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