Spring 2014 APPLICATION On-Campus
for
For Partner School Students Only
MONDAY JANUARY 27- THURSDAY MAY 22nd, 2014
DEADLINE: FRIDAY JANUARY 10TH, 2014
Mail/ Hand Deliver Application to:
(FAXES ARE NOT ACCEPTED)
College Now Office
Baruch College
55 Lexington Avenue, B5-218
New York, NY 10010
Attn: Maziely Crisostomo, Associate Director College Now
QUESTIONS?
Email us at collegenow@baruch.cuny.edu or call us at (646) 312-4297
Friend us on Facebook: www.facebook.com/baruchcnow
Application Checklist:
(Before mailing in the application, make sure you have ALL the documents below)
 Spring 2014 College Now Application
 College Now Student Application / Registration Form
 Baruch College Undergraduate Non-degree Student Application Form A2
 Baruch College Immunization Record
 MMR Form
 Parent/Guardian Notification and Consent Form
 SAT scores
 High School transcript
Baruch College Now – - The College Experience
Spring 2014 Student Application On-Campus
To enroll in a College Now course, a student must meet the following criteria:
-
At least a 50 on the PSAT Critical Reading or at least a 480 on the SAT Critical Reading or at least a 75 on the
English Language Arts Regents Exam
AND
-
At least a 50 on the PSAT Math or at least a 480 on the SAT Math or at least a 75 on any of the following Math
Regents Exams Algebra/Geometry/or Trigonometry
Course Descriptions
BUS 1000: Introduction to Business (3 CREDITS)
Monday and Wednesday 4:10pm-5:25pm
Students are given an overview of the study of business early in their college studies so that they can decide which field
to major in and how the world of business works. The class is broken in four distinct parts - finance, marketing,
management and an introductory section that covers ethics, global business and economics. Each of these parts covers
the basic concepts found in one of the areas a student might select as a major. Each section also covers the current
issues in today's business world. These are the kinds of topics likely to be encountered in the current business press.
Lectures are supplemented with real world case histories designed to highlight a specific topical, and often
controversial, issue.
COM 1010:
SPEECH COMMUNICATION (3 CREDITS)
Tuesday and Thursday, 4:10 – 5:25pm
This course provides training and practice in the preparation and delivery of original speeches; encourages the use of
clear, easy and unaffected American English; and cultivates the student’s sensitivity to the intellectual and ethical
aspects of communication.
FIN 1601: PERSONAL FINANCE (3 CREDITS)
Monday and Wednesday, 4:10 – 5:25pm
Discusses the problems involved in efficient handling of personal finance and consumption expenditure, including
consumer protection, taxation, insurance, home financing, and methods of borrowing and investing money.
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Baruch College Now – - The College Experience
Spring 2014 Student Application On-Campus
PSY 1001: GENERAL PSYCHOLOGY (4 CREDITS)
Monday and Wednesday, 3:45 – 5:25pm OR Tuesday and Thursday, 3:45 – 5:25pm
This course introduces students to the scientific study of human behavior. It covers the basic psychological processes
of thinking, motivation, perception, learning, and the significance of the brain in mediating these processes. It
examines the normal personality, how it develops, and how if functions in a social context. Psychological disorders are
also discussed. Students select from the following: three hours of participation in a library research workshop on
psychological topics; or preparation of a proposal for a simple experiment.
ENG 2100: WRITING I (4 CREDITS)
Tuesday and Thursday, 3:45 – 5:25pm
This is an intensive course introducing students to writing as a means of discovery. In Writing I students practice and
share their written articulation of ideas as a community of writers. Students read a variety of intellectually challenging
and thematically coherent texts in a range of genres. Throughout, the emphasis is on writing and communication skills
as processes involving multiple steps, including drafting, discussion, revision, and re-thinking.
