| 1. Name the secondary school teacher who has most influenced you and briefly explain why. | |
| Teacher Name | |
| Subject(s) and Academic Year(s) | |
| School | |
| He/She has influenced me because: | |
| Characters available 200 | |
| 2. What subjects most interest you and why? (Note: This is not a commitment to major in this area.) | |
| Characters available 400 | |
| 3. Do you have a tentative (or firm) career plan (or dream)? Please describe it. | |
| Characters available 400 | |
| If any members of your family (immediate or extended) have attended Carleton, please list their names, relationships to you, and graduation years. | |
| Characters available 400 | |
| 4. Why are you interested in Carleton College and how did this interest develop? | |
| Characters available 300 | |
| 5. From your reading, whether children's books or classics, what books or authors have particularly impressed you and why? | |
| Characters available 500 | |
| 6. If you would like to report additional information to Carleton that you did not report in the Common Application additional information section, please do so here. | |
| Characters available 800 | |
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