For Spring 2012 or Fall 2012 Enrollment. Transfer Student Common Application

Lawrenceville and Princeton, New Jersey 2011-12 For Spring 2012 or Fall 2012 Enrollment Transfer Student Common Application Business Education Fine Arts, Music & Performing Arts (Westminster College of the Arts) Liberal Arts Sciences Apply Online: www.rider.edu/admissions

Application Information for Transfer Students Thank you for considering Rider University for your college education. In this booklet, you will find all the information you need to apply for transfer admission to our Lawrenceville and Princeton campuses. Our staff is available to answer your questions about applying to Rider or the college admissions process in general. Feel free to contact us at 800-257-9026 or 609-896-5036. First-Time and Full-Time Freshmen Students Should Not Complete This Application. First-time, full-time freshmen should complete the Freshman Application for Admission, available online at www.rider.edu/admissions. To request a paper application, call 800-257-9026 or 609-896-5042. Adult or part-time students seeking credits or degrees in business, liberal studies or chemistry, or enrolling for personal enrichment can apply online at www.rider.edu/admissions. For information, contact Rider s Office of Admission at 609-896-5036. Important Deadlines Once your complete application has been submitted with all the necessary documentation, it is reviewed by the Committee on Admission. Rider begins the process of notifying applicants of an admission decision starting November 1 for fall admission. Applications will be accepted after the recommended deadline on a space-available basis. December 1 Scholarship Deadline and Recommended Due Date to Complete Application for Spring Admission January 9 Enrollment Deposit Deadline for Spring Admission March 1 Priority Deadline for Filing the Free Application for Federal Student Aid (FAFSA) April 1 May 1 Scholarship Deadline for Transfer Students and Recommended Due Date to Complete Application for Fall Admission Enrollment Deposit Deadline for Fall Admission Applying to Rider Why Not Apply Online? It s fast, easy and secure! Apply online at www.rider.edu/admissions. Be sure to print and save a copy for your records. Please File Only One Application! If you file an application online, do not submit a paper copy. Paper and online applications are given equal consideration. Application Procedure Your complete application must consist of the following: 1. Completed and signed application form. 2. $50 non-refundable application fee, or a fee waiver form signed by school counselor. Please be sure that your name and home phone is clearly written on any checks or money orders. 3. Official transcripts from all post-secondary institutions attended. 4. Official high school transcripts and SAT or ACT scores, if you have completed fewer than 30 college credits. 5. One letter of recommendation. A form is included in this booklet or a letter can be substituted. 6. Essay. Mail your application and credentials in the envelope provided to: Rider University Office of Admission 2083 Lawrenceville Road Lawrenceville, NJ, USA 08648-3099. We also invite you to contact our transfer counselor at 609-896-5042 to discuss Rider s application process and the transfer of your credits. Additional Requirements (Please read carefully multiple sections may apply to you!) A) Westminster College of the Arts Applicants applying to a program which requires an audition must register online for their requested audition date. Audition requirements, available audition dates and links to the audition registration forms can be found at www.rider.edu/ugauditions. For additional information or questions, contact the Westminster Office of Admission at 1-800-962-4647. B) International Students International students must also submit: Official notification of TOEFL or IELTS scores if the primary language of your home country is not English. These scores are not required if you attended an International or American school at which English is the primary language of instruction. When requesting that TOEFL results be sent to Rider, use code 2758. The minimum score that must be achieved to be considered for admission is as follows: 550/paper-based 80/Internet-based 213/computer-based 6.5/IELTS If seeking an F-1 visa, you are required to complete the International Student Supplement and supply supporting financial documents as described at www.rider.edu/admissions. Copies of all previous I-20s.

