Preview: T Application Supplement
Preview: T Application Supplement
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For Entrance in Fall 2012 t Application Supplement
Ofce of Admissions and Financial Aid
86 Brattle Street
Cambridge, MA 02138
Valid for entrance in September 2012 only. Please submit
this form as well as the Common Application or the
Universal College Application as soon as possible.
Restrictive Early Action
Please return this form to us as soon as
possible, and by October 15, if possible.
Final deadline is November 1.
A completed application includes all portions of the Common Application or the Universal College Application, as well as
the Harvard Application Supplement, required ofcial testing results, a Secondary School Report, two Teacher Evaluations
and a $75 application fee or fee waiver request.
Full legal name
Last/Family First Middle Jr., etc.
Prefer to be called Date of Birth
(MM/DD/YYYY)
Address
No. and Street Apt./Unit
City State/Province Country Zip/Postal Code
Telephone Number (home) (cell)
Secondary School CEEB/ACT code
Fax number Contact person
E-mail address Contact person
If you can be reached
by fax or e-mail, please
provide a fax number or
e-mail address and name
of the contact person.
Yes No
A decision letter will be sent via regular mail to all applicants.
Would you like your
admission decision
e-mailed to you?
Of the following felds
of study, which are you
currently most likely to
pursue?
For the following questions, please place the letter or number indicating your choice in the space provided.
A Social Sciences E Engineering
B Humanities F Mathematics
C Biological Sciences G Computer Science First Choice
D Physical Sciences
If you have previously
applied for admission to
Harvard, please indicate
when and for which
program you applied.
College (frst year) Summer School Extension School
Year(s) Year(s) Year(s)
Please arrange to have an ofcial transcript(s) sent to us for any program in which you enrolled.
Please indicate
under which
timetable you are
applying:
Regular Action
Please return this form to us as soon as possible, and by
December 15 if at all possible. Final deadline is January 1.
Generated Online 7780160 Benjamin Luo
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Luo Benjamin
10/30/1994
807 Kilbirnie Court
Sunnyvale CA United States of America 94087
Saint Francis High School 052077
[email protected]
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408-736-2446
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Harvard Supplement: Side 2 of 3
At this time, which
two college activities
or sports interest you
most?
01 Arts, Visual Arts
02 Dramatics
03 Vocal Music
04 Band
05 Orchestra
06 Writing / Literary Magazine
07 Journalism
08 Student Government
09 Debate
10 Social Service
11 Ethnic Groups
12 Religious Groups
13 Political Groups
14 Dance
15 Outdoor Activities
16 Baseball
17 Basketball
18 CrewHeavyweight
19 CrewLightweight
20 Fencing
21 Field Hockey
22 Football
23 Golf
24 Hockey
25 Lacrosse
26 Sailing
27 SkiAlpine
28 SkiNordic Racing
29 Soccer
30 Softball
31 Squash
32 Swimming/Diving
33 Tennis
For a sport, indicate
intended level of
participation.
Intercollegiate Intercollegiate
Club / Intramural / Recreational Club / Intramural / Recreational
While we recognize that many students plans change during their college years, we ask you to respond to the following questions
(please choose one rating per question):
How defnite do you
consider your
academic plans to be?
Absolutely certain 1 2 3 4 5 Very likely to change
How defnite do you
consider your
vocational plans to be?
Absolutely certain 1 2 3 4 5 Very likely to change
How defnite are your
extracurricular and/or
athletic interests?
Absolutely certain 1 2 3 4 5 Very likely to change
Please list the cities and
countries where you
have lived, with years of
residence in each.
Our ofce may send you
e-mail announcements
about the activities you
designate here. Tese
e-mails will be delivered
to your e-mail address as
provided on page one of
the Common or Universal
Application.
34 Track/Cross-Country
35 Volleyball
36 Water Polo
37 Wrestling
38 Cheerleading
39 Martial Arts
40 MUN
41 LGBT Groups
42 ROTC
43 Badminton
44 Equestrian Sports/Polo
First Choice Second Choice 45 Other
OPTIONAL We do not expect or require applicants to submit supplementary materials or additional essays. We simply want to be certain that you have
every opportunity to tell us about yourself.
Supplementary
Materials
Te required components of the application to Harvard provide ample basis to make our admission decisions. However, students with
exceptional talents or achievements may send music recordings, slides of artwork or selected samples of academic work or creative writing
for us to consider as part of their application fles. At the discretion of the Admissions Committee, submissions may be evaluated by faculty.
Supplementary materials are not required or expectedand should be sent only if the applicants work is unusually advanced. Because
we cannot return such materials, applicants should send only duplicates. For more information, please visit our website: www.admissions.
college.harvard.edu/apply/application_process/supplements.html.
Check here if you are planning to send supplementary materials to be evaluated as part of your application. Please send all supplementary
materials to the Admissions Ofce so that they can be properly labeled and included in your fle. DO NOT submit materials directly to
academic departments. If you are submitting research materials for review, please include a short statement putting the research project
into the context of your academic interests and future plans and clearly indicate the research advisor (if any) with whom you have worked.
Music tape or CD* Slides of artwork Other
Instrument Media (Explain)
*Please note that CD format is preferred, but tapes can be evaluated. Do not send video recordings (DVDs) of musical performances or recitals.
Academic work
Name of Research Advisor Title (if any)
Name of Institution (if any) Phone or E-mail
Generated Online 7780160 Benjamin Luo
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