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Baruch College Now – - The College Experience
Spring 2014 Student Application On-Campus
BARUCH COLLEGE
SPRING 2014 COLLEGE NOW APPLICATION
FOR BARUCH PARTNER HIGH SCHOOL STUDENTS ONLY
First Name: _________________________________
Last Name: ____________________________
High School: _________________________________ Grade: ___________
Cell phone: ______________________
Email address: ___________________________________________________
Please Circle which math regents exam
English Regents Grade _______
Algebra / Geometry / Trigonometry Regents Grade _______
SAT Critical Reading _______
SAT Math _______
PSAT Critical Reading _______
PSAT Math _______
Please indicate your first three course choices, in order of preference. If you do not have a 2nd or 3rd choice, leave this option
blank. College Now cannot guarantee that you will be accepted into your first choice. Conditional acceptance letters will be mailed
to students who meet the criteria contingent upon student/s RSVP for a mandatory orientation prior to the start of the course.
Failure to attend orientation will lead to forfeiture of your seat.
Please indicate your choice by putting 1 for 1st choice, 2 for 2nd choice and 3 for 3rd choice.
Monday/Wednesday 3:45-5:25
Psychology 1001
Tuesday/Thursday 3:45-5:25
Psychology 1001
Monday/Wednesday 4:10-5:25
Business 1000
Tuesday/Thursday 4:10-5:25
Speech Communication 1010
Monday/Wednesday 4:10-5:25
Finance 1601
Tuesday/Thursday 4:10-5:25
English 2100
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Baruch College Now – - The College Experience
Spring 2014 Student Application On-Campus
College Now
To be completed by Student
Social Security __________________________
Last Name_____________________________________
First Name ___________________________
Street Address ______________________________________________
City _____________________________ State____
Date of Birth (mm/dd/yy)
/
Sex (M or F)
ZIP_____ Home Phone_______________________
Race
/
Country of Origin ________________________
Apt. #__________________
Black/Non-Hispanic
Asian or Pacific Islander
White/Non-Hispanic
Hispanic
Other
Native Language ______________________
Spring (Jan. - Jun.)
Year entered 9th Grade (yyyy) _______________Semester entered 9th Grade Fall (Sept. - Dec.) __________
_________________________________________________________________________________________________________
To be completed by 'College Now' staff
HS ETS Code
High School Name
33 Semester
Spring 2014
CUNY College
Baruch College
College Now Activity Type
1
if course is a non-credit course, enter 0.0 for 'number of credits'
X College Course........... Catalog Course Number
Number of Credits 3.0
Use this line if the student is taking a second "College NOW" course this semester
2
3
4
College Course...........Catalog Course Number
Check one box only
One High School Credit Course
Number of Credits
Two High School Credit Courses
Three High School Credit Courses
Other College Now Course or Workshop (not checked elsewhere.
College Now Contact Name: Tony Davis
Phone: (646) 312-4295
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Baruch College Now – - The College Experience
Spring 2014 Student Application On-Campus
College Now
BARUCH COLLEGE
One Bernard Baruch Way, Box B5-237
New York, NY 10010
Phone: 646) 312-4295
Email: collegenow@baruch.cuny.edu
UNDERGRADUATE NONDEGREE STUDENT APPLICATION FORM A2
Application for: Spring 2014
Application for: Non-degree (students who do not have a bachelors degree)
Social Security number: ____ ____ ____ -____ ____ - ____ ____ ____ ____
Mr.
Ms.
Date of Birth: _____________________
________________________________________________________________________
LAST
FIRST
MI
Street Address: _______________________________________________________________Apt. No.: ______________
City:
State:
Zip:
Length of time at the above address
Years/Months
Length of time in NYC
in NYS
Years/Months
Telephone: Day – (
Years/Months
Evening – (
)
)
Email Address:
High School:
Are you a U.S. Citizen?
YES
NO
If no, state the Country of Birth:
Country of Citizenship:
Immigration Status:
U.S. Permanent Resident: ______________________________________________________________________
Alien Registration Card#
Date Issued
Expiration Date
Other: _____________________________________________________________________________
Please Specify Type of visa
I hereby certify that the statements on this application and all the supporting documents are true. I realize that fraudulent
information may affect my status at Baruch College.
Signature
Date
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Baruch College Now – - The College Experience
Spring 2014 Student Application On-Campus
IMMUNIZATION RECORD
Medical Unit • Undergraduate Admissions
One Bernard Baruch Way • New York, NY 10010 • Box H-0720
Phone: 646.312.1400 • Fax: 646.312.1362 or 1363
Email: medicalrecords@baruch.cuny.edu
IMMUNIZATION CERTIFICATION
Part 1: To be completed by the student
Social Security # ______-____-______
(Return the completed form to the College Health Center before registration)
_________________________________________
LAST NAME (PLEASE PRINT)
_____________________________________________
FIRST NAME
_____
M.I.
