Undergraduate and Graduate Admission

Transcription

1 Undergraduate and Graduate Admissin Cngratulatins n taking the next step tward earning yur degree. NEXT STEPS: Carefully read and cmpletely fill ut each sectin f this frm. Questins regarding this frm may be directed t the Office f Admissins tll-free at ext. 2, r the Center fr Military and Veterans Educatin at ext Request that fficial transcripts be sent directly t Excelsir Cllege, Office f Registratin and Recrds, 7 Clumbia Circle, Albany, NY Official transcripts are thse that a cllege, testing agency, r educatin ffice submits directly t Excelsir Cllege. The issuance date f the transcript must be within three weeks r less. Cmplete the verificatin f student identity frm. G t and click n the My Details tab t cmplete the verificatin requirement r cmplete and submit the ntarized identity verificatin frm included in this dcument. Cmplete the FAFSA (Free Applicatin fr Federal Student Aid) t be cnsidered fr financial assistance such as federal grants and lans, institutinal schlarships, and private lans. Fr mre infrmatin, g t Students registered fr examinatins are nt eligible fr federal student aid but may qualify fr institutinal schlarships. SCHOOL OF NURSING CANDIDATES Turn t page 9 fr admissin requirements and special instructins. GRADUATE DEGREE CANDIDATES Turn t page 11 fr admissin requirements and special instructins. INTERNATIONAL CANDIDATES Visit internatinal.excelsir.edu fr admissin requirements and special instructins. If yu are a graduate f a business, health sciences, liberal arts, public service, r technlgy degree prgram at Excelsir Cllege, cntact the schl s academic advising ffice t determine whether yu are required t submit this frm. If yu have been withdrawn frm a business, health sciences, liberal arts, public service, r technlgy degree prgram within the past five years, cntact the schl s academic advising ffice as yu may nt be required t cmplete this frm. excelsir.edu

2 2

3 UNDERGRADUATE AND GRADUATE APPLICATION FOR ADMISSION Please print r type all infrmatin requested and review respnses fr accuracy. FOR OFFICE USE ONLY Special Ppulatin Scial Security Number (USA) (Federal Aid applicants are required t prvide their SSN) - - Third Party Current legal name Last (Family) name First (Given) name Middle Initial Birth/maiden name (If different frm current last name) Other name(s) (By which yu may have been identified in relevant academic recrds) Permanent address Mailing address Number and street (include Rd. St., Ave., etc., as well as Apt. r Suite number if applicable) Number and street (include Rd. St., Ave., etc., as well as apt. r suite number if applicable) City State City State Zip cde Cuntry (If nt USA) Zip cde Cuntry (If nt USA) Cntact infrmatin (Indicate (D)ay r (E)vening) Hme phne (d)/(e) Business phne Extensin (d)/(e) Mbile phne (d)/(e) address Electrnic Cmmunicatins Cnsent Academic Evaluatins Whenever the Cllege evaluates the credits yu have earned, yu will receive yur My Academic Plan, the dcument that explains hw credits earned will apply tward yur academic prgram and which credits yu still need t earn. We will ntify yu via each time yur academic plan is updated, and yu can view this dcument at the Excelsir Cllege website cnveniently and withut delay. Please make certain that yu cmplete yur address abve. If yu d nt wish t receive electrnic delivery f yur academic evaluatins, check this bx t receive these dcuments in printed frm. Excelsir Cllege Updates N, I d nt wish t receive Excelsir Cllege updates via bradcasts. If yu answer yes t subscribe t this service, be sure t add n-reply@excelsir.edu, TechSupprt@excelsir.edu, r the excelsir.edu mail server t yur sftware s address bk r allwed list. If yu are using a spam filter r blcker that requires cnfirmatin frm the sender r is set t reject frm certain dmains, this prcedure is necessary in rder t ensure that yu receive Excelsir Cllege crrespndence. Date f birth (mm/dd/yyyy frmat) / / Gender 3