Common Application Supplement For a complete listing of academic majors, please consult the back cover of this application booklet. Last Name First Name Middle Social Security Number Date of Birth Intended Academic Major(s)/See back cover Anticipated Minor or Special Interest Program/See back cover Pre-Professional Programs (optional): Pre-Allied Health Pre-Law Pre-Med/Pre-Dental Are you a Yellow Ribbon candidate? Yes No Westminster College of the Arts Applicants The following programs require an audition and/or interview: Arts Administration, Music (B.A.), Dance, Music Education, Music Theater, Organ, Piano, Sacred Music, Theater, Theory and Composition, Voice Performance. If you are applying to one of these programs, please visit http://www.rider.edu/ugauditions to register for an audition/interview. International Applicants Visit http://www.rider.edu/admissions and learn of specific requirements for International Students. Students seeking an F-1 Student Visa must also submit Rider s International Student Supplement, available on our Web site. All Applicants Please list any relatives or close friends who attend/attended Rider University: Name Relationship Graduation Year Occupation Name Relationship Graduation Year Occupation Name Relationship Graduation Year Occupation

How did you first hear of Rider University? Alumnus/Alumna Teacher Guidance Counselor University Representative Transfer Counselor Name of person: Summer Camp Internet College Guide Book Newspaper College Night Campus Visit Other: Name of above website, publication or event: Who or what influenced your decision to apply to Rider University? Acknowledgement I hereby apply for admission to Rider University and if admitted, will uphold the standards and spirit of the Codes of Academic and Social Conduct.* * Codes of Academic and Social Conduct: The preamble to the Code of Academic Conduct includes the following statements: Academic honesty constitutes the cornerstone of the academic community. Rider University insists on strict adherence to the concept of academic honesty as indispensable to the continued existence and future development of the campus community. The Code of Social Conduct articulates guidelines for defining rights and responsibilities within the community. In order to function effectively and to prove a climate in which all members can fulfil their personal and community obligations, guidelines are enforced. The complete text of the codes is in the Rider Source, which is available online at www.rider.edu at the beginning of each year. Rider expects all students to honor and maintain these codes. Rider University encourages applications from all men and women whose achievements in either high school or college show evidence of their ability to successfully complete programs at the University. Rider University Office of Undergraduate Admission 2083 Lawrenceville Road Lawrenceville, NJ 08648-3099 USA 609-896-5042 www.rider.edu/admissions 10/11

2011-12 TRANSFEr Application For Spring 2012 or Fall 2012 Enrollment APPLICANT Legal Name Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Preferred name, if not first name (only one) Former last name(s) Birth Date p Female p Male Preferred Telephone p Home p Cell E-mail Address US Social Security Number, if any Required for US Citizens and Permanent Residents applying for financial aid via FAFSA Home ( ) Cell ( ) Area/Country/City Code Area/Country/City Code IM Address Permanent home address Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code If different from above, please give your current mailing address for all admission correspondence. (from to ) () () Current mailing address Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code If your current mailing address is a college or university, include name of school here: FUTURE PLANS Your answers to these questions will vary for different colleges. If the online system did not ask you to answer some of the questions you see in this section, this college chose not to ask that question of its applicants. College Deadline Entry Term: p Fall (Jul-Dec) p Spring (Jan-Jun) Do you intend to apply for need-based financial aid? p Yes p No Academic Interests Do you intend to apply for merit-based scholarships? p Yes p No Career Interest Do you intend to live in college housing? What is the highest degree you intend to earn? Do you intend to be a full-time student? p Yes p No Do you intend to enroll in a degree program your first year? p Yes p No DemographicS Citizenship Status Non-US Citizenship _ Birthplace City/Town State/Province Country Years lived in the US? Years lived outside the US? Language Proficiency (Check all that apply.) S(Speak) R(Read) W(Write) F(First Language) H(Spoken at Home) S R W F H p p p p p p p p p p p p p p p Optional The items with a gray background are optional. No information you provide will be used in a discriminatory manner. Religious Preference US Armed Services veteran status 1. Are you Hispanic/Latino? p Yes, Hispanic or Latino (including Spain) p No If yes, please describe your background. _ 2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check one or more and describe your background.) p American Indian or Alaska Native (including all Original Peoples of the Americas) Are you Enrolled? p Yes p No If yes, please enter Tribal Enrollment Number p Asian (including Indian subcontinent and Philippines) _ p Black or African American (including Africa and Caribbean) _ p Native Hawaiian or Other Pacific Islander (Original Peoples) _ p White (including Middle Eastern) 2011 The Common Application, Inc. AP-5 / 2011-12

