________________________________________________ ____ _ Background Information If any of the information below has changed for this student since the Midyear Report was submitted. If applying via mail. (Please check transcript copies for readability. 8334040 Cole M Dattel 5 FR-1 / 2011-12 . (mm/dd/yyyy) Highest GPA in class _____________________ Graduation Date ________________ Have there been any changes to the senior year courses listed on the original School Report? Yes No Have there been any changes in the applicant’s disciplinary status at your school since you submitted the original School Report? Yes No School policy prevents me from responding To your knowledge.) First/Given Middle (complete) Jr.