Undergraduate New Brunswick Application

advertisement
Pre-College Enrichment Program (PREP) 2015 Application
Rutgers Business School: Undergraduate - New Brunswick
Office of Diversity Programs
100 Rockafeller Rd., Room 4028 Piscataway, NJ 08854
If you have any questions about completing this form, please
contact Courtney Clarke, cclarke@business.rutgers.edu.
SEND ALL APPLICATION MATERIALS TO:
Charles A. Brown
Assistant Dean
Office of Diversity Programs
Rutgers Business School: Undergraduate-New Brunswick
100 Rockafeller Rd., Room 4028
Piscataway, NJ 08854
FAX: 973-353-1345
EMAIL: diversityprograms@business.rutgers.edu
Timeline Information
DECEMBER 1, 2014 Application Due Date
JANUARY 5-9, 2015 Applicant Interviews
JANUARY 12, 2015 Notification Date
JANUARY 24, 2015 First Day of Class
Application Checklist
○ Completed Application
○ Current Official High School Transcript
○ Application Essay
○ 1 Academic Letter of Recommendation
○ Official SAT, ACT, AP Scores (optional)
○ $125 Program Application Fee (Requested
Upon Admission to Program and Refundable
Upon Program Completion)
GENERAL INFORMATION
Gender
Last Name
□ MALE
□ FEMALE
First Name
Date of Birth (MM/DD/YYYY)
Social Security Number
Street Address
City
State
Home Phone Number
Cell Number
Zip
Email Address
High School
Grade
Parent/Guardian Name
Parent Work Number
Cell Number
Ethnicity
Are you a United States citizen?
 Yes
 No
If no, do you hold a permanent Alien Registration Receipt Card (green card)?
 Yes
 No
(What visa do you hold? _________________)
1
Are you a New Jersey resident?
 Yes
 No
If you are a New Jersey resident, have you lived in NJ since birth?
 Yes
 No
If no, when did you move to NJ?
Guidance Counselor Section
Please sign the Endorsement Statement below and return this application with the student's transcript
and national test scores (PSAT, SAT, ACT, and AP Exams).
I have reviewed this application for the Rutgers Business School Pre-College Enrichment Program (PREP)
at Rutgers Business School: Undergraduate-New Brunswick and endorse this student's application to
enroll in a course at Rutgers during the spring 2015 academic semester as a Pre-College Enrichment
Program student.
Guidance Counselor Name (Please Print)
Guidance Counselor Signature
Date
School Phone Number
E-mail address
Application Essay
Please submit a personal essay that discusses the following topic: “Why I am interested in studying
business in college.” 500 word minimum
I verify that the information submitted is correct. If I am accepted into the Pre-college program, I agree
to conform to the policies and regulations of Rutgers Business School: Undergraduate-New Brunswick. I
understand that any deviation may result in immediate dismissal from the program.
Student Signature
Date
Parent Signature
Date
2
Download