4 Have yu graduated frm high schl, received a GED, r cmpleted a High Schl Equivalency Test in the past 12 mnths? It has been lnger than 12 mnths since I graduated frm high schl, earned my GED r High Schl Equivalency Test Yes, I graduated frm high schl in the past 12 mnths. Yes, I have btained my GED r High Schl Equivalency Test in the last 12 mnths. N Nte: Imprtant infrmatin fr Gergia residents visit page 13. Since cmpleting high schl, have yu taken at least ne curse in any cllege, university, r technical schl? Yes N If yes, list all previusly earned degree(s): TYPE OF DEGREE DATE DEGREE EARNED INSTITUTION GRANTING DEGREE CHECK IF YOU ARE SENDING A TRANSCRIPT See page 8 fr infrmatin regarding transcripts. Frm the list belw, enter the cde number which represents yur estimate f the ttal number f cllege credits yu have earned thrugh cllege curses, prficiency tests, military curses, and s frth. 1: N credit/curses 2: 1 t 30 credits 3: 31 t 60 credits 4: 61 t 90 credits 5: 91 t 126 credits 6: Over 126 credits 7: I dn t knw Are yu Hispanic r Latin/Latina? Yes N Select the racial/ethnic grup(s) yu identify with regardless f yur answer t the abve questin (yu may select mre than ne): American Indian r Alaska Native Black r African American White Asian Native Hawaiian r Other Pacific Islander Please select the ne respnse which best reflects yur citizenship status: U.S. citizen U.S. permanent resident Freign natinal Is English yur first language? Yes N If yu are currently serving in the United States Armed Services, enter the tw digit cde number f the branch: 10 Army (Regular) 30 Marines (Regular) 50 Cast Guard (Regular) 15 Army (Reserves) 35 Marines (Reserves) 55 Cast Guard (Reserves) 20 Navy (Regular) 40 Air Frce (Regular) 60 Natinal Guard (Army) 25 Navy (Reserves) 45 Air Frce (Reserves) 65 Natinal Guard (Air) Other military status: Military veteran Military family member with Department f Defense card Department f Defense civilian emplyee Military ID Number Base zip cde - Pay Grade MOS, NER, CGR, etc. If yu are eligible r currently receiving GI Bill benefits, enter the cde number f the chapter: 70 MGIB-AD (Chapter 30) 95 Educatinal Assistance Test Prgram (Sectin 901) 115 Vcatinal Rehabilitatin 75 MGIB-SR (Chapter 1606) 100 Educatinal Assistance Pilt Prgram (Sectin 903) 999 Nt sure 80 REAP (Chapter 1607) 105 Survivrs and Dependents Educatinal Assistance Prgram (Chapter 35) 85 VEAP (Chapter 32) 010 Pst-9/11 (Chapter 33) Have yu used yur benefits previusly? Yes N If nt, have yu cmpleted VA frm ? Yes N If yu have used yur benefits and are changing parent schls, have yu cmpleted VA frm ? Yes N If yu answered N, cmplete the crrect frm nline at Have yu ever been enrlled in any prgram at Excelsir Cllege (frmerly Regents Cllege)? Yes N If Yes, when? 4

