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  • 7/27/2019 Baruch College Now

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    Spring 2014 APPLICATION On-Campusfor

    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 OfficeBaruch College

    55 Lexington Avenue, B5-218New York, NY 10010

    Attn: Maziely Crisostomo, Associate Director College Now

    QUESTIONS?Email us [email protected] 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

    mailto:[email protected]:[email protected]:[email protected]://www.facebook.com/baruchcnowhttp://www.facebook.com/baruchcnowhttp://www.facebook.com/baruchcnowhttp://www.facebook.com/baruchcnowmailto:[email protected]
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    Baruch College Now - The College Expe

    Spring 2014 Student Application On-C

    2

    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 f

    o 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 cove

    he basic concepts found in one of the areas a student might select as a major. Each section also covers the currentssues 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

    ontroversial, issue.

    COM1010: SPEECH COMMUNICATION (3 CREDITS)

    Tuesday and Thursday, 4:105:25pm

    This course provides training and practice in the preparation and delivery of original speeches; encourages the use o

    lear, easy and unaffected American English; and cultivates the students sensitivity to the intellectual and ethical

    spects of communication.

    FIN1601:PERSONAL FINANCE (3 CREDITS)

    Monday and Wednesday, 4:105:25pm

    Discusses the problems involved in efficient handling of personal finance and consumption expenditure, includingonsumer protection, taxation, insurance, home financing, and methods of borrowing and investing money.

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    Baruch College Now - The College Expe

    Spring 2014 Student Application On-C

    3

    PSY1001:GENERAL PSYCHOLOGY (4 CREDITS)

    Monday and Wednesday, 3:455:25pm OR Tuesday and Thursday, 3:455:25pm

    This course introduces students to the scientific study of human behavior. It covers the basic psychological process

    of thinking, motivation, perception, learning, and the significance of the brain in mediating these processes. Itxamines the normal personality, how it develops, and how if functions in a social context. Psychological disorders

    lso 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, 3:455:25pm

    This is an intensive course introducing students to writing as a means of discovery. In Writing I students practice anhare their written articulation of ideas as a community of writers. Students read a variety of intellectually challengin

    nd thematically coherent texts in a range of genres. Throughout, the emphasis is on writing and communication ski

    s processes involving multiple steps, including drafting, discussion, revision, and re-thinking.

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    Baruch College Now - The College Expe

    Spring 2014 Student Application On-C

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    BARUCH COLLEGE

    SPRING 2014COLLEGE NOW APPLICATIONFOR 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 _______ Algebra / Geometry / Trigonometry Regents Grade_______

    SAT Critical Reading _______ SAT Math _______

    PSAT Critical Reading _______ 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 m

    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

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    Baruch College Now - The College Experience

    Spring 2014 Student Application On-Campus

    5

    College NowTo be completed by Student

    Social Security __________________________

    Last Name_____________________________________ First Name ___________________________

    Street Address ______________________________________________ Apt. #__________________

    City _____________________________ State____ ZIP_____Home Phone_______________________

    Date of Birth (mm/dd/yy) Sex (M or F) Race Black/Non-Hispanic Asian or Pacific Islander

    / / White/Non-Hispanic 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 'Col lege Now' staffHS ETS Code High School Name

    33 -

    Semester CUNY CollegeSpring 2014 Baruch College

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

    1 X College Course........... Catalog Course Number Number of Credits 3.0Use this line if the student is taking a second "College NOW" course this semester

