Time: Evening Campus/Location of Choice: Manhattan Bronx Brooklyn... REFERRAL INFORMATION: How did you hear about Boricua College?. Current Boricua College Student Direct Mail Friend/F
Trang 1B O R I C U A
C O L L E G E
Graduate Admissions
Manhattan Campus Bronx Campus Center Brooklyn Campus Center
3755 Broadway 890 Washington Avenue 9 Graham Ave
New York, NY 10032 Bronx, NY 10451 Brooklyn, NY 11206
212-694-1000 347-964-8600 718-963-4112
isanchez@boricuacollege.edu brodriguez@boricuacollege.edu amorales@boricuacollege.edu
Boricua College is accredited by the Middle States Commission on Higher Education
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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: - -
Email Address:
ENROLLMENT INFORMATION:
APPLYING AS: Transfer Re-Admit Continuing
I am interested in: MASTER DEGREE
Human Services Education-TESOL Latin American &
Caribbean Studies
INTENDED MAJOR:
I will register for: Fall of 20 (Sept.) Spring of 20 (Jan.)
Time: Evening
Campus/Location of Choice: Manhattan Bronx Brooklyn
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EDUCATIONAL INFORMATION:
What will be your academic status at the time of enrollment?
I have earned a degree from Boricua College
I have earned a degree from another college or university
Please list below all the college(s) you have attended:
School Name Dates Attended
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College Graduation Date:
Degree Earned: _ Major: _
DEMOGRAPHIC INFORMATION:
Marital Status: Single Separated/
Divorced Date: _
Married Date: _ Widowed 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
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Military Service? No Yes If yes, please provide DD214/Military Separation Form
Medical Conditions? No Yes
If yes, explain condition below:
_ _
Are you disabled? No Yes
If yes, please describe below and provide documentation
_ _
Disciplinary Questions:
Have you ever been suspended , removed, dismissed or expelled from any school or academic institution?
No Yes If yes, please explain why _
_
Have you ever been convicted of any felony, misdemeanor or other crime? (Omit traffic offenses)
No Yes If yes, please describe offense and date of offense below:
_ _ _
NOTE: Answering yes to either of the two questions does not automatically bar you from
admission to Boricua College
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Trang 5REFERRAL INFORMATION:
How did you hear about Boricua College?
Current Boricua College Student Direct Mail
Friend/Family Member Open House/College Fair
Co-worker Newspaper/Other Advertisement
Employer Guidance or College Counselor
Boricua Alumni Association Flyer/Tabling
What are the most important reasons for choosing to attend Boricua College? (check all that apply)
Academic Major Small Class Size Colloquium
Career Advancement Individualized Instruction
Convenient Location Recommended by Friend/Family
Academic Reputation Personal Growth
Faculty – Education Facilitators Educational Model
PERSONAL ESSAY GUIDELINES
Please answer the following questions (350 words minimum) You must type your
response and be sure to include relevant details
1) Why are you pursuing a master’s degree (in TESOL or Human Services) with Boricua College?
2) What are the most critical issues in your field today?
3) Describe how your professional life influenced your decision to attend graduate school
Please sign and date your essay
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Trang 6EDUCATIONAL STATEMENT (Please read and sign)
I understand that Boricua College reserves the right to refuse admission and
matriculation to any applicant who, in the College’s judgment is not qualifies 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
APPLICATION CHECKLIST
Completed Application (The application cannot be processed if questions
are left unanswered)
350 Word Personal Essay (Typed)
A $100.00 non-refundable fee is required to process this application
(money orders only)
College Degree (Bachelors)
Official College Transcript (If foreign degree, must be translated by GLOBE
or WES)
Valid Government Issue ID
Social Security Card and/or Alien Registration Card (If applicable)
Admissions Interview
Proof of Income
Immunization Record (Measles, Mumps and Rubella)
Meningitis Response Form Completed
Resume and Cover Letter
Please mail your application or drop it off in person to the location of your
choice:
Manhattan Campus Bronx Campus Center Brooklyn Campus Center
New York, NY 10032 Bronx, NY 10451 Brooklyn, NY 11206
isanchez@boricuacollege.edu brodriguez@boricuacollege.edu amorales@boricuacollege.edu
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Admissions Interview
Interview Date _ / _ / _ Faculty Recommendation No Yes
Faculty Signature: _
Results:
English Oral High Medium Low
Clarity of Values High Medium Low
Comments: _
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Recruiter:
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