Autobiographical Statement Checklist


This checklist is designed to help ESL students write an autobiographical statement.


1.0) Family Background

1.1) Describe your mother and father

1.2) What psychological, moral and/or intellectual lesson(s) did you learn from your parents?

1.2) What lesson(s) if any did you learn from your siblings?

1.3) What lesson(s) if any did you learn from your extended family?

1.4) What lesson(s) if any did you learn from family friends?

2.0) Academic Background

2.1) Did you learn any special lesson(s) in elementary school?  What about special accomplishments?

2.2) Did you learn any special lesson(s) in middle school?  What about special accomplishments?

2.3) Did you learn any special lesson(s) high school?  What about special accomplishments?

2.4) Did you learn any special lesson(s) in college?  What about special accomplishments?

 

3.0) Hobbies and Interests

From http://en.wikipedia.org/wiki/Hobby:

“Hobbies are practiced for interest and enjoyment, rather than financial reward. Examples include collecting, creative and artistic pursuits, making, tinkering, sports and adult education. Engaging in a hobby can lead to acquiring substantial skill, knowledge, and experience. However, personal fulfillment is the aim.”

3.1) What skill, knowledge, or experience did your hobby help you acquire?

3.2) Was there a competitive side to your hobby?

3.3) Hobby versus Interest

 

4.0) Short Term Goals

4.1) What do you plan to do in the next 1-3 years?

4.2) What are your short term intellectual/academic goals?

4.3) What are your short term spiritual/psychological goals?

4.4) What are your short term career goals?

5.0) Long Term Goals

5.1) What do you plan to do in the next 5-10 years?

5.2) What are your long term intellectual/academic goals?

5.3) What are your long term spiritual/psychological goals?

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