APPLICATION
FOR ADMISSION
X
Marist College
School of Communication and the Arts,
Poughkeepsie, NY 12601
INSTRUCTIONS:
Print out and completely fill out and sign this Application Form. Select 1 term (Fall or Spring) and 1 program
(Art/Communication/Fashion). Make a photocopy of this form for your records. Mail, Fax or email the completed form to
the appropriate program director. Contact information for program directors appears on the bottom of this form.
Eligibility: Undergraduate college students with a GPA of 3.25 or above (4.0 scale) and in good judicial & financial
standing are welcome to apply to the Marist in Manhattan Program.
Description of Program: Marist in Manhattan offers a select group of undergraduate college students a residential-based,
full-time internship opportunity in New York City. Students are placed in a high-profile internship requiring a minimum
of 270 hours of field experience. Interns spend 3-4 days at sites during the 15-week-long semester. All students enroll in
online course(s) as a complement to field work. Students earn 12-15 college credits and must maintain full-time status for
the duration of the program.
Term: Choose 1
Spring _____deadline Sept. 15
Program: Choose 1
Art ______
Fall _____deadline Feb. 15
Communication _______
Fashion _______
PERSONAL CONTACT INFORMATION – please print
Name ________________________________________________________________
Last
First
CWID # ____________________________
(Marist students only)
DOB: _____/_____/_____
Middle
SS# _________________________
(all)
Email______________________________________
Sex: ____M ____F
Cell Phone # ___________________________________
Campus/Current Address
Permanent /Home Address
Street:___________________________________
Street: ______________________________________
City: ____________________________________
City: ______________________________________
State: _______
State:___________________ Zip:______________
Zip: _____________________
Emergency Contact Person (please identify two individuals)
Name ____________________________________
Name _____________________________________
Relationship to you________________________
Relationship to you _________________________
Daytime Phone ___________________________
Daytime Phone ____________________________
Eve/Cell Phone ___________________________
Eve/Cell Phone ____________________________
Marist in Manhattan Program, Lowell Thomas 150, Marist College, Poughkeepsie, NY 12601 – 845-575-3000
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ACADEMIC INFORMATION
Name & Address of current college/university ____________________________________________________________
___________________________________________________________________________________________________
What is your Major?______________________________
Your Minor?_______________________________________
How many college credits have you completed as of today’s date? ____________
(Non-Marist students - please order a copy of your most recent transcript to be sent to Marist in Manhattan Program – address below )
Have you done an internship before? ___ Yes ___ No
If yes, please briefly identify the company/organizations:
______________________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________________
____________________________________________________________________________________________
Briefly describe your personal goals for a New York internship:
___________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
List up to three preferred companies or organization you would wish to internship with:
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
HOUSING INFORMATION
What is your housing preference?
Single Room____
Double Room___
*Please note that housing availability is determined by the 92nd St. Y; Marist cannot guarantee housing availability.
T-SHIRT SIZE
T-shirt Size (choose one)
___XXL ___ XL ___ L
___ M ___ S
OPTIONAL PERSONAL INFORMATION
Do you believe you need any special assistance to perform the requirements of this educational program? ___ Yes ___ No
Do you have special dietary needs? ___ Yes ___ No
Any special medical needs? ___ Yes ___ No
Marist in Manhattan Program, Lowell Thomas 150 Marist College, Poughkeepsie, NY 12601 – 845-575-3000
Rev. 9//10/15
2
Your response to the following questions will in no way affect consideration of your application for admission; however, it
would be helpful to Marist for research purposes. Marist College does not discriminate in the admissions process or in the
awarding of financial aid on the basis of race, color, sex, religion, or disability.
You may select more than one category.
______ Are you Hispanic/Latino? Yes_____ No_____
Regardless of your answer to the prior question, please select one or more of the following ethnicities that
best describe you:
______ America Indian or Alaska Native (including all Original Peoples of the Americas)
Are you enrolled in a Tribe? Yes____ No____ If yes, enter Tribal Enrollment Number _________________.
______ Asian (including Indian subcontinent and Philippines)
______ Black or African American (including Africa and Caribbean)
______ Native Hawaiian or Other Pacific Islander (Original Peoples)
______ White (including Middle Eastern)
ADDITIONAL REQUIRED ITEMS & DOCUMENTS
•
•
•
•
•
Non-refundable application fee of $50 – please make check payable to “Marist College”
Updated current resume (be sure it includes any previous internships or career-related jobs)
Brief essay outlining your career goals and why you want to take part in Marist in Manhattan (300-500 words).
Two recommendation/referral forms from faculty members and/or your academic advisor. (see the Recommendation
Form for more information)
Transcript for Visiting/Non-Marist Students
ONLY students who attend another institution, those who would be considered “Visiting” students, are required to
furnish a copy of their most recent transcript or academic audit. The document should be sent from the student’s
university Registrar’s Office. Send the transcript to the appropriate Program Director.)
STUDENT’S ACKNOWLEDGEMENT & AGREEMENT
I, the student, hereby acknowledge that the information on this form and the information in any and all additional
documents that I provided is complete and accurate. I understand that my admission to the Marist in Manhattan
program is a privilege, not a right. I agree to abide by rules and procedures required of all students at Marist, if accepted.
If enrolled, I hereby agree to assume all risk of injury to person and property and to hold Marist College harmless from
any claim to my person or property. I understand that this application form and other documents I provide may be
shown to internship employers.
Signature ________________________________________________________________
Date__________________________
To Contact Program Directors:
Art
Ms. Laura Hammond-Toonkel
Steel Plant
Marist College
Poughkeepsie, NY 12601
PH: 845 575-3000, x 2036
Laura.hammondtoonkel@marist.edu
Communication
Prof. Gerry McNulty
Lowell Thomas 150
Marist College
3399 North Rd.
Poughkeepsie, NY 12601
PH: 845 575-3885
Gerald.mcnulty@marist.edu
Marist in Manhattan Program, Lowell Thomas 150 Marist College, Poughkeepsie, NY 12601 – 845-575-3000
Fashion
Mr. Juan-Manuel Olivers-Silvera
Lowell Thomas 028
Marist College
Poughkeepsie, NY 12601
PH: 845 575-3000, x 6193
jm.olivera@marist.edu
Rev. 9//10/15
Marist in Manhattan Program, Lowell Thomas 150, Marist College, Poughkeepsie, NY 12601 – 845-575-3000