FAMILY Please list both parents below, even if one or more is deceased or no longer has legal responsibilities toward you. Many colleges collect this information for demographic purposes even if you are an adult or an emancipated minor. If you are a minor with a legal guardian (an individual or government entity), then please list that information below as well. If you wish, you may list step-parents and/or other adults with whom you reside, or who otherwise care for you, in the Additional Information section. Household Parents marital status (relative to each other): p Never Married p Married p Civil Union/Domestic Partners p Widowed p Separated p Divorced (date ) mm/yyyy With whom do you make your permanent home? p Parent 1 p Parent 2 p Both p Legal Guardian p Ward of the Court/State p Other If you have children, how many? Parent 1: p Mother p Father p Unknown Is Parent 1 living? p Yes p No (Date Deceased ) mm/yyyy Last/Family/Sur First/Given Middle Title (Mr./Mrs./Ms./Dr.) Country of birth Home address if different from yours Preferred Telephone: p Home p Cell p Work ( ) Area/Country/City Code E-mail Occupation Employer College (if any) CEEB Degree Year Graduate School (if any) CEEB Degree Year Legal Guardian (if other than a parent) Relationship to you Last/Family/Sur First/Given Middle Title (Mr./Mrs./Ms./Dr.) Country of birth Home address if different from yours Preferred Telephone: p Home p Cell p Work ( ) Area/Country/City Code E-mail Occupation Employer College (if any) CEEB Degree Year Graduate School (if any) CEEB Degree Year Parent 2: p Mother p Father p Unknown Is Parent 2 living? p Yes p No (Date Deceased ) mm/yyyy Last/Family/Sur First/Given Middle Title (Mr./Mrs./Ms./Dr.) Country of birth Home address if different from yours Preferred Telephone: p Home p Cell p Work ( ) Area/Country/City Code E-mail Occupation Employer College (if any) CEEB Degree Year Graduate School (if any) CEEB Degree Year Siblings Please give names and ages of your brothers or sisters. If they are enrolled in grades K-12 (or international equivalent), list their grade levels. If they have attended or are currently attending college, give the names of the undergraduate institution, degree earned, and approximate dates of attendance. If more than three siblings, please list them in the Additional Information section. Name Age & Grade Relationship College Attended CEEB Degree earned Dates or expected mm/yyyy mm/yyyy Name Age & Grade Relationship College Attended CEEB Degree earned Dates or expected mm/yyyy mm/yyyy Name Age & Grade Relationship College Attended CEEB Degree earned Dates or expected mm/yyyy mm/yyyy 2011 The Common Application, Inc. AP-6 / 2011-12

EDUCATION Colleges & Universities Are you currently enrolled in college? p Yes p No Current or most recent college or university attended Entry Date Exit Date School Type p Public p Independent This is a p 2-year p 4-year institution mm/yyyy mm/yyyy Address CEEB/ACT code Number & Street City/Town State/Province Country ZIP/Postal Code Advisor s name (Mr./Mrs./Ms./Dr.) Advisor s title E-mail Telephone ( ) Fax ( ) Area/Country/City Code Number Ext. Area/Country/City Code Number Report all college attendance beginning with your first year of college. Include all online and summer coursework. College/University Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Degree Candidate? Dates Attended Degree(s) Earned Yes No (mm/yyyy) p p p p p p Do you expect to earn a degree prior to enrolling at the college to which you are applying? p Yes p No If so, what type of degree? Are you a member of Phi Theta Kappa? p Yes p No Were you issued a transcript for any work listed above? p Yes p No If yes, please have an official transcript sent as soon as possible. Secondary Schools List all secondary schools you have attended. Please have a School Report form, Official Transcript, and School Profile sent from each institution as soon as possible. Name of School & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Dates Attended (mm/yyyy) Secondary School Graduate Date Please list any community program/organization that has provided free assistance with your application process: If your education was interrupted, please indicate so here and provide details in the Additional Information section: ACADEMICS The self-reported information in this section is not intended to take the place of your official records. Please note the requirements of each institution to which you are applying and arrange for official transcripts and score reports to be sent from your secondary school and the appropriate testing agencies. Where Best Scores are requested, please report the highest individual scores you have earned so far, even if those scores are from different test dates. Secondary School Class Rank Class Size Weighted? p Yes p No GPA Scale Weighted? p Yes p No Grades (if available) (if available) ACT Exam Dates: Best Scores: (past & future) mm/yyyy mm/yyyy mm/yyyy (so far) COMP mm/yyyy English mm/yyyy Math mm/yyyy Reading mm/yyyy Science mm/yyyy Writing mm/yyyy SAT Exam Dates: Best Scores: (past & future) mm/yyyy mm/yyyy mm/yyyy (so far) Critical Reading mm/yyyy Math mm/yyyy Writing mm/yyyy TOEFL/ Exam Dates: Best Score: IELTS (past & future) mm/yyyy mm/yyyy mm/yyyy (so far) Test Score mm/yyyy AP/IB/SAT Best Scores: Subjects (per subject, so far) mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score mm/yyyy Type & Subject Score Current Courses Please indicate title, level (100-level, 200-level, etc.) and credit value of all courses you are taking this year. Indicate quarter classes taken in the same semester on the appropriate semester line. If you are not currently enrolled in college, please list the courses you took most recently. Full Year/First Semester/First Trimester Second Semester/Second Trimester Third Trimester or additional first/second term courses if more space is needed 2011 The Common Application, Inc. AP-7 / 2011-12