5 All Applicants: Undergraduate Degree Selectin Infrmatin (Select nly ne prgram) NURSING Nte the admissins eligibility requirements n page 9. AAS Assciate in Applied Science/ Assciate in Science in nursing BRN BS Cmpletin Prgram (RNs nly) MRN RN t MS in nursing ➀ ➁ Area f specializatin (select ne) NLA Nursing Leadership and Administratin f Health Care Systems NED Nursing Educatin INF Nursing Infrmatics BUSINESS AAB Assciate in Applied Science in Administrative/Management Studies BPB Bachelr f Prfessinal Studies Business and Management BSB Bachelr f Science in Business ACCTG General Accunting FIN Finance GENBU General Business GLOBL Glbal Business MHR Management f Human Resurces MIS Management Infrmatin Systems MARK Marketing OPMNG Operatins Management MSB Bachelr f Science in Business/ Master f Business Administratin Dual Degree Track Area f undergraduate cncentratin (select ne) ACCTG General Accunting FIN Finance GENBU General Business GLOBL Glbal Business MHR Management f Human Resurces MIS Management Infrmatin Systems MARK Marketing OPMNG Operatins Management HEALTH SCIENCES BHS Bachelr f Science in Health Sciences Area f emphasis (select ne) HAW Health and Wellness HED Health Educatin MGT Management PBH Public Health BHC Bachelr f Science in Health Care Management BPH Bachelr f Science in Public Health MHA Bachelr f Science in Health Care Management/Master f Business Administratin Dual Degree Track Graduate-level cncentratin (select ne) N cncentratin ACCT Accunting CYS Cybersecurity Management HPT Human Perfrmance Technlgy HR Human Resurce Management LDR Leadership SMM Scial Media Management HCM Health Care Management MEDAR Mediatin & Arbitratin TM Technlgy Management MBH Bachelr f Science in Health Sciences/Master f Science in Health Sciences Area f undergraduate emphasis (select ne) HAW Health and Wellness HED Health Educatin MGT Management PBH Public Health Graduate-level specializatin (select ne) N cncentratin HI Health Care Infrmatics HPE Health Prfessins PH Public Health LIBERAL ARTS AS Assciate in Science with Cncentratin in Human Services AS Assciate in Science in Liberal Arts AA Assciate in Arts in Liberal Arts BSL Bachelr f Science in Liberal Arts (n cncentratin) BSL Bachelr f Science in Liberal Arts (cncentratin in Prfessinal and Technical Writing) BS Bachelr f Science in Histry BS Bachelr f Science in Natural Sciences N cncentratin Bilgy BS Bachelr f Science in Psychlgy N cncentratin Industrial/Organizatinal Psychlgy and Strategic Sales BS Bachelr f Science in Scial Sciences N cncentratin Envirnmental Studies Human Services Internatinal Relatins BAL Bachelr f Arts in Liberal Arts BA Bachelr f Arts in Histry BA Bachelr f Arts in Humanities N cncentratin Cmmunicatin Studies Cultural Studies Fine Arts Literature BA Bachelr f Arts in Psychlgy PUBLIC SERVICE ACJ Assciate in Science in Criminal Justice BS Bachelr f Science in Criminal Justice N cncentratin Administratin f Criminal Justice Hmeland Security Investigative Frensics Law Enfrcement and Public Safety BS Bachelr f Science in Military Leadership BS Bachelr f Science in Natinal Security Cybersecurity Diplmacy/Internatinal Relatins Intelligence and Security Analysis Military Leadership Tpics in Natinal Security TECHNOLOGY AAT Assciate in Applied Science in Technical Studies Military students shuld select the cncentratin which crrespnds t their MOS/Rating. Cmputer Technlgies Electrmechanical Technlgies Electrnic/Instrumentatin Technlgies Nuclear Technlgies/ Pwer Plant Technlgies Where my credits fit best AST Assciate in Science in Technlgy Area f fcus (select ne) Cmputer Technlgies Electrmechanical Technlgies Electrnic/Instrumentatin Technlgies Nuclear Technlgies Pwer Plant Technlgies Where my credits fit best BCY Bachelr f Science in Cybersecurity GEN General Track COPS Cyber Operatins HLTH Health Care Cybersecurity BPT Bachelr f Prfessinal Studies Technlgy Management Area f fcus (select ne) ELECT Electrical Technlgy IT Infrmatin Technlgy NUC Nuclear Technlgy RE Renewable Energy Technlgy BEL Bachelr f Science in Electrical Engineering Technlgy (ABET accredited) ELEC Electrnics NANO Nantechnlgy POWER Pwer Systems BIX Bachelr f Science in Infrmatin Technlgy CYS Cybersecurity Technlgy GEN General INF Infrmatin Security NET Netwrk Operatins BNX Bachelr f Science in Nuclear Engineering Technlgy (ABET accredited) MNT Bachelr f Science in Nuclear Engineering Technlgy/ Master f Business Administratin Dual Degree Track Area f graduate-level cncentratin (select ne) General (n cncentratin) Accunting Technlgy Leadership Cybersecurity Management Health Care Management Human Perfrmance Human Resurce Management Mediatin and Arbitratin Scial Media Management Technlgy Management MIC Bachelr f Science in Infrmatin Technlgy (with cncentratin)/ Master f Science in Cybersecurity Dual Degree Track General Cybersecurity Technlgy Infrmatin Security Netwrk Management MBI Bachelr f Science in Infrmatin Technlgy/Master f Business Administratin Dual Degree Track General Cybersecurity Technlgy Infrmatin Security Netwrk Management BST Bachelr f Science in Technlgy Area f fcus (select ne) Cmputer Technlgies Electrmechanical Technlgies Electrnic/ Instrumentatin Technlgies Nuclear Technlgies Pwer Plant Technlgies Where my credits fit best ➀ If yu have earned a bachelr s degree in nursing frm a reginally accredited institutin and hld a valid and current U.S. RN license, yu may be interested in pursuing ur Master f Science in nursing degree. If s, call an enrllment cunselr befre cmpleting this applicatin. ➁ MRN applicants must submit a cmpleted MS capstne requirement frm (excelsir.edu/capstne). 5

6 All Applicants: Graduate Degree Selectin Infrmatin (Select nly ne prgram) BUSINESS Master f Business Administratin N cncentratin ACCTG General Accunting CYS Cybersecurity Management HCM Health Care Management HPT Human Perfrmance Technlgy HR Human Resurce Management LDR Leadership MEDAR Mediatin & Arbitratin SMM Scial Media Management TM Technlgy Management Master f Science in Management GENB General Business Management HRM Human Resurce Management MEDAR Mediatin & Arbitratin OL Organizatinal Leadership HEALTH SCIENCES Master f Science in Health Sciences N specializatin HPE Health Prfessins Educatin PH Public Health HI Health Care Infrmatics LIBERAL ARTS Master f Arts in Liberal Studies (Capstne Optin) Master f Arts in Liberal Studies (Thesis Optin) NURSING Master f Science in Nursing Area f specializatin (select ne) NLA Nursing Leadership and Administratin f Health Care Systems NED Nursing Educatin INF Nursing Infrmatics PUBLIC SERVICE Master f Science in Criminal Justice N cncentratin HS Hmeland Security and Emergency Management JA Justice Adminstratin Master f Public Administratin N cncentratin Mediatin & Arbitratin TECHNOLOGY Master f Science in Cybersecurity GEN General Track INFAS Infrmatin Assurance MEDATA Medical Data Security PA Plicy Administratin 6

