Adult Admission Application 2016 v2.qxp_Layout 1 1/26/16 11:57 AM Page 1
Adult Undergraduate
Application
PLEASE PRINT OR TYPE
Have you completed coursework at Marist as a matriculated student before?
n No
n Yes
If YES, please contact the Registrar’s Office to fill out a Re-Admit Application
Exact Legal Name: ____________________________________________________________________________________________________________________________________
Last (If married, include both birthname AND surname)
First/Given
Middle
Suffix (Jr., Sr., etc.)
Permanent Address: ____________________________________________________________________________________________________________________________________
Number and Street
Apt. or PO Box
______________________________________________________________________________________________________________________________________________________________________
City/Town
State/Province
ZIP or Postal Code
Country
Date of Birth (MM/DD/YY):
/
/
Gender:
n Male
n Female
E-mail Address: ______________________________________________ Home Phone: ( ______ ) ______________________ Cell Phone: ( ______ ) ________________________
U.S. Social Security #:
/
/
Required for U.S. citizens and permanent residents applying for financial aid via FAFSA
Employment Information
Occupation: ____________________________________________________________________________________________________________________________________
Employer: ______________________________________________________________________________________________________________________________________
Does your employer have a tuition reimbursement plan?
n Yes
n No
Are you or a family member affiliated with any of the organizations listed on the insert included with this Application?
n Yes
n No
If YES, please list the organization: __________________________________________________________________
FINANCIAL AID AND SCHOLARSHIP INFORMATION
Marist assists students in meeting educational expenses. In addition to need-based aid, Marist offers qualified students merit awards based on academic accomplishments. All accepted students are automatically considered for merit aid. To qualify for need-based aid, a student must first submit the Free Application for Federal Student Aid (FAFSA).
These forms are available online at: www.fafsa.ed.gov.
Marist’s Financial Aid Code is 002765.
Do you intend to apply for financial aid?
n Yes
n No
ENROLLMENT TYPE
What semester do you plan to enter Marist?
n
n
n
n
n Fall
______ (indicate year)
n Spring
____ (indicate year)
n Summer ____ (indicate year)
Full-Time Student (12 or more credits per semester)
Three-Quarter-Time Student (9-11 credits per semester)
Half-Time Student (6-8 credits per semester)
Less than Half-Time Student (less than 6 credits per semester)
NOTES: Campus Housing is not available for students age 22 and older
International students must include a copy of their Passport Identification page. Additional admission requirements can be found at: www.marist.edu/admission/international
Non-matriculated or visiting students should fill out the Non-Matriculated Application at www.marist.edu/admission/adult/apply
February 2016
Adult Admission Application 2016 v2.qxp_Layout 1 1/26/16 11:57 AM Page 2
DEMOGRAPHICS
n US citizen
n Dual US citizen
n US permanent resident Visa (Alien registration #:
______________________________ )
n Other citizenship (Visa type ) ______________________________________________
List any non-US countries of citizenship: ________________________________________
____________________________________________________________________
How many years have you lived in the US? ______________________________________
How many years have you lived outside the US? __________________________________
Place of birth: __________________________________________________________
City/Town
State/Province
Country
First language: __________________________________________________________
Primary language spoken at home: ____________________________________________
Military Information
Status:
n Active
n Reserves
n Department of Defense
Branch:
n Army
n Coast Guard
n Retired
n Spouse
n Veteran
n Marines
n Air Force
n National Guard
MOS ____________________
n Navy
Optional Information
Religious Affiliation: ______________________________________________________
1. Are you Hispanic/Latino?
n Yes, Hispanic or Latino (including Spain) n No
Please describe your background __________________________________________
2. Regardless of your answer to the prior question, please indicate how you identify yourself.
(Check one or more)
n American Indian or Alaska Native (including all Original Peoples of the Americas)
Are you Enrolled? n Yes n No
If yes, please enter Tribal Enrollment Number ________________________________
Please describe your background ________________________________________
n Asian (including Indian subcontinent and Philippines)
Please describe your background ________________________________________
n Black or African American (including Africa and Caribbean)
Please describe your background ________________________________________
n Native Hawaiian or Other Pacific Islander (Original Peoples)
Please describe your background ________________________________________
n White (including Middle Eastern)
Please describe your background ________________________________________
Rank ____________________
n GI Bill
I qualify for the following Military Benefit(s): n Tuition Assistance
n Other ____________________________________________
n Yes
Do you have any family members who are Marist alumni?
