What is your name? -_______________________________________________________

What is your address? Street

City, State, Zip

Do you have a specific job in mind (this is position sought)? __________________________________________

What are your interests (select 2-3, this is abilities & talents)?

1. I like to use computers for school and home work. (Possesses computer skills)

2. I like to play team sports. (Team player; works well with others)

3. I like playing individual sports. (Independent worker; self-disciplined)

4. I enjoy reading and writing (good communication skills)

5. I like drawing, art or music. (creative thinking skills)

6. Friends often tell me secrets and ask my advice (reliable; good listening skills)

7. I like to set up garage sales, lemonade stands and sell cookies or other items for fundraising events. (Entrepreneurial; possesses self-confidence)

8. I like to work on puzzles, put things together (good problem solver)

9. Your choice ________________________________________________________

What responsibilities have you had (select 2-3, this is abilities & talents)?

1. I help watch younger siblings or baby-sit for others (Time management and organizational skills)

2. I do volunteer work through church, scouts, helping elderly neighbors, or other ways. ( Leadership skills; exhibits good judgment)

3. I do well in school while having many outside activities and interests (Responsible; good management skills)

4. I behave in a way which sets a good example for friends, siblings and children younger than me (Conscientious; strong sense of community)

5. Other: _______________________________________________

What Is Your Best School Skill (select 1, this is abilities & talents)?

1.) I do well in math and science (strong math and analytical skills)

2.) I do well in reading and writing (Strong reading comprehension and writing skills)

3.) I do well in social studies (Interest in global and humanitarian issues)

4.) Creative arts (Strong creative skills; think outside the box)

5.) I do well in many different subjects (Strong in many subject areas; have a well-rounded education)

Special achievements (this is abilities & talents)

Now, think about the different activities in your life. What have you done that makes you feel good about yourself? Have you won an award? Made something special? Reached a goal? List them below. Include the years you reached the achievements or won the awards.

Jobs you have had (this is work experience)

Job title Employer when did you work?

Where do you currently go to school (this is education)

What previous school did you go to? When were you there? (this is education)