7 Active Duty/Guard/Reserve Military Authrizatin As a student enrlling in Excelsir Cllege, I agree t respnd prmptly t infrmatin requested by either my ESO/Educatin Cunselr r Excelsir Cllege regarding my studies, t ntify my ESO/Educatin Cunselr and Excelsir Cllege f any change in name, address, r Scial Security number, and t meet all f my financial bligatins t Excelsir Cllege. Since my ESO/Educatin Cunselr will assist me in planning a curse f study, I have authrized my ESO/Educatin Cunselr t submit fficial dcuments n my behalf. I als authrize Excelsir Cllege t release t my ESO/Educatin Cunselr pertinent infrmatin regarding my status in Excelsir Cllege, including cpies f My Academic Plan and ther infrmatin related t my studies and status in the prgram. Signature Date Educatin Center Address Emplyer Infrmatin Are yu currently emplyed? N Yes, part-time Yes, full-time If emplyed, wh is yur emplyer? Name f emplyer Number and street address f emplyer State Zip cde Cuntry (if nt USA) If emplyed, what is yur jb title? Jb title Check the apprpriate bx(es) fr any degree(s) yu have already earned: Assciate Baccalaureate Parental Educatin Level Mther Father Did nt finish high schl Attended sme cllege but did nt graduate Cmpleted an assciate degree (AA, AS, AAS, etc.) Cmpleted a bachelr s degree (BA, BS, etc.) Cmpleted a master s degree (MA, MS, MBA, etc.) Cmpleted a dctrate degree (PhD, JD, MD, etc.) D nt knw Yur annual husehld incme Less than $24,999 $70,000 t $84,999 $25,000 t $34,999 $85,000 t $99,999 $35,000 t $44,999 $100,000 t $119,999 $45,000 t $54,999 Over $120,000 $55,000 t $69,999 7

8 All Applicants: Dcuments Submitted fr Evaluatin Transcripts List each institutin that will be submitting fficial transcripts n yur behalf. Only list institutins frm which yu have previusly earned cllege-level credits and that yu wuld like t be cnsidered. We will prcess yur applicatin nce all fficial transcripts listed have been received. D nt submit unfficial transcripts as they cannt be used t evaluate yur prir credits. Official transcripts are thse that a cllege, testing agency, r educatin ffice submits directly t: Excelsir Cllege, Office f Registratin and Recrds, 7 Clumbia Circle, Albany, NY Nte: The issuance date f the transcript must be within three weeks r less and must have tw frms f ID n the transcript (e.g. scial security number and current address, current address and date f birth, last fur numbers f yur scial security number and date f birth). Official transcripts must be submitted at the request f the student. Excelsir Cllege des nt request transcripts n the student s behalf. Excelsir Cllege reserves the right t verify all transcripts/dcuments received t ensure authenticity. Submissin f fraudulent dcuments will result in academic dismissal frm the Cllege. Name f cllege/university City State Name f cllege/university City State Name f cllege/university City State Examinatin Transcripts List any exams frm which yu will have scre reprts submitted (Excelsir Cllege Examinatins, UExcel, CLEP Exams, DANTES Exams, r Advanced Placement (AP)): Type f Exam Exam title Year taken Type f Exam Exam title Year taken Type f Exam Exam title Year taken Prfessinal/Crprate Training Curses List cmpleted prfessinal/crprate training that has been evaluated by ACE r Natinal Cllege Credit Recmmendatin Service: Organizatin Year taken Organizatin Year taken Organizatin Year taken Fr graduate students nly List all previusly cmpleted graduate-level curses submitted fr cnsideratin. (Include syllabus and/r catalg descriptin fr any curse fr which cntent cannt clearly be determined by the title. Fr Schl f Nursing candidates, the curse syllabus is required.) PREFIX TITLE TERM/ YEAR TAKEN INSTITUTION GRADE 8