Honors Briefly list any academic distinctions or honors you have received since the 9 th grade or international equivalent (e.g., National Merit, Cum Laude Society). S(School) S/R(State or Regional N(National) I(International) Highest Level of Grade level Honor Recognition 11 12 FY SO JR S S/R N I p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p p Extracurricular Activities & Work Experience Extracurricular Please list your principal extracurricular, volunteer, and work activities in their order of importance to you. Feel free to group your activities and paid work experience separately if you prefer. Use the space available to provide details of your activities and accomplishments (specific events, varsity letter, musical instrument, employer, etc.). To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach a résumé. Grade level 11 12 FY SO JR Hours per week Approximate time spent Weeks per year When did you participate in the activity? Summer/ School School year Break Positions held, honors won, letters earned, or employer If applicable, do you plan to participate in college? ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity ppppp p p p Activity 2011 The Common Application, Inc. AP-8 / 2011-12

WRITING Please briefly elaborate on one of your extracurricular activities or work experiences in the space below. Personal Essay This personal essay helps us become acquainted with you as a person and student, apart from courses, grades, test scores, and other objective data. It will also demonstrate your ability to organize your thoughts and express yourself. Please provide a statement of 250 500 words that addresses your reasons for transferring and the objectives you hope to achieve, and attach it to your application before submission. NOTE: Your Common Application essay should be the same for all colleges. Do not customize it in any way for individual colleges. Colleges that want customized essay responses will ask for them on a supplement form. Additional Information Please attach a separate sheet if you wish to provide details of circumstances or qualifications not reflected in the application. Disciplinary History a Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9 th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution. p Yes p No b Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? p Yes p No [Note that you are not required to answer yes to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.] If you answered yes to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances, and reflects on what you learned from the experience. Note: Applicants are expected to immediately notify the institutions to which they are applying should there be any changes to the information requested in this application, including disciplinary history. SIGNATURE Application Fee Payment If this college requires an application fee, how will you be paying it? p Online Payment p Will Mail Payment p Online Fee Waiver Request p Will Mail Fee Waiver Request Required Signature w w w I certify that all information submitted in the admission process including the application, the personal essay, any supplements, and any other supporting materials is my own work, factually true, and honestly presented, and that these documents will become the property of the institutions to which I am applying and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree, should the information I have certified be false. I acknowledge that I have reviewed the application instructions for each college receiving this application. I understand that all offers of admission are conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based, as well as honorable dismissal from the school. I affirm that I will send an enrollment deposit (or equivalent) to only one institution; sending multiple deposits (or equivalent) may result in the withdrawal of my admission offers from all institutions. [Note: students may send an enrollment deposit (or equivalent) to a second institution where they have been admitted from the waitlist, provided that they inform the first institution that they will no longer be enrolling.] Signature Date Common Application member institution admission offices do not discriminate on the basis of race, color, ethnicity, national origin, religion, creed, sex, age, marital status, parental status, physical disability, learning disability, political affiliation, veteran status, or sexual orientation. 2011 The Common Application, Inc. AP-9 / 2011-12