    2 College Course...........Catalog Course Number Number of Credits

    3 Check one boxonly One High School Credit Course Two High School Credit Courses Three High School Credit Courses

    4 Other College Now Course or Workshop (not checked elsewhere.

    College Now Contact Name: Tony Davis Phone:(646) 312-4295

    http://localhost/var/www/apps/conversion/tmp/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/DOCUME~1/SNOORO~1/LOCALS~1/Local%20Settings/Temp/Local%20Settings/Temp/notesE1EF34/6http://localhost/var/www/apps/conversion/tmp/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/DOCUME~1/SNOORO~1/LOCALS~1/Local%20Settings/Temp/Local%20Settings/Temp/notesE1EF34/6http://localhost/var/www/apps/conversion/tmp/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/DOCUME~1/SNOORO~1/LOCALS~1/Local%20Settings/Temp/Local%20Settings/Temp/notesE1EF34/6http://localhost/var/www/apps/conversion/tmp/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/DOCUME~1/SNOORO~1/LOCALS~1/Local%20Settings/Temp/Local%20Settings/Temp/notesE1EF34/6http://localhost/var/www/apps/conversion/tmp/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/DOCUME~1/SNOORO~1/LOCALS~1/Local%20Settings/Temp/Local%20Settings/Temp/notesE1EF34/6http://localhost/var/www/apps/conversion/tmp/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/Local%20Settings/Temporary%20Internet%20Files/DOCUME~1/SNOORO~1/LOCALS~1/Local%20Settings/Temp/Local%20Settings/Temp/notesE1EF34/6
  • 7/27/2019 Baruch College Now

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    Baruch College Now - The College Experience

    Spring 2014 Student Application On-Campus

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    College Now

    BARUCH COLLEGEOne Bernard Baruch Way, Box B5-237 Phone: 646) 312-4295

    New York, NY 10010 Email: [email protected]

    UNDERGRADUATE NONDEGREE STUDENT APPLICATION FORM A2

    Application for: Spring 2014 Application for: Non-degree (students who do not have a bachelors degree)

    Social Security number: ____ ____ ____ -____ ____ - ____ ____ ____ ____ Date of Birth: _____________________

    Mr. Ms. ________________________________________________________________________LAST FIRST MI

    Street Address: _______________________________________________________________Apt. No.: ______________

    City: State: Zip:

    Length of time at the above addressYears/Months

    Length of time in NYC in NYSYears/Months Years/Months

    Telephone: Day( ) Evening( )

    Email Address:

    High School:

    Are you a U.S. Citizen? YES NO

    If no, state the Country of Birth: Country of Citizenship:

    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

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    Baruch College Now - The College Experience

    Spring 2014 Student Application On-Campus

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    IMMUNIZATION RECORDMedical Unit Undergraduate Admission

    One Bernard Baruch Way New York, NY 10010 Box H-072

    Phone: 646.312.1400 Fax: 646.312.1362 or 1363

    Email: [email protected]

    IMMUNIZATION CERTIFICATION

    Part 1: To be completed by the student Social Security #______-____-______(Return the completed form to the College Health Centerbefore registrati on)

    _________________________________________ _____________________________________________ _____

    LAST NAME (PLEASE PRINT) 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 studentsunder 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 of1st vaccine (12 months after birth or later, AND on or after January 1, 1972) ____ / ___/____

    Date of2nd vaccine (15 months after birth or later, AND at least 28 days after 1st vaccine) ____ / ___/____

    MEASLES (Rubeola)Date of1st vaccine (12 months after birth or later, AND on or after January 1, 1968) ____ / ___/____

    Date of2nd 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 ____ / ___/____

    MUMPSDate ofone 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)

    _______________________________________ ____ / ___ /_____

    SIGNATURE OF HEALTH CARE PROVIDER DATE

    Include official stamp (In En

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    Baruch College Now - The College Experience

    Spring 2014 Student Application On-Campus

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    I am aware that ______________________________________ is participating in

    (print name of student)the City University of New YorkCollege Nowprogram 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 privatetransportation. 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.

    ___________________________________ ____________________________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/orwritten and/or recorded oralstatements made in or about College Now as described above.

    _____________________________ ______________________________ _____________Signature ofstudent Printed name ofstudent Date

    The City Universit Parent/Guardian

    Notification and Consent

    (Please note: An alternate form is available for students who

    are eighteen or older.)

    To help increase awareness of College Now for other city students, I givepermission 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