9 Nursing Candidates: Special Instructins and Admissin Requirements Nursing curses cmpleted at institutins ther than Excelsir Cllege are nly evaluated upn enrllment. Assciate degree in nursing students nly: Nte sme state bards f nursing have additinal requirements fr licensure. Be sure t visit fr current infrmatin specific t each state. Assciate degree in nursing prgram (please check the bx crrespnding t yur current level f nursing experience): Nte: If yu d nt see yur health care prfessin listed, yu are nt eligible fr admissin t the assciate nursing degree prgrams at this time. Befre cntinuing with this applicatin, please stp here and call admissins at , ext. 2 t discuss eligibility as the applicatin fee is nn-refundable. Licensed Practical r Vcatinal Nurse (LPN r LVN) Paramedic We are usually able t verify mst LPN/LVN licenses nline with the exceptin f Luisiana. Therefre, Luisiana applicants must submit their license. Cpy f current state r natinal certificatin. Certain Classificatins f Military Medical Persnnel (see belw) Official JST (Jint Services Transcript) r CCAF transcript. Additinal dcumentatin may be required. See Nursing Admissins Criteria fr Military Persnnel belw. Additinal criteria fr assciate degree nursing students (including military persnnel) In additin t qualifying fr admissin by meeting ne f the valid health care backgrunds nted abve, yu must als meet bth criteria belw: uu Earn the minimum required scre, as established by the Schl f Nursing, n the Test f Essential Academic Skills (TEAS). The scres nted belw must be earned n a single attempt and n mre than ne year prir t yur applicatin date: Reading: 69% Mathematics: 63.3% Science: 45.8% English: 60% Nte: There are n exceptins t the abve. Yu shuld nt submit an applicatin until yu have achieved the required scres nted abve and met all ther eligibility criteria in effect at that time. TEAS scre reprts must be requested and sent directly frm ATI ( Fr detailed instructins n creating and registering an accunt with ATI as well as purchasing yur TEAS scres, visit and click n the Plicy Changes link n the right-hand side f the page. Nte: When yu register fr the TEAS, yu must prvide ATI with yur date f birth (MM/DD) and the same address yu prvided t Excelsir Cllege. These tw unique identifiers are necessary t match yur TEAS transcript with yur Excelsir Cllege student recrd. Withut them we cannt ensure acceptance f yur scre. uu Submit a cmpleted Verificatin f Health Care Experience (VHCE) frm, signed by yur supervisr. The VHCE frm expires three (3) mnths frm the date f yur supervisr s signature. Yu may dwnlad this frm frm Imprtant: In additin t submitting a VHCE frm upn applicatin t the prgram, students will need t submit a new VHCE frm n mre than three (3) mnths prir t FCCA eligibility. Internatinal Nurses Admissin t the assciate degree in nursing prgrams is nt pen t internatinal students. Visit internatinal.excelsir.edu fr mre infrmatin. RN t BS in nursing and RN t MS in nursing Prgrams Admissin t bth the BS in nursing prgram and RN t MS in nursing prgram is limited t Registered Nurses (RNs) wh are currently licensed in the U.S. Registered Nurse (RN) Yu must submit an fficial transcript shwing the cmpletin f assciate degree nursing educatin r RN diplma educatin. ➀ In additin, we require a cpy f yur current U.S. RN license with an expiratin date. In mst cases, we are able t verify yur license nline but if we cannt d that we will cntact yu and request that yu submit it t us. NOTE: MRN applicants must submit a cmpleted MS Capstne Requirement frm ( ➀ Yur assciate degree r RN diplma educatin must be frm a reginally accredited institutin; NYS Educatin Department-apprved prgram; r an institutin hlding accreditatin frm either the Natinal League fr Nursing Accrediting Cmmissin (NLNAC), Accreditatin Cmmissin fr Educatin in Nursing (ACEN), r the Cmmissin n Cllegiate Nursing Educatin (CCNE) at the time f yur attendance. 9

10 Assciate Nursing Admissin Criteria fr Military Persnnel The fllwing military ccupatins meet the Excelsir Cllege Schl f Nursing admissin criteria. Active Duty: Admissin is limited t service members wh are n active duty, Natinal Guard, r reserves, and currently wrking in ne f the military ccupatins nted belw. (See the Additinal criteria fr assciate degree nursing students n page 9.) Primary Army MOS HEALTH CARE SPECIALIST 68W (w/specific Army Skill Identifiers ➀ ) uuf2 Army Flight Paramedic uuf3 Army Flight Medic uum6 Army LPN (pre-octber 1, 2013) uuw1 Special Operatins Cmbat Medic Navy rating/classificatin HOSPITALMAN HOSPITAL CORPSMAN NER HN NER HM SPECIAL FORCES MEDICAL SGT. 18Dz INDEPENDENT DUTY CORPSMAN NEC 8425 PRACTICAL NURSE SPECIALIST 68C NAVY SPECIAL WARFARE MEDIC NEC 5392 ➀ ➀ Army Special Skill Identifiers are nted n the fficial JST (Jint Services Transcript) and/r n an Army ERB (Enlisted Recrd Brief) r NCOER (Nncmmissined Officer Evaluatin Reprt). Official cpy is required. ➀ In additin t hlding the NEC rating, the applicant must als have cmpleted Army curse Special Operatins Cmbat Medic (SOCM) ACE Guide Number AR n/after Octber Cast Guard rating Air Frce AFSC (NOTE: X indicates level; e.g. 1, 3, 5, etc.) MEDICAL SERVICE SPECIALIST 4N0X1 HEALTH SERVICES TECHNICIAN HS AEROMEDICAL SPECIALIST 4F0X1 PARARESCUE 1T2X1 Fr All Nursing Students Nursing curses cmpleted at institutins ther than Excelsir Cllege are nly evaluated upn enrllment. Fr up t three licenses/certificatins, indicate: State in which yu hld yur certificatin r licensure License number License expiratin date Frmer name(s) by which yu have been identified 10