2011-12 COLLEGE INSTRUCTOR EVALUATION For Spring 2012 or Fall 2012 Enrollment IE TO THE APPLICANT After completing all the relevant questions below, give this form to an instructor who has taught you a full-credit college class. If applying via mail, please also give that instructor stamped envelopes addressed to each institution that requires a College Instructor Evaluation. p Female Legal Name p Male Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Birth Date Social Security # (Optional) Address Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code College or university you now attend CEEB/ACT Code IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Federal Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by The Common Application member institution(s) to which I am applying. I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact officials at my current and former schools should they have questions about the school forms submitted on my behalf. I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents submitted by me and on my behalf, unless at least one of the following is true: 1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/ferpa). 2. I waive my right to access below, regardless of the institution to which it is sent: p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf. p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or on my behalf to the institution at which I m enrolling, if that institution saves them after I matriculate. Required Signature Date TO THE Instructor The Common Application membership finds candid evaluations helpful in choosing from among highly qualified candidates. You are encouraged to keep this form in your private files for use should the student need additional recommendations. Please submit your references promptly, and remember to sign below before mailing directly to the college/university admission office. Do not mail this form to The Common Application offices. Instructor s Name (Mr./Mrs./Ms./Dr.) Subject Taught Please print or type Signature Date College or University School Address Number & Street City/Town State/Province Country ZIP/Postal Code Instructor s Telephone ( ) Instructor s E-mail Area/Country/City Code Number Ext. Background Information How long have you known this student and in what context? What are the first words that come to your mind to describe this student? List the courses you have taught this student, noting for each the student s year in school (first-year, sophomore, etc.) and the level of course difficulty (100-level, 200-level, etc.). INSTRUCTOR evaluation 1 IE-1/ 2011-12

Ratings Compared to other students to whom you have taught this class, how do you rate this student in terms of: No basis Academic achievement Below average Average Good (above average) Very good (well above average) Excellent (top 10%) Outstanding (top 5%) One of the top few I ve encountered (top 1%) Intellectual promise Quality of writing Creative, original thought Productive class discussion Respect accorded by faculty Disciplined work habits Maturity Motivation Leadership Integrity Reaction to setbacks Concern for others Self-confidence Initiative, independence Overall Evaluation Please write whatever you think is important about this student, including a description of academic and personal characteristics, as demonstrated in your classroom. We welcome information that will help us to differentiate this student from others. (Feel free to attach an additional sheet or another reference you may have prepared on behalf of this student.) INSTRUCTOR evaluation 1 IE-2/ 2011-12

2011-12 COLLEGE Report For Spring 2012 or Fall 2012 Enrollment CR To the applicant This form must accompany an official copy of your transcript and must be completed by a college official(s) who has access to your academic record and your disciplinary record. Please follow these steps to ensure the form is completed accurately and in its entirety. Step 1: Complete all relevant questions below, including the signature statement. Step 2: Give this form to a dean or college official who has access to your academic record and ask that official to complete the academic portion of this form. Step 3: If the official completing the academic portion does not also have access to your disciplinary record, please ask the individual to securely forward the form to a second official who can answer those questions before duplicating this form and mailing it to your colleges along with copies of your official transcript(s). p Female Legal Name p Male Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Birth Date Social Security # (Optional) Address Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code College/university you now attend CEEB/ACT Code Current year courses please indicate title, level, and credit value of all courses you are taking this year. Indicate quarter classes taken in the same semester on the appropriate semester line. First Semester/Quarter Grade Second Semester/Quarter Grade Third Quarter Grade How many college credits have you earned prior to this academic year? How many college credits will you earn this academic year? IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Federal Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by The Common Application member institution(s) to which I am applying. I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact officials at my current and former schools should they have questions about the school forms submitted on my behalf. I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents submitted by me and on my behalf, unless at least one of the following is true: 1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/ferpa). 2. I waive my right to access below, regardless of the institution to which it is sent: p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf. p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or on my behalf to the institution at which I m enrolling, if that institution saves them after I matriculate. Required Signature Date To the COLLEGE OFFICIAL If you have access to the applicant s academic record and disciplinary record, please complete this form in its entirety. Attach the applicant s official transcript (check copies for readability). Use both pages to complete your evaluation for this student, and be sure to sign below. If you have access to the applicant s academic record only, please complete the relevant portion of this form, then forward to the appropriate official for completion of the disciplinary questions, asking that official to mail the form to the applicant s colleges after doing so. Do not mail this form to The Common Application offices. College Official s Name (Mr./Mrs./Ms./Dr.) Please print or type Signature Date Title College or University College or University Address City/Town State/Province Country ZIP/Postal Code College Official s Telephone ( ) College Official s Fax ( ) Area/Country/City Code Number Ext. Area/Country/City Code Number Ext. College or University CEEB/ACT Code College Official s E-mail 2011 The Common Application, Inc. AP-1 CR-1/ 4 / 2011-12

