CONNECTICUT COLLEGE Return to College Application

Transcription

1 CONNECTICUT COLLEGE Return to College Application

2 Information for Return To College Applicants Completed application forms should be mailed to Connecticut College, Office of Admission, 270 Mohegan Avenue, New London, CT , according to the following schedule: Enrollment Type: Application Deadline: Financial Aid Deadline: Notification Date: September Enrollment (Fall Semester) April 1 April 1 mid-may January Enrollment (Spring Semester) December 1 December 1 mid-december The following checklist will help you complete your application: Official transcript(s) of all college work to date. Mid-Term Grade Report (only if currently enrolled; Dean s Reference. Faculty Reference. Official high school transcript. Two professional references if not currently enrolled in college. Applicants whose first language is not English are required to submit results of the TOEFL (Test of English as a Foreign Language) or its equivalent. The institutional code for Connecticut College is Financial aid application (available at or by calling ). Financial aid documents must be received before you can be notified of an admission decision. A Statement of Admission Policies and Procedures The Admission Committee seeks students who have the ability to succeed academically at Connecticut College and who, as individuals, will make a contribution to the College community. In reaching admission decisions all credentials are fully reviewed and carefully assessed, with concern for personal qualities as well as for intellectual promise. The Admission Committee decision is final. Updated November 28,

3 Application for Return To College Admission Please return completed form to Connecticut College, Office of Admission, 270 Mohegan Avenue, New London, CT Please type or print clearly and photocopy before sending. Please check one of the options below. Biographical Information Applicant s legal name Last (family): First (given): Middle (complete): Jr., etc.: Nickname: Former last name (if any): Male Female address (we will contact you at this address if we are missing any part of your application): Permanent home address Number/street: Apt. #: City or town: State: Postal code: Country: Permanent home telephone number (please include area code): If different from above, please give your mailing address for all admission correspondence. Use until (mm/dd/yyyy): Mailing address Number/street: City or town: State: Postal code: Country: Mailing address telephone (please include area code): Birth date (mm/dd/yyyy): U.S. citizen Dual U.S. citizen; please specify other country of citizenship: U.S. Permanent Resident (please send a copy of Permanent Resident Card); citizen of: Other citizenship; please specify country(ies): Have you applied to Connecticut College before? Yes No If yes, when? Will you be a candidate for financial aid? Yes No Education College/university you now attend or last attended: Address: Date entered (mm/dd/yyyy): Graduation date (mm/dd/yyyy): College/university type: 2-year 4-year Other Academic adviser s name: Position: Adviser s telephone (please include area code): 2

4 Please list all secondary schools, including summer schools, programs and institutes, that you have attended since ninth grade. Name of school Location Dates attended Check here if you are not currently attending college. In what departments are you likely to concentrate? What careers are you considering? Work Experience Please attach a current resume, or list your activities since last enrolled in a college or university on a separate sheet. Connecticut College Relationships Please list any relatives who have attended Connecticut College (please give their name, class year and relationship to you): Disciplinary History Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from ninth grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal or expulsion from the institution? Yes No Have you ever been convicted of a misdemeanor, felony or other crime? Yes No If you answered yes to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident and explains the circumstances. Optional Section Responses in this section will not be used in a discriminatory manner. Applicant s place of birth: Primary language spoken at home: Social Security number: Father s place of birth: Mother s place of birth: 1. Are you Hispanic/Latino? Yes, Hispanic or Latino (including Spain) No Please describe your background: 2. Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you: American Indian or Alaska Native (including all Original Peoples of the Americas) Are you Enrolled? Yes No If yes, please enter Tribal Enrollment Number: Please describe your background: Asian (including Indian subcontinent and Philippines) Please describe your background: Black or African American (including Africa and Caribbean) Please describe your background: Native Hawaiian or Other Pacific Islander (Original Peoples) Please describe your background: White (including Middle Eastern) Please describe your background: Signature My signature below indicates that all information contained in my application is factually correct and honestly presented. Signature: Date: Connecticut College is committed to the goal of achieving equal opportunity for all and, accordingly, does not discriminate on the basis of race, color, sex, sexual orientation, gender identity, expression and characteristics, age, religion, national or ethnic origin, visible or invisible disability, or status as a disabled veteran of the Vietnam era. The College complies with federal and state legislation and regulations regarding nondiscrimination. This policy applies to faculty and staff, applicants for faculty and staff positions, students and applicants for educational programs and activities. Inquiries concerning this policy should be addressed to the Affirmative Action Officer, Fanning Hall, Connecticut College, 270 Mohegan Avenue, New London, Connecticut,

5 Personal Statement Please attach your response to this sheet and return to Connecticut College, Office of Admission, 270 Mohegan Avenue, New London, CT Please type or print clearly and photocopy before sending. Applicant s name: Name of college/university: In essay form, please express your interest in attending Connecticut College. In addition, if you have been out of the formal educational setting recently, please share with us your thoughts about returning to college. 4

6 Dean s Reference After filling in the first two lines, give this form to your Dean or Academic Adviser, whomever knows you better. Applicant s name Last (family): First (given): Middle (complete): Jr., etc.: College/university now attending: Instructions to the Dean or Adviser This student has applied for admission to Connecticut College. The Admission Committee finds candid evaluations helpful in choosing among highly qualified candidates and therefore asks your help in appraising the applicant. The information that you provide will not become a part of the student s permanent record. We thank you sincerely for your time and professional judgment. How familiar are you with Connecticut College? I know Connecticut College well I know something about Connecticut College I know very little about Connecticut College Is this student in good academic standing at your institution and eligible for honorable dismissal? Yes No How long have you known the applicant? Are there special circumstances, of either a personal or an academic nature, that have affected this student s classroom performance or social involvement? What are the reasons for this transfer? In your estimation, has the student taken advantage of the academic and extracurricular offerings at your institution? On the reverse side of this page, please comment on the student s overall performance, considering the following:» Attitude toward accepting academic challenge and social responsibility» Leadership» Relations with peers» Ambition and motivation» Intellectual curiosity Please be specific and cite examples if possible. Name: Date: Signature: Position: College/university: School address number/street: City or town: State: Country: Postal code: 5

7 Faculty Reference After filling in the first two lines, give this form to your Faculty Reference. Applicant s name Last (family): First (given): Middle (complete): Jr., etc.: College/university now attending: Instructions to the Faculty Reference This student has applied for admission to Connecticut College. The Admission Committee finds candid evaluations helpful in choosing among highly qualified candidates and therefore asks your help in appraising the applicant. The information that you provide will not become a part of the student s permanent record. We thank you sincerely for your time and professional judgment. How familiar are you with Connecticut College? I know Connecticut College well I know something about Connecticut College I know very little about Connecticut College How long have you known the applicant? Note any capacity in which you have known the applicant outside the classroom (adviser, friend, etc.): List the courses you have taught the applicant: On the reverse side of this page, please write a summary appraisal of the candidate, covering the following points:» Creative, original thought» Written expression of ideas» Effective class discussion» Motivation and capacity for sustained and independent work» Relationship to faculty and other students» Maturity and emotional stability» Sense of humor Please be specific and cite examples if possible. Name: Date: Signature: Department: College/university: School address number/street: City or town: State: Country: Postal code: 6

8 Mid-Term Grade Report Applicant s name Last (family): First (given): Middle (complete): Jr., etc.: College/university now attending: After completing the name and number of your current courses, please ask each of your professors to fill out one of the sections below listing your current grade. If no graded work is available, please ask your professor to write NGA (no grade available) and sign his or her name. 7