11 Graduate Degree Candidates: Special Instructins and Admissin Requirements Nte: Admissin t any graduate prgram requires a bachelr s degree frm a reginally accredited cllege r university r the freign equivalent. Checklist f Applicatin Materials My bachelr s degree was btained thrugh Regents Cllege/Excelsir Cllege. I d nt need t submit an fficial transcript fr my undergraduate degree. My bachelr s degree transcript has been requested. Cllege name Official transcripts f graduate cursewrk and/r degrees, if applicable Essay required fr the fllwing (must accmpany yur applicatin): MA in liberal studies candidates, MS in criminal justice candidates, Master f Public Administratin candidates MS in health sciences candidates fr the health prfessins educatin specializatin nly: A phtcpy f dcumentatin that yu are eligible t practice in an allied health prfessin in yur state f residence and an fficial transcript cnfirming cmpletin f an allied health prgram. MS in nursing candidates nly: Phtcpy f RN license r a letter frm yur state bard f nursing cnfirming yur active and current registratin, fficial transcript verifying an earned Bachelr s in Nursing degree and, a cmpleted MS Capstne Requirement frm ( Schl f Business & Technlgy Candidates Master f Business Administratin Master f Science in Cybersecurity Master f Science in Management Please direct any questins yu may have as yu cmplete this applicatin t the Admissins Office at , ext 2, r GradAdmissins@excelsir.edu. Schl f Health Sciences Master f Science in Health Sciences If yu are pursuing the Health Prfessins Educatin specializatin, yu are required t submit an fficial transcript frm a reginally accredited cllege r university r the freign equivalent cnfirming cmpletin f an allied health degree prgram. If this prgram was nt cmpleted at the bachelr s level then yu als need t submit an fficial transcript that cnfirms cmpletin f yur bachelr s degree frm a reginally accredited cllege r university r the freign equivalent. In additin, yu must prvide phtcpied dcumentatin that yu are eligible t practice in an allied health prfessin in yur state f residence. (This may include a license r certificatin.) Please direct any questins yu may have as yu cmplete this applicatin t the Admissins Office at , ext. 2. Schl f Liberal Arts Candidates Master f Arts in Liberal Studies Yu are required t submit an essay with this applicatin. Refer t the essay guidelines n page 12 f this applicatin. If yu have any questins as yu cmplete this applicatin, please call the Admissins Office at , ext. 2, r GradAdmissins@excelsir.edu. Schl f Nursing Candidates Master f Science in Nursing Yu are required t submit: uu an fficial transcript frm a reginally accredited cllege r university r the freign equivalent cnfirming cmpletin f a Bachelr f Science in Nursing; uu evidence f yur valid and active RN license (phtcpy f license r letter frm yur state bard f nursing), and uu a cmpleted MS Capstne Requirement frm ( capstne). Applicants with a bachelr s degree in anther field and a valid and current RN license shuld apply t the RN t MS prgram (see the Undergraduate Applicatin fr Admissin frm: my.excelsir.edu/grup/ myexcelsir-publicatins/2). If yu have any questins as yu cmplete this applicatin, please cntact the Admissins Office at , ext. 2, r GradAdmissins@excelsir.edu. Internatinal students must demnstrate that they have an equivalent U.S. Registered Nurse (RN) licensure (see Internatinal Nurses Schl f Nursing Candidates, page 9.) Schl f Public Service Candidates Master f Science in Criminal Justice r Master f Public Administratin Yu are required t submit an essay with this applicatin. Refer t the essay guidelines n page 12 f this applicatin. If yu have any questins as yu cmplete this applicatin, please call the Admissins Office at , ext. 2, r GradAdmissins@excelsir.edu. 11

12 Guidelines fr the Graduate Admissins Essay Schl f Liberal Arts Master f Arts in Liberal Studies Candidates Only The admissins essay is yur pprtunity t explain yur interest in earning a Master f Arts in Liberal Studies frm Excelsir Cllege. This essay is the primary means by which we will assess yur preparedness fr the prgram. Because gd writing skills will be very imprtant t yur success in this prgram, we will use yur essay t assess yur ability t cmmunicate effectively in writing. Therefre, the essay shuld represent yur best writing effrt. In a direct, cncise essay f wrds, yur persnal essay shuld address hw the MALS prgram can help yu achieve yur persnal, prfessinal, and academic gals; yur preparedness fr graduate-level study; yur experience and/r aptitude fr cmpleting academic wrk at a distance; and any special abilities, qualities, r life experiences yu will bring t the prgram. There are tw ptins fr students wanting t cmplete the MALS degree: the Capstne ptin and the Thesis ptin. Fr the Capstne ptin, students take an 8-week Capstne curse designed t allw students t shwcase their skills in perfrming interdisciplinary study f a tpic presented in the curse, ending with a culminating prject. Students chsing the Capstne ptin shuld nte that in their essay and als discuss why interdisciplinary studies is imprtant t their gals. Alternatively, students may chse the Thesis ptin in which the prgram cncludes with the 15- week Thesis curse and submissin f the Master s Thesis. Students specifically interested in the Thesis ptin shuld nte that in their essay and als explre an area f fcus that they wish t examine thrughut the prgram and fr their thesis. Nte: Because gd writing skills will be very imprtant fr yur success, the essay will be used t assess yur ability t cmmunicate effectively in writing. Therefre, the essay shuld represent yur best writing effrt. Schl f Public Service Master f Science in Criminal Justice and Master f Public Administratin candidates nly In the pursuit f graduate educatin, a student s ability t cmmunicate effectively in writing is an abslute necessity. A candidate fr admissin t the Master f Science in Criminal Justice/Master f Public Administratin prgram is required t submit a persnal statement essay with their applicatin. This essay is designed t prvide the candidate with an pprtunity t explain t the admissins cmmittee why he r she is interested in pursuing the MSCJ/MPA and serves as a sample f the candidate s writing ability. The essay shuld be creative, rganized and riginal. The use f crrect grammar, punctuatin, spelling and syntax are essential. In a wrd, duble-spaced essay, cnvey hw graduate study enhances yur career gals. Als discuss related qualificatins including academic preparedness, prfessinal experience, and/r cmmunity activities, and any ther significant accmplishments. Please indicate any previus experience with nline educatin. Upn cmpletin f the applicant s admissins file, the MSCJ/MPA Admissins Cmmittee will review all applicatins and may grant r deny admissin t the prgram. Chrts begin thrughut the year. Applicatins will be cnsidered n a rlling basis. Nte: Because gd writing skills will be very imprtant fr yur success, the essay will be used t assess yur ability t cmmunicate effectively in writing. Therefre, the essay shuld represent yur best writing effrt. 12