Background Information Cumulative GPA: on a scale, covering a period from to (mm/yyyy) (mm/yyyy) School Seal This GPA is p weighted p unweighted. The school s passing mark is. Highest GPA in class Graduation date () If you know this student, please indicate for how long and in what context. If you know this student, what are the first words that come to your mind to describe this student? Ratings Compared to other students in his or her class year, how do you rate this student in terms of: No basis Below average Average Academic achievement Extracurricular accomplishments Personal qualities and character Overall Good (above average) Very good (well above average) Excellent (top 10%) Outstanding (top 5%) One of the top few I ve encountered (top 1%) Evaluation Please provide comments that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference you ve prepared for this student. We especially welcome a broad-based assessment and encourage you to consider describing or addressing: The applicant s academic, extracurricular, and personal characteristics. Relevant context for the applicant s performance and involvement, such as particularities of family situation or responsibilities, work obligations, or other circumstances, either positive or negative. Observed problematic behaviors, perhaps separable from academic performance, that an admission committee should explore further. If you are completing only the questions pertaining to the applicant s disciplinary record, please provide the following information: College Official s Name (Mr./Mrs./Ms./Dr.) Please print or type Signature Date Title College Official s E-mail College Official s Telephone ( ) College Official s Fax ( ) Area/Country/City Code Number Ext. Area/Country/City Code Number Ext. a Is this applicant in good academic standing? p Yes p No b Is this applicant eligible to return to your school? p Yes p No If you answered no to either or both questions, please attach a separate sheet of paper or use your written recommendation to provide details. a Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that resulted in the applicant s probation, suspension, removal, dismissal, or expulsion from your institution? p Yes p No b To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime? p Yes p No If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each incident and explain the circumstances. p Check here if you would prefer to discuss this applicant over the phone with each admission office. I recommend this student: p No basis p With reservation p Fairly strongly p Strongly p Enthusiastically CR-2/ 2011-12

2011-12 MID-TERM Report For Spring 2012 or Fall 2012 Enrollment MT To the applicant After completing all the relevant questions below, give this form to instructors whose courses you are enrolled in at the time you file your application and ask them to provide a general indication of your performance, including your current grade and (if they wish) additional comments, and to sign and date the form. They should also provide the course title, number, and credits. p Female Legal Name p Male Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Birth Date Social Security # (Optional) Address Number & Street Apartment # City/Town State/Province Country ZIP/Postal Code College or University you now attend CEEB/ACT Code IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Family Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by The Common Application member institution(s) to which I am applying. I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact officials at my current and former schools should they have questions about the school forms submitted on my behalf. I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents submitted by me and on my behalf, unless at least one of the following is true: 1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/ferpa). 2. I waive my right to access below, regardless of the institution to which it is sent: p Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf. p No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or on my behalf to the institution at which I m enrolling, if that institution saves them after I matriculate. Required Signature Date To the INSTRUCTOR The Common Application membership finds it helpful to receive a general indication of how the student is performing in the courses he/she is currently enrolled in as they choose from among highly qualified candidates. Be sure to sign below. Course Title/Department Course Number Credits Current Grade Comments (Optional) Professor s Signature Date Course Title/Department Course Number Credits Current Grade Comments (Optional) Professor s Signature Date Course Title/Department Course Number Credits Current Grade Comments (Optional) Professor s Signature Date Course Title/Department Course Number Credits Current Grade Comments (Optional) Professor s Signature Date Course Title/Department Course Number Credits Current Grade Comments (Optional) Professor s Signature Date 2011 The Common Application, Inc. MID-TERM REPORT MT/ 2011-12

