APPLICATION FALL/SPRING FOR ADMISSION X Marist College School of Communication and the Arts, Poughkeepsie, NY 12601 INSTRUCTIONS: Print out and completely fill out and sign this Application Form. Select 1 term (Fall or Spring) and 1 program (Art/Communication/Fashion/Other). Make a photocopy of this form for your records. Mail or deliver the completed form to the appropriate Program Director. Contact information for program directors appears on the bottom of this form. Eligibility: Undergraduate college students with a GPA of 3.25 or above (4.0 scale) and in good judicial & financial standing are welcome to apply to the Marist in Manhattan Program. Description of Program: Marist in Manhattan offers a select group of undergraduate college students a residential-based, full-time internship opportunity in New York City. Students are placed in a high-profile internship requiring a minimum of 270 hours of field experience. Interns spend 3-4 days at sites during the 15-week-long semester. All students enroll in online course(s) as a complement to field work. Students earn 12-15 college credits and must maintain full-time status for the duration of the program. Term: Choose 1 Spring _____deadline Sept. 20 Fall _____deadline Feb. 22 Program: Choose 1 Art ______ Communication _______ Fashion _______ Other______ PERSONAL CONTACT INFORMATION – please print Name ________________________________________________________________ DOB: _____/_____/_____ Last First Middle CWID # ____________________________ Sex: ____M ____F (Marist students only) Email______________________________________ Cell Phone # ___________________________________ Campus/Current Address Permanent /Home Address Street:___________________________________ Street: ______________________________________ City: ____________________________________ City: ______________________________________ State: _______ Zip: _____________________ State:___________________ Zip:______________ Emergency Contact Person (please identify two individuals) Name ____________________________________ Name _____________________________________ Relationship to you________________________ Relationship to you _________________________ Daytime Phone ___________________________ Daytime Phone ____________________________ Eve/Cell Phone ___________________________ Eve/Cell Phone ____________________________ Marist in Manhattan Program, Lowell Thomas 150, Marist College, Poughkeepsie, NY 12601 – 845-575-3655 2 ACADEMIC INFORMATION Name & Address of current college/university ___________________________________________________________________________________________________ What is your Major?______________________________ Your Minor?_______________________________________ What is your Current GPA? _______ How many college credits have you completed as of today’s date? _________ Have you done an internship before? ___ Yes ___ No If yes, please briefly identify the company/organizations: ____________________________________________________________________________________________ Briefly describe your personal goals for a New York internship ______________________________________________________________________________________________________ List up to three preferred companies or organization you would wish to internship with: 1. ________________________________________________________________ 2. ________________________________________________________________ 3. ________________________________________________________________ HOUSING INFORMATION What is your housing preference? Single Room____ Double Room___ *Please note that housing availability is subject to the discretion of EHS, operators of the 1760 Third Ave student building. Single rooms are limited in availability. Marist can also make no guarantee that students who opt for a Double Room will be roomed with another Marist student. T-SHIRT SIZE T-shirt Size (choose one or enter appropriate size) ___XXL ___ XL ___ L ___ M ___ S OPTIONAL PERSONAL INFORMATION Do you believe you need any special assistance to perform the requirements of this educational program? ___ Yes ___ No Do you have special dietary needs? ___ Yes ___ No Any special medical needs? ___ Yes ___ No Marist in Manhattan Program, Lowell Thomas 150 Marist College, Poughkeepsie, NY 12601 – 845-575-3655 Rev. 1/31/19 3 Your response to the following questions will in no way affect consideration of your application for admission; however, it would be helpful to Marist for research purposes. Marist College does not discriminate in the admissions process or in the awarding of financial aid on the basis of race, color, sex, religion, or disability. You may select more than one category. ______ Are you Hispanic/Latino? Yes_____ No_____ Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you: ______ America Indian or Alaska Native (including all Original Peoples of the Americas) Are you enrolled in a Tribe? Yes____ No____ If yes, enter Tribal Enrollment Number _________________. ______ Asian (including Indian subcontinent and Philippines) ______ Black or African American (including Africa and Caribbean) ______ Native Hawaiian or Other Pacific Islander (Original Peoples) ______ White (including Middle Eastern) ADDITIONAL REQUIRED ITEMS & DOCUMENTS Non-refundable application fee of $75. Visit this link to make payment: my.marist.edu/billing Updated current resume (be sure it includes any previous internships or career-related jobs) Brief essay outlining your career goals and why you want to take part in Marist in Manhattan (300-500 words). Two recommendation/referral forms from faculty members and/or your academic advisor. (see the Recommendation Form for more information) Transcript for Visiting/Non-Marist Students ONLY students who attend another institution, those who would be considered “Visiting” students, are required to furnish a copy of their most recent transcript or academic audit. The document should be sent from the student’s university Registrar’s Office. Send the transcript to the appropriate Program Director.) STUDENT’S ACKNOWLEDGEMENT & AGREEMENT I, the student, hereby acknowledge that the information on this form and the information in any and all additional documents that I provided is complete and accurate. I understand that my admission to the Marist in Manhattan program is a privilege, not a right. I agree to abide by rules and procedures required of all students at Marist, if accepted. If enrolled, I hereby agree to assume all risk of injury to person and property and to hold Marist College harmless from any claim to my person or property. Signature ________________________________________________________________ Date__________________________ To Contact Program Directors: Art Communication/Media Studies Fashion Laura Hammond-Toonkel Gerry McNulty Juan-Manuel Olivera-Silvera Steel Plant 137 Lowell Thomas 150 Steel Plant 238 Marist College Marist College Marist College Poughkeepsie, NY 12601 3399 North Rd. Poughkeepsie, NY 12601 PH: 845 575-3000, x 2036 Poughkeepsie, NY 12601 PH: 845 575-3000, x 6193 Laura.hammond- PH: 845 575-3885 [email protected] [email protected] [email protected] Other majors: Deliver application documents to Prof. McNulty – LT 150 Marist in Manhattan Program, Lowell Thomas 150 Marist College, Poughkeepsie, NY 12601 – 845-575-3655 Rev. 1/31/19 Marist in Manhattan - FALL / SPRING - Marist College School of Communication and the Arts, Poughkeepsie, NY 12601 845 575 3655 - 01 Advisor/Faculty Recommendation Form Spring deadline ----- Sept. 20 Fall deadline ----- Feb. 22 Applicant: -Please ask your recommender to fill out this form and return with the other required documents to Marist in Manhattan, at the address specified below. -Please be sure to specify which program you are applying to: Art, Fashion or Communication/Media or other. -This recommendation form is required; submission of a letter of recommendation is optional. Applicant: __________________________________________________________________________________________ (last) (first) (middle) Please check one: � I waive my right to examine this recommendation � I do not waive my right to examine this recommendation ********************************************** Recommender: This form is to recommend undergraduate students for the Marist in Manhattan, a competitive program requiring a full semester of field experience and study, centered on immersion in the professional world of New York City. Program requirements include a full-time course load composed of a minimum 270 hours of field work (three to four days of work per week for 12 weeks) and complementary online seminar(s). The ideal applicant is academically & judicially sound, possesses a high level of maturity and independence, is self-reliant and is motivated to excel. Successful candidates typically have a GPA of 3.25 or above (4.0) scale and have completed 60 or more credits. Recommender’s Information: Name ________________________________________________ Title________________________________________ (please print) (please print) Phone _________________________________ Email______________________________________________________ (please print) (please print) What is your relationship to the applicant? _________Advisor _________Faculty _______Other How long have you known this student? ________________________________________________________________ Please rate the student’s abilities using a scale of 0-10, with 0 being the lowest score possible and 10 being