_____________________________________________________________________________________________________________________
ADDRESS APT # CITY STATE ZIP
______________________________
DATE OF BIRTH (MM/DD/YR)
(_____)________________________
DAY PHONE
_______________________________________
EMAIL ADDRESS
If you have attended another CUNY college, please name the college: ____________________________________________________
MENINGOCOCCAL MENINGITIS – To be completed and signed by student or parent/guardian for students
under the age of 18
□ I have read the meningitis disease information sheet, and I (my child) will not receive the vaccine.
□ I had the Meningococcal Meningitis Immunization (Menomune) within the past 10 years. Date received ______________
Month/Year
______________________________________________________
Student’s Signature (Parent’s signature for students under 18 years)
______________
Date
NYS Public Health Law 2165 requires that postsecondary students who are enrolling for six or more credits must show protection
against measles, mumps, and rubella. Persons born prior to January 1, 1957 are exempt from this requirement.
Part 2: Immunization History - to be completed by a Health Care Provider. Signature and stamp required.
Month/Day/Year
MMR (Measles, Mumps, Rubella) If given instead of individual immunization.
Date of 1st vaccine (12 months after birth or later, AND on or after January 1, 1972)
Date of 2nd vaccine (15 months after birth or later, AND at least 28 days after 1st vaccine)
____ / ___/____
____ / ___/____
MEASLES (Rubeola)
Date of 1st vaccine (12 months after birth or later, AND on or after January 1, 1968)
Date of 2nd vaccine (15 months after birth or later, AND at least 28 days after 1st vaccine)
-or- Attach copy of Positive lab results for Measles titer
____ / ___/____
____ / ___/____
____ / ___/____
RUBELLA (German Measles)
Date of one vaccine (on or after 1st birthday or later, AND on or after January 1, 1969)
-or- Attach copy of Positive lab results for Rubella titer
____ / ___/____
____ / ___/____
MUMPS
Date of one vaccine (on or after 1st birthday or later, AND on or after January 1, 1969)
-or- Attach copy of Positive lab results for Mumps titer
____ / ___/____
____ / ___/____
ACCEPTABLE PROOF OF IMMUNITY MAY INCLUDE:
1. Immunization cards from childhood.
2. Immunization records from college, high school, or other schools you attended.
3. Immunization records from your Health Care Provider or clinic.
Include official stamp (In English)
Include official stamp (In English)
_______________________________________
SIGNATURE OF HEALTH CARE PROVIDER
____ / ___ /_____
DATE
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Baruch College Now – - The College Experience
Spring 2014 Student Application On-Campus
The City Universit
Parent/Guardian
Notification and Consent
(Please note: An alternate form is available for students who
are eighteen or older.)
I am aware that ______________________________________ is participating in
(print name of student)
the City University of New York College Now program and that the instructional activities
will take place at Baruch College, which is located at 55 Lexington Avenue, New York, NY 10010.
I understand that my child may travel to the college site and to field trips by various forms of public and private
transportation. I understand that there may be risks involved in my child’s departure from his/her home or school without
adult supervision, and I assume those risks on behalf of my child and myself.
To help increase awareness of College Now for other city students, I give
permission for The City University of New York (CUNY) to use my child’s
▪ image or photograph,
▪ name,
▪ high school affiliation, and/or
▪ written and/or recorded oral statements made in or about College Now
solely for CUNY's non-commercial purposes, including promotion of the
College Now program and use on CUNY TV and cuny.edu, in any manner or
media, now and in the future, throughout the world.
___________________________________
Yes
No
____________________________
Signature of parent/guardian
Date
___________________________________
____________________________
Printed name of parent/guardian
Home telephone
___________________________________
____________________________
Cellular and/or work phone
Email address
___________________________________
____________________________
Name of emergency contact
Emergency contact telephone
I consent to the use of my image or photograph, name, high school affiliation, and/or written and/or recorded oral
statements made in or about College Now as described above.
_____________________________ ______________________________
Signature of student
Printed name of student
8
_____________
Date