* Applicant's First Name:

* Applicant's Last Name:

* Applicant's Telephone:

* Applicant's Email:

Address:

City:

State:

Zip Code:

Social Security Number: (last 4 digits)

CITIZENSHIP STATUS AND ALIENAGE

Citizenship status and alienage are used to determine if any other educational documents are needed to evaluate your application and to begin the visa process for temporary visa applicants. They are also used to determine your eligibility for available financial aid programs.

Are you a U.S. citizen?:
YES NO

If no, please enter - Country of Citizenship:

If not a citizen, please enter - Country of Birth:

Immigration Status::
U.S. permanent resident
Temporary Visa
Other Explain

VETERAN STATUS

Are you a veteran of the U.S. Armed Forces?
YES NO

SCHOOL INFORMATION

Name of High School or GED center:

Did You Attend College? (if yes what school):

Do You Have An Associate's Degree? (Yes or No):
YES NO

TRANSFER COLLEGE INFORMATION

List all postsecondary institutions you have attended, Name of Institution State/Country Dates of Attendance From Month/Year To Month/Year Approx. # of Credits Completed Major or Curriculum Degree Awarded

Did You Transfer From Another College? (if yes what school):

COURSES CURRENTLY IN PROGRESS

List all courses currently in progress. Optional - Enter the Course Title - Credits - Semester

For Fall applicants, include anticipated summer school courses.

NURSING APPLICATIONS

Do you hold a N.Y.S. Registered Nurse (R.N.) licence?
YES NO

Do you hold a N.Y.S. Licensed Practical Nurse (L.P.N.)?
YES NO

CUNY COLLEGE CHOICE (Intended Major):
BBA NURSING

SEEK/CD AT CUNY (Will you be receiving financial aid?):
YES NO

Which category describes you the best?
Black, non-Hispanic (2) Asian or Pacific Islander (5) American Indian or Native Alaskan (6) White, non-Hispanic (1) Hispanic (4) Other-please specify (7)

APPLICANTS UPLOAD CV or RESUME

(Copy and Paste Information in Textfield)

APPLICANT AGREEMENT

I hereby certify that all the information in this application is accurate and complete. I realize that failure to file the appropriate application may affect my admission status. I understand that all the information contained in this application will be treated confidentially and will be used for institutional purposes only. I acknowledge that I have reported my attendance at all postsecondary schools, whether or not I am requesting transfer credit. I understand that submitting fraudulent documents or omitting or falsifying information about my educational record may subject me to a five-year bar from CUNY.

APPLICANT MUST AGREE HERE