13 Signature and Date (Required) I certify that the abve statements are true and crrect. I understand that false infrmatin r dcuments may result in dismissal frm the Cllege; and that it is my respnsibility t submit all required infrmatin. I agree that if accepted fr enrllment in the Cllege, I will cmply with and be bund by all requirements and plicies f the Cllege, as set frth in this frm, the student plicies Web page, and the catalg pertaining t the prgram in which I am seeking t enrll. I have als read and understand the cmmitment fee refund plicy included in the Undergraduate Tuitin and Fee Schedule and have read and understand the requirements fr the enrllment ptin I selected as listed n the Payment Optins page f this frm. I als understand that my matriculatin date is set at the time my initial evaluatin is cmpleted. My signature belw indicates I have read the Required State Disclsure Ntificatins presented n the Excelsir Cllege website ( Signature Date All Applicants: Mailing/Payment Instructins Please include yur $50 nn-refundable applicatin fee with this applicatin. Make yur check r mney rder payable t Excelsir Cllege in U.S. dllars drawn n a U.S. bank, r cmplete the charge card authrizatin belw. D nt send cash. Nte: The $50 applicatin fee is waived fr veterans, as well as academic and crprate partners. Military servicemembers and military family members are nly required t apply and pay the $50 applicatin fee fr prgrams in the Schl f Nursing. Check enclsed Mney rder enclsed Credit card authrizatin I authrize Excelsir Cllege t charge (r the current fee at the time this frm is received by Excelsir Cllege) t my: Mastercard Visa Discver American Express Credit card accunt number Expiratin date Name f cardhlder Signature Mail r fax yur cmpleted applicatin and payment t: Excelsir Cllege Bursar s Office 7 Clumbia Circle, Albany, NY FAX: Gergia Residents Yu must submit ne f the fllwing with yur applicatin t verify cmpletin f high schl graduatin: an fficial cpy f yur final high schl transcript (including yur date f graduatin and the schl seal); an fficial cpy f yur GED (General Educatin diplma/test scres) frm the state where they were earned r an fficial accredited U.S. cllege transcript reflecting cmpletin f high schl graduatin r a GED. Please have this dcument mailed directly t: Excelsir Cllege, 7 Clumbia Circle, Albany, NY Nte: Internatinal applicants frm the state f Gergia wh earned the equivalent f a U.S. high schl educatin utside the United States must have their educatin verified by requesting a General r Subject Analysis reprt frm Educatinal Credentials Evaluatrs Inc. (ECE). Yu can submit an applicatin nline t ECE at r request an applicatin by calling

14 Identity Verificatin uu Cmplete all infrmatin n this frm in the presence f a Ntary r Excelsir Cllege emplyee. uu Mail t the Office f Registratin and Recrds, Excelsir Cllege, 7 Clumbia Circle, Albany, NY We will nt accept this frm via fax r . Name (first, last) Last 4 digits f SSN Student ID Number Type f valid, gvernment-issued, pht identificatin viewed by Ntary r Excelsir Cllege emplyee: Driver s License (r ther state-issued pht ID) Passprt Military DD Other (valid, gvernment-issued pht ID) Yu are required t prvide a cpy f the ID viewed alng with this ntarized frm. Student (must sign) I attest that I am the abve named persn. Signature Date Ntary identificatin verificatin State f Cunty f I hereby certify that n this day f, 20 persnally appeared befre me the signer and subject f the abve frm, wh signed r attested t the same in my presence and presented the abve valid frm f identificatin as prf f his r her identity: Ntary Public (Print name) Cmmissin expiry date Ntary Public Signature EXCELSIOR COLLEGE STAFF USE I attest that I, and verify the identity f have viewed the abve pht identificatin fr the purpses f attending Excelsir Cllege. Excelsir Cllege emplyee signature Date 14

