* Applicant's First Name:
* Applicant's Last Name:
* Applicant's Telephone:
* Applicant's Email:
Social Security Number: (last 4 digits)
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?:
If no, please enter - Country of Citizenship:
If not a citizen, please enter - Country of Birth:
U.S. permanent resident
Are you a veteran of the U.S. Armed Forces?
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):
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
Did You Transfer From Another College? (if yes what school):
List all courses currently in progress. Optional - Enter the Course Title - Credits - Semester
For Fall applicants, include anticipated summer school courses.
Do you hold a N.Y.S. Registered Nurse (R.N.) licence?
Do you hold a N.Y.S. Licensed Practical Nurse (L.P.N.)?
CUNY COLLEGE CHOICE (Intended Major):
SEEK/CD AT CUNY (Will you be receiving financial aid?):
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)
Other-please specify (7)
(Copy and Paste Information in Textfield)
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