2010 - Application for Admission

PERSONAL INFORMATION
Admissions Code    
Title: *First Name: *MI: *Last:
*Date of Birth: *Gender:
Ethnicity Race:
If answered Non-Hispanic/Non-Latino, what is your race (check all that apply)		 American Indian/Alaskan Native
Asian
Black/African American
Native Hawaiian/Pacific Islander
White
*Are you a US Citizen? Yes No If no, permanent resident? Yes No
*Citizenship:    
Social Security Number or Social Insurance Number:  
*Have you ever been convicted of a felony or misdemeanor
(with the exception of a traffic violation)?		  
If yes, explain:
STUDENT CONTACT INFORMATION
*Address: Apartment Number:
*City: *State/Providence:
*Country: *Zip/Postal Code:
*Home Phone: ( ) - Cell Phone: ( ) -
*E-mail:    
EDUCATIONAL HISTORY INFORMATION
List below ALL the high schools and colleges or universities you have attended or are currently attending. You are required to have official transcripts forwarded directly to the Niagara University Office of Admissions. College and professional schools must be listed whether transfer credits are requested or not.
High School Code If HS Code not found,
enter Name		 Date of Attendance Graduation Year

Find HS Code 		Start:
End:  
College Code If College Code not found,
enter Name		 Date of Attendance Year Graduated

Find College Code		 Start:
End:  

Find College Code 		Start:
End:  
Please explain fully why you withdrew or plan to withdraw from any college previously attended.
High school seniors are required to take the SAT or ACT. Arrangements should be made to have the test scores forwarded directly to the Office of Admissions
I have taken or plan to take the SAT
I have taken or plan to take the ACT
As a high school senior, have you received or do you expect to receive college level credit before high school graduation or attending college this fall? If yes, please check the appropiate box or boxes below:
  Advance Placement (AP)
College Level Examination Program (CLEP)
International Baccalaureate (IB)
College courses (taken ar the high school or at a college or university)
Please list the name of the college and courses taken in the spaces below:
Name of College Courses Taken or Currently Taking
APPLICATION INFORMATION
*Status: *I am applying as:
*Applying for: *Housing Plans:
Note: All students are required to live in university residence for the first two years, unless their homes are within commuting distance.
*Are you a Veteran Yes No *Will you be receiving VA benefits? Yes No
INTENDED FIELD OF STUDY
*Intended Major:  
In addition to the majors you selected above, please indicate which preprofessional track or joint option you may want to pursue.
Preprofessional Tracks Include:
Joint degree opportunities: 3 + 4 Program in Dentistry (with the State University of New York at Buffalo)
2 + 3 Program in Pharmacy (with the Lake Erie College of Osteopathic Medicine)
3 + 4 Program in Medicine (with the Lake Erie College of Osteopathic Medicine)
Early Assurance Program (with the State University of New York at Buffalo)
3 + 4 Program in Pharmacy (with the State University of New York at Buffalo)
For applicants who are registered nurses, NU offers a Bachelor of Science in Nursing completion Program
  I am a registered nurse (RN) applying for the BS in Nursing completion program
I have or will have an associate degree in nursing.
SUPPLEMENTAL INFORMATION
My extracurricular interests primarily lie in the following area
Although not a requirement, we encourage all applicants to submit a list of involvement in extracurricular activities, community service or any other experience that you feel may be pertienet to your application on a separate sheet of paper.
  Academic/Interest Club Athletics/Intramurals
  Community Service Faith-Based Organizations
  Student Government Travel/Study Abroad
Occasionally the Office of Admissions corresponds with your parent(s) or guardian. Please let us know who should receive this information.
Title First Name Last Name
Has any member of your immediate family attended Niagara University?
*Do you intend to apply for need based financial aid by filing the Free Application for Federal Student Aid (FASFA)?
PERSONAL STATEMENT/ESSAY - REQUIRED
Niagara's admissions committees values the opportunity to learn more about you. Please select and check one of the options below. Send your graded essay or your type-written statement to the Niagara University's Office of Admissions. (Minimum 250 words untimed in English) You may submit your essay on a separate sheet of paper or use the following form
  Personal statement that would include motivation, experiences, and accomplishments that contributed to your choice to apply to Niagara University.
A graded essay or research paper from one of your 11th or 12th grade classes. (If photocopying, please make sure grade, comments, and corrections are visible)
A written statement explaining your choice of major.
APPLICATION RESOURCES
  If you are a high school student, then you will also need to print out PART II give it to your high school counselor and submit it with your required essay.
Image Verification
Image verification Code 
*For security purposes enter the verification code as shown above
I certify that the information I have given is complete and true to the best of my knowledge. I understand that any inaccuracies may void acceptance and/or registration. If accepted as a student at Niagara University, I will comply with all rules and regulations in effect at the time of my attendance.
Date 03/22/2010     
*Signature (Type out Full Name)
*Required Fields