DAY COLLEGE APPLICATION FOR ADMISSION

Transcription

1 A BACHELOR DEGREE GRANTING PRIVATE COLLEGE DAY COLLEGE APPLICATION FOR ADMISSION THE COLLEGE OF WESTCHESTER, 325 CENTRAL AVENUE, P.O. BOX 710, WHITE PLAINS, NEW YORK (800) (914) FAX: (914) GENERAL INFORMATION A $40 application fee must accompany this form NAME LAST FIRST MIDDLE INITIAL ADDRESS NUMBER, STREET APARTMENT CITY STATE ZIP CODE HOME PHONE ( ) CELL PHONE ( ) CELL PROVIDER DATE OF BIRTH MALE FEMALE SOCIAL SECURITY NO. CITIZENSHIP: U.S. CITIZEN PERMANENT RESIDENT OF U.S. (GREEN CARD) OTHER POSSIBLE AREA(S) OF ACADEMIC CONCENTRATION/MAJOR: OR UNDECIDED POSSIBLE CAREER OR PROFESSIONAL PLANS: OR UNDECIDED RACE (optional) AFRICAN-AMERICAN ASIAN CAUCASIAN HISPANIC OTHER: DO YOU CONSIDER YOURSELF TO BE HISPANIC OR LATINO? YES NO DO YOU CONSIDER ENGLISH TO BE YOUR FIRST LANGUAGE? YES NO IF NO, WHAT IS YOUR FIRST LANGUAGE? MARITAL STATUS (optional): SINGLE DIVORCED / SEPARATED MARRIED NAME OF SPOUSE: NAME OF FATHER / GUARDIAN: WORK PHONE ( ) CELL PHONE ( ) _ NAME OF MOTHER / GUARDIAN: WORK PHONE ( ) CELL PHONE ( ) _ BROTHERS OR SISTERS IN HIGH SCHOOL: NAME H.S. GRADUATION YR. NAME H.S. GRADUATION YR. APPLYING TO THE COLLEGE OF WESTCHESTER FOR: SEPTEMBER JANUARY MAY YEAR:

2 ACADEMIC INFORMATION DID OR WHEN WILL YOU GRADUATE FROM HIGH SCHOOL? OR, HAVE YOU RECEIVED A GED? STATE YEAR ARE YOU TRANSFERRING TO THE COLLEGE OF WESTCHESTER? YES NO IF YES, HOW MANY CREDITS DO YOU HOPE TO TRANSFER? LIST NAMES OF SCHOOLS AND COLLEGES YOU HAVE ATTENDED, BEGINNING WITH HIGH SCHOOL. PLEASE GIVE THE DATES ATTENDED, YEAR OF GRADUATION AND DIPLOMA OR DEGREE EARNED FROM EACH. PLEASE REQUEST THAT OFFICIAL TRANSCRIPTS FROM EACH OF THESE BE SENT DIRECTLY TO THE COLLEGE OF WESTCHESTER OFFICE OF ADMISSIONS. NAME OF SCHOOL ADDRESS DATES (MO/YR) DIPLOMA/DEGREE FROM / TO EARNED PLEASE RATE YOURSELF IN THE FOLLOWING AREAS: BELOW AVERAGE ABOVE BELOW AVERAGE ABOVE LEADERSHIP SELF-CONFIDENCE MOTIVATION ACADEMIC ACHIEVEMENT CREATIVITY ANALYTICAL ABILITY TEAM WORK PROBLEM SOLVING ABILITY HOW DID YOU LEARN ABOUT THE COLLEGE OF WESTCHESTER? CW WEB-SITE RECEIVED MAILER CW STUDENT COLLEGE FAIR INTERNET SEARCH RECEIVED CW GRADUATE NEWSPAPER FRIEND OR RELATIVE FACEBOOK H.S. COUNSELOR TV/RADIO CLASSROOM PRESENTATION H.S. TEACHER OTHER PLEASE LIST ANY FRIENDS OR RELATIVES WHO MAY BE INTERESTED IN THE COLLEGE OF WESTCHESTER NAME: PHONE NO.:( ) H.S. GRADUATION YR.: NAME: PHONE NO.:( ) H.S. GRADUATION YR.:

