MASTER OF ARTS APPLICATION PAGE 1 OF 4 1

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PAGE 1 OF 4 1 Birth Date / / Email Address Month / Day / Year Today s Date IMPORTANT: PLEASE INDICATE START DATE & PROGRAM JAN 2018 SEP 2018 MAY 2018* JAN 2019 * May start dates are only for Film & Media Production program. MAY 2019* SEP 2019 FILM & MEDIA PRODUCTION PRODUCING SCREENWRITING ADMISSION CHECKLIST PAYMENT All Applicants must complete and submit the following documents to the office of admissions for consideration. Admission Fee Complete Section 1, 2, 3, and 4: Application for Admission Complete Section A: Transcript Request Form Complete Section B: Creative Supplements Narrative Statement Creative Portfolio Complete Section C: Letter of Recommendation Form Supporting Documents: Resume TOEFL Score for International Students (May be sent separately) (Code: 6857) Send your completed application for admission to: New York Film Academy Office of Admissions 3300 Riverside Dr., Burbank, CA 91505 The application fee is non-refundable. You may pay by check, money order, wire transfer or credit card. U.S. Residents: $65.00 USD; International Students: $65.00 USD If you already applied online and paid the application fee of $65, please note when payment and online application was submitted: / / Month / Day / Year Payment by Check / Money Order / Credit Card Attach the check or money order to this form (skip if paying by credit card) Check No.: Amount: $ Please make your check or money order, in U.S. dollars, payable to: The New York Film Academy, LTD. Please contact our Bursar s office at bursar@nyfa.edu for any questions. Details regarding payment schedule will be sent with acceptance notification. For a copy of the NYFA rules and regulations, and the refund policy, please contact the admissions office. The New York Film Academy reserves the right to dismiss students from programs for poor conduct, poor attendance, lack of preparation, if they present a threat to themselves or others, or if they cause a disruption of any kind. NEW YORK COLLEGE OF VISUAL AND PERFORMING ARTS WWW.NYFA.EDU

PAGE 2 OF 4 2 1. * 2. Maiden/other name(s) you use Birth Date / / Month / Day / Year 3. Email Address Social Security Number (All US applicants must provide) 4. Current Mailing Address - Please be sure this is as complete as possible STREET ADDRESS CITY STATE OR PROVINCE ZIP/POSTAL CODE 5. Telephone Number Secondary Number 6. Birthplace CITY STATE OR PROVINCE 7. Gender: Male Female 8. Marital Status: Married Single 9. Have you served in the United States Military? No Yes 10. I request assistance with housing. 11. Check the box that best describes your citizenship/residency. I am a citizen of the United States. (If you check this box, skip to question 15) I am a permanent resident of United States and a citizen of I am an international student and a citizen of international students only 12. Do you plan to apply for the F-1 student visa to enter the US? Yes No Are you in the US as an F-1 student and plan to transfer your I-20 to NYFA? Yes No Will you be in the US in another immigration status other than F-1 student and do not require an I-20 Certificate? Yes No 13. Permanent or foreign mailing address (if different from current). International students must provide an overseas address 14. What is your native spoken language ContaCt the international office at INTERNATIONAL@NYFA.EDU with any Questions. applications for admission will Be decided without regard to immigration status. * International students must apply using full name as it appears on your passport. NEW YORK College of visual and performing arts www.nyfa.edu

PAGE 3 OF 4 3 15. High School Level - School History Your school s CEEB Code* Name of School at which you earned High School diploma or foreign equivalency City, state or province, and country, if not US Dates attended (mo/yr) From - To Date of conferred diploma (mo/yr) Your school s CEEB Code* Name of School at which you earned High School diploma or foreign equivalency City, state or province, and country, if not US Dates attended (mo/yr) From - To Date of conferred diploma (mo/yr) *College Board codes are needed when you send score reports to college. To find your CEEB code, please visit: https://www1.wnec.edu/admissions/ceeb/index.cfm 16. Post-Secondary Level - List ALL colleges and universities attended, in chronological order. International Students should include any ESL programs, if applicable. 1) NAME OF COLLEGE OR UNIVERSITY SCHOOL CODE CITY STATE OR PROVINCE DEGREE RECEIVED (OR EXPECTED) START (Month/Year) END (Month/Year) MAJOR 2) NAME OF COLLEGE OR UNIVERSITY SCHOOL CODE CITY STATE OR PROVINCE DEGREE RECEIVED (OR EXPECTED) START (Month/Year) END (Month/Year) MAJOR I have attended additional schools. (attach on separate sheet if necessary) I am a former student of New York Film Academy. 17. Have you ever been subject to serious disciplinary action or been dismissed from school? Yes No 18. Have you ever been convicted of a felony? Yes No 19. Parent/Guardian Contact Info LAST (FAMILY) NAME FIRST NAME RELATIONSHIP EMAIL ADDRESS PHONE NUMBERS 20. Secondary Emergency Contact Info LAST (FAMILY) NAME FIRST NAME RELATIONSHIP EMAIL ADDRESS PHONE NUMBERS NEW YORK College of visual and performing arts www.nyfa.edu

