APPLICATION FOR ADMISSION For Foreign Undergraduate Students Applying to the Women’s College ______________________________________________________________________________________________________________________________________
I.
ENTRY INFORMATION
Term you wish to enter: Fall 20 ____ Spring 20 ____
II.
Do you want to: Live on campus Commute to campus
Will you enter as a: First Year Student Transfer Student Visiting Student
PERSONAL INFORMATION (Please give your name exactly as it appears on your passport)
Please type or print neatly. Name __________________________________________________________________________________________ Family Name
Given Name
Prefer to be called
Present Mailing Address _____________________________________________________________________________________________ (Exactly as it should appear on envelope.)
__________________________________________________________________________________ _________________________________________________________________________________ E-Mail Address ___________________________________________________________________________________ Home Phone (____) ________________________ FAX Number (____) ______________________________________ Country Code/City Code/Number
Telephone in USA (if applicable) (____)___________________
Date of Birth
_____/_____/_____ mo
day year
Permanent Mailing Address (if different from present address.) _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________
Your Country of Birth : _____________________
Your Country of Citizenship ________________________________________
Are you a permanent resident of the U.S.A.?
Yes
No
Do you require a student visa?
Yes
No
If presently in USA, what type of visa do you hold? J-1 B-2 Other (Please specify) _________________________________ F-1 If on F-1 USA, what school/university issued you the I-20form? ___________________________________________ First Language if other than English_________________________________________________________________ Number of years of English study___________________________________________________________________ Check appropriate box and indicate name of relative or friend in the U.S. with whom the College may communicate if needed. Relative
Friend
_____________________________________________________________________________________________________________________________
Mr.
Mrs.
Ms.
Family Name
Given Name
Please Specify:
Relative or Friend=s Address in the U.S.
____________________________________________________________________________________ Number and Street
____________________________________________________________________________________ City
State/Providence
Zip Code
2
Telephone
III.
ACADEMIC INFORMATION
Educational Background Please complete the following history of your education. Column 1 - Actual years of schooling. The first year of schooling is Number 1, the second year Number 2, etc. Column 2 - For each year write the grade, form, standard or class, using the terminology of the educational system attended. Column 3 - List in chronological order every academic year in which you attended school, including any in which you remained in one grade for more than one year. Be sure to include the name of any school you are currently attending. Column 5 - Write the type of school you attended during each academic year, such as elementary, colegio, ecole secondaire, gymnasium istituto, university, etc. using the terminology of the educational system. Column 8 - Write the name of any examinations passed, or of certificates, diplomas or degrees earned. 1) Year in school
2) Grade level Level
3) Academic Year
1
19
19
2
19
19
3
19
19
4
19
19
5
19
19
6
19
19
7
19
19
8
19
19
9
19
19
10
19
19
11
19
19
12
19
19
13
19
19
14
19
19
15
19
19
4) Age
5) Kind of school
6) Name and Address of School (City and Country)
7) Primary Language of Institution
8) Certificates, Diplomas, Degrees, Graduations, Standardized Examinations
16 17 18
To what other Colleges or Universities are you, or will you be applying? ______________________________________________________________________________________________________ Are you a transfer applicant from another institution? ______ If so, what colleges or universities have you attended? Please have an official transcript sent from each. Name of College
Location (City, Country)
3
Dates Attended
Certificate/Diploma or Number of Credits
STANDARD TEST RESULTS When will/did you take the following examinations? Dates
Results, if known:
Test TOEFL ________________________
Score: _________________________________________
SAT
Verbal: ____________
______________________
Math: _________________
ACADEMIC INTERESTS Please check below the major (s) and program that you are interested in at this time. Subheadings denote minors or areas of concentration. Please indicate your first choice. If you are unsure about a major field of study at this time, please check the undecided box. American Studies Women’s Studies Applied Science Art Biochemistry Biology Medical Technology Cytotechnology Toxicology Business Administration Accounting Computer Information Systems Management Marketing
Chemistry Communication Computer Science Economics Education * English Writing English for International Students Foods and Nutrition History Political Science Individualized Special Major International Studies Justice Studies
Mathematics Music Philosophy Psychology Sociology Gerontology Social Work Spanish Theology Undecided at this time
*Due to New Jersey Department of Education regulations for teacher certification, please note that international students may take only a restricted number of Education courses. ACTIVITIES, INTERESTS
Please list here the sports, hobbies or activities you have participated in during the past four years.