Application Checklist: To ensure that you have a complete application, be sure to: 4 Check your application to be sure that all questions are answered accurately and in full 4 Make a copy of your application (print or electronic) for your records 4 Request your official high school transcript from your school counselor, if you have fewer than 30 college credits 4 Request any college transcripts from the registrar(s) of any college(s) that you have attended 4 Request that official standardized test scores be sent directly to Rider from the appropriate testing agency, if you have fewer than 30 college credits 4 Request a letter of recommendation be sent to Rider s Office of Admission 4 Include your $50 application fee (payable to Rider University) or official College Board Fee Waiver form 4 Complete any required supplemental forms 4 Include your essay Helpful Phone Numbers Academic Affairs 609-896-5010 Alumni Relations 609-896-5340 Bursar s Office 609-896-5020 Campus Life 609-896-5327 Career Services 609-896-5058 Cashier s Office 609-896-5390 Continuing Studies, College of 609-896-5033 Financial Aid 609-896-5360 Graduate Admission Lawrenceville Campus 609-896-5036 Library, Moore Lawrenceville Campus 609-896-5113 Library, Talbott Princeton Campus 609-921-7100, ext. 8237 New Student Resource Center/Orientation 609-896-5373 Office of Information Technologies 609-896-5196 President s Office 609-896-5001 Public Safety 609-896-5029 Registrar s Office 609-896-5065 Residence Life 609-896-5102 Student Health Center 609-896-5060 Undergraduate Admission Lawrenceville Campus 609-896-5042 University Advancement 609-896-5167 University Store 609-896-5121 Westminster Choir College Admission Office 609-921-8220 Contact us at: Rider University Office of Undergraduate Admission 2083 Lawrenceville Road Lawrenceville, NJ, USA 08648-3099 609-896-5042/800-257-9026 admissions@rider.edu www.rider.edu/admissions

2083 Lawrenceville Road Lawrenceville, NJ 08648-3099 USA 800-257-9026 609-896-5042 www.rider.edu/admissions Majors & Programs Business Administration Accounting Advertising Business Administration Business Economics Computer Information Systems Application Development E-Business & Multimedia Network & Enterprise Management Entrepreneurial Studies Finance Global Supply Chain Management Human Resources Management International Business Management & Leadership Marketing Undeclared Business Education Business Education (Teacher of Business) Elementary Education Early Childhood Middle School Special Education Secondary Education Biology Chemistry English (Literature or Writing) French Geosciences German History/Social Studies Mathematics Spanish Special Education Fine Arts, Music & Performing Arts LAWRENCEVILLE CAMPUS Arts Administration Dance General Music Theater Dance Performance Dance Studies (Combined with Elementary Education Only) Fine Arts Art Music Performance Music Studies (Combined with Elementary Education Only) Music Theater Theater Performance Theater Studies PRINCETON CAMPUS Music* Music Education* Music Education/Vocal Performance (Double Major) Organ Performance Piano Sacred Music* Theory & Composition* Voice Performance * Primary Instrument of Organ, Piano or Voice Liberal Arts and Sciences American Studies Behavioral Neuroscience Biochemistry Biology Chemistry Communication Speech and Interpersonal Economics English Cinema Studies, Literature, Writing Environmental Sciences French Geosciences German Global Studies Graphic Design History Integrated Sciences & Math Journalism Marine Sciences Mathematics Philosophy Political Science Psychology Public Relations Radio & Television Russian Sociology Spanish Web Design & Multimedia Undeclared Liberal Arts Pre-Professional Programs Pre-Allied Health Pre-Law Pre-Med, Pre-Dental