PAGE 4 OF 4 4 21. Is there any health problem that NYFA should know about? No Yes (Have your physician contact us) HEALTH INSURANCE COMPANY GROUP/POLICY # Proof of health insurance coverage is required at registration. Please contact us for more information if you need help acquiring a policy. 22. List names of two persons who will serve as reference: NAME TITLE ADDRESS NAME TITLE ADDRESS HOW DID YOU LEARN ABOUT THE NEW YORK? Web c Google c rollingstone.com c vimeo.com c Search for School c Yahoo c Ask c msn c bing c Other Social Media c Facebook c Twitter c Google+ c Blog c Other Ad c Telephone Booth c Subway c Bus c Mall c Magazine c TV Spot c NYFA Café c Other c Friend c NYFA Student c Teacher, Agent, or Counselor c Fair c College c Brochure c Other ARE YOU HISPANIC/LATINO? Yes, Hispanic or Latino (including Spain) No, not Hispanic or Latino HOW WOULD YOU DESCRIBE YOURSELF? American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other Applicant Signature I certify that the information I have provided on this application is complete and accurate to the best of my knowledge. I understand that all documents that I send to The New York Film Academy become the property of The New York Film Academy and will not be returned to me or duplicated for any purpose. I agree that, if I am admitted to The New York Film Academy, my admission is contingent upon verification of official records from the institutions I have attended and upon satisfactory completion of all course work prior to enrolling at The New York Film Academy. All dates, locations, schedule, curriculum, and tuition are subject to change. The New York Film Academy reserves the right to use a student s name, likeness, and creative works in brochures, advertising, the web, and in any other promotional materials or for educational purposes. Students may request that previous studies and course work be considered for transfer credit, an award of credit by the New York Film Academy Los Angeles or the New York Film Academy South Beach. To qualify, students must meet all admissions criteria, standards of course work, attendance, and the course of study must have been deemed equivalent to an approved course at the New York Film Academy. The New York Film Academy reserves the right to dismiss students from programs for poor conduct, poor attendance, lack of preparation, if they present a threat to themselves or others, or if they cause a disruption of any kind. SIGNATURE DATE (Month /Day /Year) NEW YORK COLLEGE OF VISUAL AND PERFORMING ARTS WWW.NYFA.EDU

TRANSCRIPT REQUEST FORM A I am applying to NYFA for: JAN 2018 SEP 2018 MAY 2019* MAY 2018* JAN 2019 SEP 2019 * May start dates are only for Film & Media Production program. The transcript includes the following: Undergraduate Course Work Graduate Course Work STUDENTS Fill out this form completely and ask the registrar of the school where you earned your diploma (or last attended) to attach the form to your official transcript and send it to: New York Film Academy Office of Admissions 3300 Riverside Dr., Burbank, CA 91505 We suggest that you make a copy of this page in case you need to submit multiple transcripts. Please submit a transcript for all Undergraduate and Graduate work you have completed. If you did not earn a degree at a particular college, you must still submit a transcript of whatever coursework you did complete. A Bachelor s degree or higher is required for consideration for acceptance into the Master of Arts Program. If you attended a foreign university, your degree(s) must be equivalent to a U.S. Bachelor s Degree. INFORMATION OF SCHOOL SENDING TRANSCRIPTS Name of School sending transcripts CEEB Code* *College Board codes are needed when you send score reports to college. To find your CEEB code, please visit: https://www1.wnec.edu/admissions/ceeb/index.cfm Address of School sending transcripts STREET ADDRESS CITY STATE, IF NOT U.S. ZIP CODE APPLICANT SIGNATURE DATE (Month /Day /Year) NEW YORK COLLEGE OF VISUAL AND PERFORMING ARTS WWW.NYFA.EDU

NARRATIVE STATEMENT & CREATIVE PORTFOLIO B a. narrative statement The narrative statement shall be a mature and self-reflective essay (Maximum of 3 typed pages) detailing the applicant s reasons for pursuing a degree in the motion picture arts. The essay should take into account the individual s history, formative creative experiences, contemporary influences and inspirations, and personal artistic dreams. B. Creative portfolio Applicants must submit one or two examples of original work that best demonstrate their talent and ability as creative individuals. All film/video submissions must be submitted on VHS videotape or DVD, regardless of image capture format (20 minutes maximum). Applicants may also submit supporting materials such as slides or photographs (10 maximum). Creative samples are accepted in various stages of development, or as completed work. Examples of work can range from drawings, conceptual illustrations, storyboards, designs, photographs, three dimensional models, or digitally generated images. Students may choose to submit a typed screenplay or short story (10 page maximum). While the creative portfolio is normally the primary determining factor for admission, the NEW YORK understands that many applicants have attained applicable skills from various professional experiences in publishing, entertainment law, theater, online business ventures, architecture, etc. Often, with these applicants, it is the narrative statement and resume that reveal the most about an applicant s qualifications, and potential for success in the program, to the Admissions Committee. 1. Submission Type: c Film/ Video c Slide/ Photos c Screenplay/Story c Audition c Other Title Description If Film / Video Submission, Type: c DVD c Hyperlink: Running Time: 2. Submission Type: c Film/ Video c Slide/ Photos c Screenplay/Story c Audition c Other Title Description If Film / Video Submission, Type: c DVD c Hyperlink: Running Time: NEW YORK College of visual and performing arts www.nyfa.edu

LETTER OF RECOMMENDATION FORM C NEW YORK - LETTER OF RECOMMENDATION FORM To Applicant: Applicants to the NEW YORK MA program must submit a minimum of 3 letters of recommendation verifying the applicant s ability to undertake graduate study in the field successfully. Letters must be submitted directly to the admissions department from the individual writing on the applicants behalf. Letters received by the admissions department must be sealed and stamped. Provide a copy of this form to each individual writing you a letter of recommendation. To Recommender: Please attach this form to your letter of recommendation. Attaching this form to recommendations will help to ensure that your letters are matched up with the appropriate application. Letters received by the admissions department must be sealed, stamped and sent directly from the recommender. RECOMMENDER NAME OCCUPATION TITLE RELATION TO APPLICANT Please address your letter of recommendation as follows: New York Film Academy Office of Admissions 3300 Riverside Dr., Burbank, CA 91505 NEW YORK COLLEGE OF VISUAL AND PERFORMING ARTS WWW.NYFA.EDU