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Colorado College STRIPES Interview Write-Up Form
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First Name
*
Last Name
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Four digit year of graduation
*
Student first name:
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Student last name
Student's home city
Student's home state
--
Armed Forces Americas
Armed Forces Europe
Alaska
Alabama
Armed Forces Pacific
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Federated States of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Other
or Country
Student's high school
*
Date interview was conducted
year
2009
2010
month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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Your email address
You may want to complete your write-up in a word processing program where it can be saved and then copy the write-up into this form.
*
Narrative interview write-up
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Please rate student
1 (poor fit; would not succeed at CC)
1.5
2 (marginal fit; may struggle in classroom or campus community)
2.5
3 (average fit at CC: would do just fine)
3.5
4 (great fit; would add to campus community and classroom discussion)
4.5
5 (fantastic fit: want to go home and tell everyone I know I just met this student)
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Are you willing to conduct additional interviews this academic year (until January 15th, 2010)?
yes
no
possibly
Additional comments important to the STRIPES program that do not relate to the student's application:
Thank You