15 Cmmitment t Enrll Frm Cmplete the Cmmitment t Enrll Prcess by submitting this cmpleted frm indicating yur prgram chice and authrizatin f payment fr yur enrllment ptin. Degree The Degree n the Cmmitment t Enrll frm must be the same degree selected during the applicatin prcess. Refer t the fee schedules (available n ur website at fr detailed infrmatin n ur enrllment ptins and payment plans. If yu have questins regarding current fees r enrllment ptins, cntact ur Admissins Office tll-free at (ext. 2). Questins regarding payment plans shuld be directed t the Student Accunting Office ( , ext. 3). A. Undergraduate Student Payment Optins (Military servicemembers, Veterans and Military family members, see sectin B) Indicate the ptin f yur chice. Payment can be made in full r thrugh ne f ur cnvenient payment plans. Optins available t all undergraduate candidates fr any Excelsir Cllege degree. Excelsir Curse Optin There is n cmmitment fee fr students wh agree t cmplete a minimum f 12 Excelsir Cllege curse credits (6 curse credits fr Assciate in Applied Science in Technical Studies r Administrative/Management Studies) during their term f enrllment. Multi-Surce Optin Students pay the full cmmitment fee f $1,095. Please nte: D nt chse this ptin if yu are enrlling in the BS Cmpletin Prgram fr RNs r the RN t MS in nursing (with specializatin). Payment in full is attached Pay Yur Way Payment Plan ➀. Chse frm a minimum f tw t a maximum f six mnthly payments. Dwnlad, print, and cmplete yur Enrllment Payment Plan Agreement Frm at (lgin required). 1 B. Military servicemembers, Veterans and Military Family Members Undergraduate Student Payment Optins Available t all Branches; Active Duty, Natinal Guard, Reserve, and Military Family Members wh hld a US Unifrmed Services Identificatin and Privilege Card. Indicate the ptin f yur chice. Payment can be made in full r thrugh ne f ur cnvenient payment plans. Optins available t all undergraduate candidates fr any Excelsir Cllege degree. Excelsir Curse Optin Veterans: Please refer t Sectin A Curse Optin fr curse credit requirements. There is n cmmitment fee fr military and military family students wh agree t cmplete a minimum f 9 Excelsir Cllege curse credits fr Assciate degrees and 15 Excelsir Cllege curse credits fr Bachelr s degrees during their term f enrllment. Multi-Surce Optin Students pay the full cmmitment fee f $760. Please nte: D nt chse this ptin if yu are enrlling in the BS Cmpletin Prgram fr RNs r the RN t MS in nursing (with specializatin). Payment in full is attached Pay Yur Way Payment Plan ➀. Chse frm a minimum f tw t a maximum f six mnthly payments. Dwnlad, print, and cmplete yur Enrllment Payment Plan Agreement Frm at (lgin required). C. Graduate Student Payment Optins Graduate students are required t pay the Graduate Student Services Fee f $265. This fee is paid annually, n the anniversary f yur enrllment. Payment plans are nt available fr the Graduate Student Services Fee. cntinued n next page ➀ This payment plan ffers a minimum f tw t a maximum f six mnthly payments. If yu chse the payment plan, yu must include the first payment with this Cmmitment t Enrll Frm and cmplete the Nelnet Business Slutins Autmatic Payment Agreement Frm (n the back f the payment plan brchure) t authrize future payments. Bth frms must be signed and mailed t Excelsir Cllege.

16 Include apprpriate payment. Payment is made in full r by payment plan agreement. If using a payment plan, include the first payment as utlined in yur selected plan. Make yur check r mney rder payable t Excelsir Cllege in U.S. dllars drawn n a U.S. bank, r cmplete the charge card authrizatin belw. D nt send cash. This fee is nnrefundable. All fees are subject t change withut ntice. Credit Card Authrizatin I authrize Excelsir Cllege t charge (r the current fee [refer t the enclsed fee schedule] at the time this frm is received by Excelsir Cllege) t my: MasterCard Visa American Express Discver Credit card accunt number Expiratin date Name f cardhlder (print) Signature Mail r fax yur cmpleted Cmmitment t Enrll Frm and, if applicable, payment in the enclsed pre-addressed envelpe t: Excelsir Cllege Bursar s Office 7 Clumbia Circle Albany, NY FAX: I certify that the abve statements are true and crrect. I understand that my cmmitment t enrll at Excelsir Cllege requires me t engage in credit bearing activity within six mnths f my cmmitment. I understand that I have six mnths t register fr an Excelsir curse r exam r transfer in new credit (this must be credit that des nt appear n my initial evaluatin), r my admittance will expire and I will need t g thrugh the admissins prcess again. I have als read and understand the cmmitment fee refund plicy included in the Tuitin and Fee Schedules and have read and understand the requirements fr the enrllment ptin I selected as listed n the Payment Optins page f this frm. Signature Date 7 Clumbia Circle, Albany, New Yrk Tll Free: TDD Excelsir Cllege des nt discriminate n the basis f age, clr, religin, creed, disability, marital status, veteran status, natinal rigin, race, gender, r sexual rientatin in the educatinal prgrams and activities which it perates. Prtins f this publicatin can be made available in a variety f frmats upn request. Excelsir Cllege is registered with the Minnesta Office f Higher Educatin pursuant t Minnesta Statutes sectins 136A.61 t 136A.71. Registratin is nt an endrsement f the institutin. Credits earned at the institutin may nt transfer t all ther institutins. ADM rev. 10/2016. EXO0189