Fill out the form below and press ‘Send Profile’ to submit the form.
Phone Number (555-555-5555)
Birth Date (mm/dd/yyyy)
Have you taken any honors/Advanced Placement (AP)/International Baccalaureate (IB) course work in high school? This includes senior-year classes. If so, list the honors/AP/IB course work you have taken and the year(s) you took it.
Example: Honors geometry freshman year, honors algebra II sophomore year, honors trigonometry and pre-calculus junior year, and AP calculus senior year.
Have you taken any dual credit course work in high school? Dual credit classes are offered through a college/university and also may apply towards your high school graduation requirements. This includes senior year classes. If so, list the dual credit course work you have taken, including the college/university offering the class, year in high school, and final grade (if available).
Example: Southwestern Illinois College – ENG 101: Rhetoric and Composition I completed junior year with a grade of B and ENG 102: Rhetoric and Composition II in progress senior year.
Please provide below a resumé listing your high school activities, honors, awards, etc. Please be sure to indicate whether you held leadership positions in the activities. Also, indicate the year or years (freshman, sophomore, junior, senior), in which you participated in the activities, and spell out the full names of anything listed as acronyms. Be sure to indicate the number of hours devoted for each volunteer activity in which you participated.
View a sample resumé
In the space below, write an essay (maximum two pages, 12 pt., double-spaced in MS Word or equivalent – you may copy and paste below if you like) addressing one of the following:
What makes you unique? Discuss the personal qualities that make you stand out from others and the experiences that have helped to shape you. How have these unique qualities led you to be interested in attending SIUE and how do you anticipate harnessing them to contribute to the SIUE community, the nation, and the world.
By submitting the Supplemental Profile, I approve the release by the University of my name, address, class, high school and scholarship award if I am selected. Further, by submitting this profile, I certify that, to the best of my knowledge, all statements submitted are my own. I understand that this Supplemental Profile and all records gathered for my application file are confidential and will not be disclosed to me. Access will be restricted to appropriate University personnel and to the donor of my scholarship (if applicable).
Please fill out and submit this Supplemental Profile, including the two-page essay, by December 1, by clicking the submit button. Preferential consideration will be given to students who apply to the University and submit the Supplemental Profile by December 1.