APPLICATION BORICUA COLLEGE
UNDERGRADUATE ADMISSIONS
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]
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 Manhattan 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 colleges 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