3 BACHELOR S DEGREE PROGRAMS CHECK THE PROGRAM FOR WHICH APPLICATION IS MADE: BACHELOR OF BUSINESS ADMINISTRATION IN BUSINESS ADMINISTRATION BACHELOR OF BUSINESS ADMINISTRATION IN ACCOUNTING ASSOCIATE S DEGREE PROGRAMS BUSINESS ADMINISTRATION MANAGEMENT/MARKETING, A.A.S. ENTERTAINMENT, MUSIC & SPORTS MANAGEMENT* FASHION RETAIL MERCHANDISING* HOTEL & RESORT MANAGEMENT* FINANCE* ACCOUNTING, A.A.S. COMPUTER NETWORK ADMINISTRATION,, A.A.S. DIGITAL MEDIA, A.A.S. WEB DESIGN & DEVELOPMENT* DIGITAL VIDEO & ANIMATION* GRAPHIC DESIGN* MEDICAL ASSISTANT MANAGEMENT, A.A.S. MEDICAL OFFICE SYSTEMS MANAGEMENT, A.O.S. * Elective Track Available, refer to college catalog for requirement and availability. CERTIFICATE PROGRAMS INTENSIVE ACCOUNTING/COMPUTER APPLICATIONS COMPUTER NETWORK SPECIALIST DIGITAL MEDIA SPECIALIST INDIVIDUAL COURSES: I HEREBY APPLY FOR ADMISSION TO THE COLLEGE OF WESTCHESTER AND CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS COMPLETE AND ACCURATE. ADDITIONALLY, I HAVE RECEIVED AN OFFICIAL COLLEGE CATALOG. SIGNATURE OF APPLICANT DATE PLEASE COMPLETE THE TRANSCRIPT AND IMMUNIZATION REQUEST FORM ON THE BACK PAGE THE COLLEGE OF WESTCHESTER S NONDISCRIMINATION POLICY PROHIBITS DISCRIMINATION IN ALL AREAS OF ITS OPERATION. THE COLLEGE OF WESTCHESTER DOES NOT LAWFULLY DISCRIMINATE AGAINST ANY PERSON ON THE BASIS OF RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, HANDICAP, VETERAN STATUS OR SEXUAL ORIENTATION. THIS IS IN COMPLIANCE WITH THE REGULATIONS AND POLICIES OF AFFIRMATIVE ACTION, TITLE IX AND SECTION 504 OF THE REHABILITATION ACT OF 1973.

4 HIGH SCHOOL TRANSCRIPT AND IMMUNIZATION RECORDS REQUEST FORM IN CONNECTION WITH MY APPLICATION FOR ADMISSION, I AUTHORIZE THE BELOW-NAMED HIGH SCHOOL TO RELEASE THE FOLLOWING INFORMATION TO THE COLLEGE OF WESTCHESTER: TRANSCRIPT REQUEST RELEASE FORM AND/OR IMMUNIZATION RECORDS ACADEMIC TRANSCRIPT IMMUNIZATION RECORDS OTHER STUDENT INFORMATION: NAME (PLEASE PRINT) MAIDEN NAME: ADDRESS CITY, STATE, ZIP H.S. GRADUATION DATE DATE OF BIRTH HIGH SCHOOL INFORMATION: HIGH SCHOOL NAME HIGH SCHOOL ADDRESS CITY, STATE, ZIP SIGNATURE DATE ATTENTION RECORDS ADMINISTRATOR: PLEASE FORWARD OFFICIAL DOCUMENTS REQUESTED ABOVE TO: THE COLLEGE OF WESTCHESTER OFFICE OF ADMISSIONS 325 CENTRAL AVENUE P.O. BOX 710 WHITE PLAINS, NY SHOULD YOU HAVE ANY QUESTIONS ABOUT THIS REQUEST, PLEASE FEEL FREE TO CONTACT US AT: PHONE: ADMISSIONS@CW.EDU FAX: THANK YOU. 8/2011

5 PERSONAL STATEMENT THIS PERSONAL STATEMENT HELPS US BECOME ACQUAINTED WITH YOU AS AN INDIVIDUAL IN WAYS DIFFERENT FROM COURSES, GRADES, TEST SCORES, AND OTHER OBJECTIVE DATA. PLEASE WRITE AN ESSAY ( WORDS) ON A TOPIC OF YOUR CHOICE OR ON ONE OF THE OPTIONS LISTED BELOW. PLEASE SUBMIT AS SOON AS POSSIBLE VIA MAIL, FAX OR ADMISSIONS@CW.EDU 1. DESCRIBE YOUR CAREER AND EDUCATIONAL GOALS. 2. DISCUSS A SIGNIFICANT ISSUE, EXPERIENCE OR ACHIEVEMENT THAT HAS AFFECTED YOUR LIFE. 3. DESCRIBE THE ROLE COMPUTERS HAVE PLAYED IN CHANGING THE FACE OF THE BUSINESS WORLD. 4. DESCRIBE THE RESPONSIBILITIES OF A MEDICAL ASSISTANT. WHY DO YOU WISH TO BECOME A MEDICAL ASSISTANT? (REQUIRED FOR MEDICAL ASSISTANT MANAGEMENT APPLICANTS) 8/2011