n No
If YES, please list name(s), graduation year(s), and relationship to you: ______________________________________________________________________________________________
n Yes
Do you have any family members currently attending Marist?
n No
If YES, please list name(s), graduation year(s), and relationship to you: ______________________________________________________________________________________________
EDUCATION
List all colleges you have attended since high school:
College/University Name
Location
Dates Attended
Number of Credits Earned
(City, State or Province, Country)
____________________________________________
____________________________________________
____________________
__________________
____________________________________________
____________________________________________
____________________
__________________
____________________________________________
____________________________________________
____________________
__________________
____________________________________________
____________________
__________________
____________________________________________
n Yes
Were you issued a transcript for any work listed above?
n No
If Yes, please have an official transcript sent as soon as possible.
Please list below other colleges or universities to which you plan to apply:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
A high school transcript is required for all applicants who have not earned an Associate’s Degree. If you have NOT earned an Associate’s Degree you MUST complete the High School section below.
Secondary School Attended
High School: __________________________________________________________________________________________________________________________________
Graduation Year: ______________
n Private
n Public
n Other (for example, Home School Program or GED) ________________________________________________
School Address: ________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________
Adult Admission Application 2016 v2.qxp_Layout 1 1/26/16 11:57 AM Page 3
Bachelor Degree Programs offered online, or on-ground at Marist’s Fishkill or Poughkeepsie campuses
Indicate by a check mark the ONE major in which you are most interested. If you are unsure about a major field of study, please check the undecided box. A Marist student does not
have to select a major field of study until the second semester of their sophomore year.
School of Communication and the Arts
n Communication and Media Arts
You may also select one of the following concentrations:
n Advertising
n Communication Studies
n Journalism
n Public Relations
n Sports Communication
Digital
Media
n
n Fashion Design (Portfolio Required)
n Fashion Merchandising (Project Required)
You may also select one of the following concentrations:
n Business
n Fashion Promotion
n Product Development
n Fine Arts
You may also select one of the following concentrations:
n Art History
n Studio Art
n Games and Emerging Media
You may also select one of the following concentrations:
n Design, Writing and Culture
n Technical Development and Programming
n Media Studies and Production
You may also select one of the following concentrations:
n Film and Television
n Interactive Media and Game Design
n Studio Art (Portfolio Required)
School of Computer Science and Mathematics
n Applied Mathematics
n Computer Science
n Game Design and Programming
n Information Technology and Systems/Systems
n Information Technology and Systems/Technology
n Mathematics
School of Professional Programs
n B.A./B.S. Liberal Studies
Please indicate preferred location:
n Poughkeepsie
n Online
n Organizational Leadership & Communication (Fishkill)
n Paralegal Certificate
Please indicate preferred location:
n Poughkeepsie
n Fishkill
School of Liberal Arts
n American Studies
n English
You may also select one of the following concentrations:
n Literature
n Theatre
n Writing
n French
n History
n Italian
n Philosophy
You may also select the following concentration:
n Religious Studies
n Political Science
n Religion
n Spanish
School of Management
n Accounting
n Business Administration
You may also select one of the following concentrations:
n Finance
n Human Resource Management
n International Business
n Marketing
n Economics
School of Science
n Athletic Training
n Biochemistry
n Biology
n Biomedical Sciences
n Chemistry (B.A.)
n Chemistry
n Chemistry/Biochemistry
n Environmental Studies
You may also select one of the following concentrations:
n Policy
n Science
n Medical Technology
School of Social and Behavioral Sciences
n Criminal Justice
n Psychology
n Psychology and Dual Certification in Childhood
Education and Childhood Education/Special Education
(Grades 1-6)
n Social Work
New York State Secondary Education
Certification (Grades 7-12)
n Biology
n Chemistry
n English/Literature
n English/Theatre
n English/Writing
n French
n History
n Mathematics
n Spanish
n UNDECIDED Check here if not sure of major. Select from Schools below for area of interest (optional)
n
n
n
n
School of Communication and the Arts
School of Computer Science and Mathematics
School of Professional Programs
School of Liberal Arts
n School of Management
n School of Science
n School of Social and Behavioral Sciences
OPTIONAL ACADEMIC PROGRAMS
Indicate by a check mark if you intend to apply to an optional academic program. See instructions below for applying to each individual program.
Pre-Professional Programs
Please indicate if you would like to be a part of any of these programs.
