Self Report Form Student Information Legal First Name Legal Last Name High School Birth MonthPlease select... January February March April May June July August September October November December Birth DayPlease select... 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 Test Scores Have you taken the ACT?YesNo Test Date (Month)Please select... January February March April May June July August September October November December Test Date (Year)Please select... 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 Composite English Math Reading Science Have you taken the SAT?YesNo Test Date (Month)Please select... January February March April May June July August September October November December Test Date (Year)Please select... 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 Evidence-Based Reading and Writing Math Self-Reported Academic Information High School GPA (out of 4.00) Do not estimate. Be sure to report your cumulative GPA on a 4-point scale. If your school provides more than one GPA (e.g. weighted GPA and non-weighted GPA), please use the best GPA. If your GPA is over 4.0 please report 4.0. High School Course WorkFor each area below, please let us know if you have or will complete these courses with a passing grade (D- grades or better) by the time you graduate from high school.One unit = one yearTrimesters should be rounded up: count .5 unit for one trimester and 1 unit for two or three trimestersBlock schedules: One block is the equivalent of one yearCollege courses take while in high school should be counted the same as high school coursesRefer to the required core classes for admissions at admissions.uni.edu. The equivalent of at least four (4) units of EnglishPlease select... Yes No Examples include: literature, compositions, speech, debate or any other college-prep course that satisfies your high school's English requirement. The equivalent of at least three (3) units of mathematics at the level of algebra 1 and higherPlease select... Yes No Examples include: algebra 1, geometry, agebra 2, trigonometry, pre-calculus, integrated or sequential math, statistics, or any other college prep course that satisfies your high school's mathematics requirements. High school level courses completed in middle school can be counted. The equivalent of at least three (3) units of natural science (two should be lab based)Please select... Yes No Examples include: biology, chemistry, physics, earth science, physical science, environmental science, anatomy and physiology, or any other college prep course that satisfies your high school's science requirement. The equivalent of at least three (3) units of social sciencePlease select... Yes No Examples include: American history, global studies, western civilization, European history, civics, government, geography, economics, psychology, sociology, or any other course that satisfies your high school's social science requirements. At least two (2) units of a world language with a C- or better in the second levelPlease select... Yes No Foreign language is not required for admissions, however, two units of the same language in high school with a C- or better in the last course you took will satisfy a UNI graduation requirement. Contact Information
