APPLICATION BORICUA

UNDERGRADUATE ADMISSIONS

Manhattan Campus Bronx Campus Center Campus Center 3755 Broadway 890 Washington Avenue 9 Graham Avenue , NY 10032 Bronx, NY 10451 Brooklyn, NY 11206 212-694-1000 347-964-8600 718-963-4112 [email protected] [email protected] [email protected]

Boricua College is accredited by the Middle States Commission on Higher Education

VGA/sb – AY 2018-2019

PERSONAL INFORMATION:

Legal Name: ______Last (Family Name) First (Given Name) Middle Name

Maiden Name: ______(If Applicable)

Gender: Male Female Date of Birth: ____ / ____ / ____

Address: ______Street Name Apt. Number

______City State Zip-Code Country

Cell Phone: ______- ______- ______Alternate Phone: ______- ______- ______

E-mail Address: ______

ENROLLMENT INFORMATION:

APPLYING AS: First Time Freshman Transfer Re-Admit Other

I am interested in: ASSOCIATE DEGREE BACHELOR DEGREE MASTER DEGREE

Medical Assistant Human Services Human Services

Para Legal Studies Childhood Education Education-TESOL

Liberal Arts Early Childhood Certificate Latin American & Caribbean Studies Business Administration

INTENDED MAJOR:

I will register for: Fall of 20___ (Sept.) Spring of 20 ___ (Jan.)

Time: Day Evening

Campus/Location of Choice Bronx Brooklyn

EDUCATIONAL INFORMATION:

What will be your academic status at the time of enrollment?

I have earned my High School Diploma.

I have earned my High School Equivalency (GED / HSE).

I have previously attended another college or university.

I have earned a degree from another college or university.

I previously attended Boricua College in the past, but did not earn a degree.

VGA/sb – AY 2018-2019

Please list all the high schools you have attended:

School Name Dates Attended______

______

______

Please list all the college(s) you have attended:

School Name Dates Attended______

______

______

High School Graduation Date: ______

High School Equivalent / GED Date: ______State of Issue: ______

DEMOGRAPHIC INFORMATION:

Marital Status: Single Married Separate / Divorced Widower

Date: ______Date: ______Date: ______

Immigration Status:

U.S. Citizen U.S. Permanent Resident F-1 Student Status

Place of Birth ______

Ethnicity: Hispanic / Puerto Rican Hispanic / Dominican Hispanic / Other

African American Asian White Other

Primary Language: ______Country of Origin: ______

Emergency Contact: ______Name Relationship to Student Phone Number

Military Service? No Yes Please provide DD214 / Military Separation Form

Medical Conditions? No Yes ______

______

______

Disciplinary Questions:

VGA/sb – AY 2018-2019

Have you ever been suspended, removed, dismissed or expelled from any school or academic institution? No Yes ______Have you ever been convicted of any felony, misdemeanor or other crime? (Omit traffic offenses) No Yes ______Offense Date

NOTE: Answering yes to either of the two questions does not automatically bar you from admission to Boricua College.

REFERRAL INFORMATION:

How did you hear about Boricua College?

Current Boricua College Student Direct Mail

Friend / Family Member Open House / College Fair

Co-worker Newspaper or Other Advertisement

Employer Guidance or College Counselor

Boricua Alumni Association Flyer / Tabling

On-Line Walk-In

What are the most important reasons for choosing to attend Boricua College?

Academic Major Small Class Size Colloquium

Career Advancement Individualized Instruction

Convenient Location Recommended by a Friend / Family Member

Academic Reputation Personal Growth

Faculty – Education Facilitators Educational System

PERSONAL ESSAY GUIDELINES

Please answer one of the following questions (250 word minimum). You must type your response and be sure to include relevant details. . How will an education at Boricua College transform your life? . Can you describe a time in your life where you overcame an obstacle? . Is there a particular person or event that has motivated you to pursue your education?

EDUCATIONAL STATEMENT (Please read and sign)

I understand that Boricua College reserves the right to refuse admission and matriculation to any applicant who falsifies information on this application or who, in the College’s judgment is not qualified. Boricua College reserves the right to require withdrawal of any student, at any time, for any reason deemed sufficient under the rules and traditional practices of the College.

______Signature of Applicant Date of Application

VGA/sb – AY 2018-2019

APPLICATION CHECKLIST

Completed Application (The Application cannot be processed if questions are left unanswered)

250 Word Personal Essay (Typed)

A $25.00 non-refundable fee is required to process this application (money orders only)

High School Diploma & Transcript or High School Equivalency

College Transcript (If Applicable)

Government Issue ID

Social Security Card and Alien Registration Card (If Applicable)

Admissions Interview

Proof of Income (Student and / or Parent)

Immunization Record (Measles, Mumps, Rubella)

Two Photographs (2” x 2”)

Transfer Application:

Official Transcripts from all prior or universities must be provided before registering.

www.BoricuaCollege.edu

Please mail your application, or drop it off in person, to the location of your choice:

BORICUA COLLEGE BORICUA COLLEGE BORICUA COLLEGE Manhattan Campus Bronx Campus Center Brooklyn Campus Center 3755 Broadway 890 Washington Avenue 9 Graham Avenue New York, NY 10032 Bronx, NY 10451 Brooklyn, NY 11206 212-694-1000 347- 964-8600 718-963-4112 [email protected] [email protected] [email protected]

VGA/sb – AY 2018-2019

Admissions Testing

Admissions Exam Date: ____ / ____ / ____

Part I: Reading ____

Part II A: Analogies ____

Part II B: Intellectual Skills ____

Part III: Mathematics ____

Part IV: Science ____

Part V: Essay ____

Total Score: ____

Admissions Interview

Interview Date: ____ / ____ / ____ Faculty Recommendation: Yes No

Faculty Signature: ______

Results:

English Oral High Medium Low

Conceptual High Medium Low

Affective High Medium Low

Clarity of Values High Medium Low

Comments: ______

______

______

______

Recruiter: ______

VGA/sb – AY 2018-2019