Felician College - Admissions Form


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	If you have submitted an online application in the last two weeks, please call the Office of Admission if you have not heard from us yet. We are experiencing technical difficulties and we are sorry for the inconvenience. Please send a $30 non-refundable application fee to: Felician College Office of Admission 262 South Main Street Lodi, New Jersey 07644 Phone: (201) 559-6131 Fax: (201) 559-6138

		Have your official high school transcript(s) mailed to us.

		Have your SAT and/or ACT scores mailed to us.

		Submit a 500-word personal statement via email to admissions@inet.felician.edu, fax to (201) 559-6138, or mail to Felician College, Office of Admission, 262 S. Main Street, Lodi, NJ 07644.

		Transfer Students: In addition numbers 1-3, submit official transcripts for all previous college work.

	All students presenting credentials from foreign institutions must have a course by course evaluation prepared by World Education Services, Inc., New York, NY. This evaluation must come directly to us from W.E.S.

	Note: If you have ever attended Felician before as a matriculated student, you do not need to complete this application. You must request a Readmit Form. *When filling out the application an denotes a required field.**

Personal Information

*Last Name

*First Name

Middle Initial

Former Names

*Gender

*Home Address

Address Line 2

*City

*State

*Zip/Postal Code

County

*Home Phone

Ex. 201-555-1212

Business Phone

Ex. 201-555-1212

Social Security
Number
(Required for US
Citizens and
Permanent Residents)

E-Mail Address

*Date of Birth

Place of Birth / City

State/Province

*Citizenship Status

Permanent Residents and International Students
are asked to answer these questions

Country of Birth

Alien Registration Number

If in USA, Type of Visa

Date Issued

If you are planning to apply for an F-1 visa and need an I-20, check here.

If you hold an F-1 Visa, please provide a photocopy of currient I-20)

I will be entering

I am applying as a/an

Freshman	Transfer
Full-time Student	Part-time Student
Day Student	Evening Student
	Project Forward

*I will enter in

*I plan on being

I am intersted in
applying as an EOF
student

I am interested in
Financial Aid

Test Information

*Have you taken or
plan to take the
SAT?

*Dates:

Have you taken the
TOEFL (Test of
English as a Foreign
Language)?

Date

Academic Information

*High School

Street Address

*City

*State

Zip

CEEB Code

Phone Number

Ex. 201-555-1212

*Year of Graduation

Please list all high
school academic
and extra-curricular
honors and special
awards

Please list your
extra-curricular
activities

Colleges Attended

Name of College/University:

Major

GPA/4.0 Scale

Degree

Dates Attended

Family Information

Father's Name

Occupation

Employer

College Attended

Highest Degree Earned

Mother's Name

Occupation

Employer

College Attended

Highest Degree Earned

List any family members or friends who have attended or are now attending Felician College:

Race/Ethnicity

(Response is voluntary; this information will be kept confidential. Refusal to provide this information will not subject the applicant to any adverse treatment.)

African American
Asian or Pacific Islander
Caribbean/West Indies
Caucasian
Hispanic
Native American
Other:

College Choice Information

Please select which of the following most influenced your decision to apply

Open House - Date:

Campus Visit - Date:

Alumni - Name:

Brochure/Literature/Advertising

Radio/TV Commercial

Other:

To what other colleges have you applied or do you intend to apply?

Felician College is my first choice

Sports Interest Information
I am interested in the following NCAA Sport(s) at Felician:

Men's Sports

Women's Sports

Student Clubs and Organizations
I am interested in the following clubs and organizations at Felician

Academic Program Choice

*Please indicate
first choice.

Programs marked with ** are offered in collaboration with the University of Medicine and Dentistry of New Jersey

Check here if you are interested in applying to the Honors Program

*Have you ever
been convicted of
a felony?

SPECIAL SERVICES: Federal Law prohibits us from making pre-admission inquiry about disabilities. If you require special services because of a disability, you should notify the Office of Academic Support Services at 201-559-6043. This voluntary self-identification allows us to prepare appropriate support services to facilitate your learning. This information will be kept in strict confidence and has no effect on your admission to the College.

More that 50 percent of the student body is granted scholarships, grants, loans or work options. In addition, the second member of the family of a full-time student, also attending full-time, is eligible for a 10 percent reduction of tuition. Financial Aid is awarded until funds are exhausted. In order to have the best chance for funds, it is essential that students file as soon as the Financial Aid applications are available.

As part of its Franciscan tradition, Felician College has a commitment to make every effort to ensure that no student is prevented from enrolling regardless of financial need.

I hereby make application to Felician College. To the best of my knowledge, the information on this application is true and complete. I give permission to release academic information to Felician and understand that all records once submitted become the property of Felician College. I am fully aware that if I am admitted I will be expected to comply with all the regulations of Felician College.

Felician College does not discriminate on the basis of race, color, sex, age, religion, national origin, marital status, gender or any physical, mental, or educational disability.

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