_________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
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_________________________________________________________________________ ________________________________________________________________________
IV.
PERSONAL STATEMENT
On a separate sheet of paper write an essay (1-1 ½ pages in length) describing your personal, educational and/or career goals as well as your reasons for wanting to study at the College of Saint Elizabeth. Include why you feel prepared to study abroad and what you hope to contribute to the college community.
V.
OPTIONAL
(will not be used for Admission purposes)
Religious preference (if any) __________________________________________________________________ Do you have a handicap?
Yes
No
If yes, what is the nature of your disability? _______________________________________________ How did you learn about the college of Saint Elizabeth? (Please check below) Friend/Relative (Name):____________________________________
College Fair (Location)_____________________________
Graduate (Name): _______________________________________
College Directory (Name) __________________________
Admission Representative (Name) __________________________
Newspaper Ad (Name of Paper) _____________________
High School/College or University teacher (Name) _____________
College of St. Elizabeth Web Site ____________________
Other _________________________________________________
VI.
FINANCIAL INFORMATION
The total cost of attending the College of Saint Elizabeth includes the following: •
Tuition and Fees
•
Living Expenses – both during the academic year and the school breaks.
•
Health Insurance
•
Travel to and from your country.
•
Books and personal expenses such as travel in the U.S., entertainment, clothing and expenses during the mid-winter break.
All U.S. universities and colleges must verify student’s ability to pay the cost of education by requiring bank statements, tax returns or other forms of documentation. To help you estimate the costs of attending the College of Saint Elizabeth, each year the Admission Office provides a budget listing of all estimated costs. Please read this information carefully and be prepared to send the necessary documents to prove your ability to meet all college costs. Do you and your family have adequate financial resources to cover your expenses at the College of Saint Elizabeth? Yes No
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If not, how much are you able to contribute for your first academic year? (in U.S. Funds) $___________________
How much will be available in each succeeding academic year? (in U.S. Funds) $___________________
Applicant’s Certification I hereby certify that all information supplied by me in this application is accurate and complete. ______________________________________________________________________________________________________________ Signature of Applicant Date of Application
Checklist of Items to Send with Your Completed Application Application fee of $35 (non-refundable) in the form of a check or draft drawn on a U.S. bank or an international money order. Make the check or money order payable to College of Saint Elizabeth. A certified record of your secondary school, college or university records, along with a notarized translation if they are not in English. Official Test Scores: The TOEFL is required for students whose first language is other than English. Write to: Test of English as a Foreign Language P.O. Box 6151 Princeton, New Jersey 08541-6151 USA and request that an official copy of your test scores be sent directly to the College. SAT scores, while not required for admission, are required for students interested in College of Saint Elizabeth scholarships. Request that an official copy of your score report be sent directly to the College. Our SAT code is 2090. Two letters of recommendation from teachers or school officials. These letters should describe your academic abilities and accomplishments relative to other students in your graduating class as well as your readiness for college study in the U.S. Bank statement of financial ability to meet all costs including room and board, books and supplies, miscellaneous living expenses, and expected travel costs to and from home. It is expected that students will make at least one trip home during each year of study. (Note that room and board fees do not cover living expenses during the summer or four week midwinter break.) A photocopy of your passport (the page with your name on it). 3/24/03
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Application for Admission for Foreign Undergraduate Students Applying to the Women’s College
Office of Admission Santa Rita Hall 2 Convent Road Morristown, New Jersey 07960-6989
Phone:973-290-4700 FAX: 973-290-4710 E-Mail:
[email protected] www.cse.edu 7