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 students 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.

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.

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 _______ SAT Critical Reading _______ PSAT Critical Reading _______

Algebra / Geometry / Trigonometry Regents Grade _______ SAT Math _______ 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 Monday/Wednesday 4:10-5:25 Business 1000 Monday/Wednesday 4:10-5:25 Finance 1601 Tuesday/Thursday 3:45-5:25 Psychology 1001 Tuesday/Thursday 4:10-5:25 Speech Communication 1010 Tuesday/Thursday 4:10-5:25 English 2100

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 ___________________________ Apt. #__________________

Street Address ______________________________________________

City _____________________________ State____

ZIP_____ Home Phone_______________________

Date of Birth (mm/dd/yy)

Sex (M or F)

Race

Black/Non-Hispanic White/Non-Hispanic

Asian or Pacific Islander Hispanic Other

Country of Origin ________________________

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 CUNY College

Spring 2014

Baruch College
if course is a non-credit course, enter 0.0 for 'number of credits'

College Now Activity Type 1 2 3 4

X College Course........... Catalog Course Number

Use this line if the student is taking a second "College NOW" course this semester

Number of Credits 3.0 Number of Credits

College Course...........Catalog Course Number

Check one box only

One High School Credit Course

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

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) Date of Birth: _____________________

Social Security number: ____ ____ ____ -____ ____ - ____ ____ ____ ____

Mr.

Ms.

________________________________________________________________________
LAST FIRST MI

Street Address: _______________________________________________________________Apt. No.: ______________ City: Length of time at the above address
Years/Months

State:

Zip:

Length of time in NYC

Years/Months

in NYS
Years/Months

Telephone: Day ( Email Address: High School: Are you a U.S. Citizen?

Evening (

YES

NO Country of Citizenship:

If no, state the Country of Birth: 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

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

_________________________________________ LAST NAME (PLEASE PRINT)

Social Security # ______-____-______ (Return the completed form to the College Health Center before registration)
_____________________________________________ 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

______________________________________________________ Students Signature (Parents 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

7

____ / ___ /_____ DATE

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 childs 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 childs 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 _____________ Date