Note that these programs do not replace the selection of a major.
n Pre-Dental
n Pre-Law
n Pre-Medical
n Pre-Veterinary
Adult Admission Application 2016 v2.qxp_Layout 1 1/26/16 11:57 AM Page 4
ESSAY
The Admission and Scholarship Committees require an essay to assist in their decision-making. Upon completion, E-mail your essay and contact information to adulted@marist.edu
Please submit an essay of at least 750 words on one of the following, or write on a subject of your choice.
1. What do you believe a college degree will enable you to do?
2. Why are you seeking a college degree now?
3. Provide some personal history/any additional information about you that will help the Admission Committee better make an informed admission decision.
OTHER REQUIRED INFORMATION
Have you ever been found responsible for a disciplinary violation at any post-secondary educational institute you have attended, whether related to academic misconduct or behavioral
n Yes n No
misconduct, that resulted in, but not limited to, your probation, suspension, removal, dismissal, or expulsion from the institution?
n Yes
n No
Have you ever been convicted of a misdemeanor, felony, or other crime?
If you answered yes to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident,
explains the circumstances, and reflects on what you learned from the experience.
NOTE: Applicants are expected to immediately notify the institutions to which they are applying should there be any changes to the information requested in this application,
including disciplinary history.
What influenced you to apply to Marist? (Check as many as appropriate)
n
n
n
n
n
Adult Open House
Affiliated Employer/Partner Organization
Campus tour
Discover Marist Day
Family member
n
n
n
n
n
n
n
n
n
n
Marist employee
Marist Social Media
Current Marist student
Marist Web site
College fair
Marist alumna/us
Marist literature
Local Marist reception
College counselor
College guidebook
n Referral (please specify)
n Other (please specify)
SIGNATURE
It is the responsibility of the applicant to be sure that all items on this application are completed. Please review the checklist below to be sure that all requirements have been met, then
be sure to sign the application below. Any applications not completed by the deadline will receive no decision.
To complete this application, be sure that you have:
Answered all questions on this application.
Requested that your official secondary and post-secondary school transcripts be submitted (secondary school transcripts not required if Associate’s Degree earned).
Selected one major field of study or indicated that you are undecided at this time.
Enclosed an essay (not required for Paralegal Certificate).
Enclosed a $50 non-refundable application fee or mailed a Fee Waiver Request.
Enclosed resume (for Liberal Studies and Organizational Leadership & Communication programs only)
Your completed application must be signed and returned to:
Marist College
Office of Undergraduate Admission
3399 North Road
Poughkeepsie, NY 12601
(845)575-3226
(888) 877-7900
Fax: (845) 575-3215
E-mail Address: adulted@marist.edu
Web site: www.marist.edu/adult
I certify that the information given on this application is current and complete to the best of my knowledge. I authorize all schools attended to release all requested records covered
under the F.E.R.P.A. Act, and authorize review of my application for the admission program indicated on this application.
____________________________________________________________________________________________________________________________
Signature
Date
Adult Application INSERT 2016 v2.qxp_Layout 1 1/26/16 11:41 AM Page 1
AFFILIATED EMPLOYERS AND PROFESSIONAL ORGANIZATIONS
Marist College offers tuition-reduction programs in conjunction with select employers and professional organizations. Tuitionreduction benefits are available to employers and/or members of their families. To be eligible, the applicant must submit proof of
employment or membership, and be formally admitted to Marist College. Please indicate the employer or professional
organization on Page 1 of this application. The Office of Admission can provide additional details about the individual
benefits for each organization listed below.
Participating Employers and Professional Organizations:
• Arlington School District
• New York State Criminal Justice Agencies
• ATF Association
• New York State Firefighters
• Central Hudson
• New York State Law Enforcement
• Health Alliance of the Hudson Valley
• Health Quest Systems
• Orange Regional Medical Center
(Middletown, N.Y.)
• Hudson Valley Federal Credit Union
• Red Hook Central School District
• Kingston City School District
• St. Luke’s Cornwall Hospital (Newburgh, N.Y.)
• Mid-Hudson Coalition
• The National Organization of Black Law
Enforcement Executives (NOBLE)
• Mobile Life Support Services
• National Association for African Americans in
Human Resources (NAAAHR)
• National Center for Women in Policing (NCWP)
• New York City Police Department
• Tuition Advisory Services
• Women in Federal Law Enforcement (WIFLE)
• YMCA of Dutchess, East Orange, Central &
Northern Westchester Counties
• New York State Association of Fire Chiefs
Updates to this list can be viewed at: www.marist.edu/admission/graduate/partnerships. If your employer or organization would like to know more about creating a professional affiliation with Marist College, please contact the Office of
Admission at (845) 575-3484.