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Title High School United States
Target Location US-NY-Freeport
Email Available with paid plan
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BiographicalContact InformationAdmissions ApplicationApplicant Type: Freshman EMAIL AVAILABLEAnticipated Semester of Entry: FALL Street Address
Create Date: Street Address /21/2023 Last Modified: 08/21/2023 2:07 PM Application Status: ExportedLegal First Name: AdrianaMiddle Name: SLegal Last Name: RoodalPreferred/Chosen Name:Birth Date: 01/03/2001Legal Sex: FSocial Security Number: XXX-XX-XXXXPrevious NamesLegal Previous First Name 1:Legal Previous Last Name 1:Legal Previous First Name 2:Legal Previous Last Name 2:EthnicityAre you Hispanic/Latino? NRace: Black or African AmericanPermanent AddressStreet Address: 945 Washington StreetStreet Address Additional:City: BaldwinState: NYZip Code: 11510Mailing Address the same as your Permanent Address: Y Cell/Mobile Phone: PHONE NUMBER AVAILABLEAdditional Phone:Communication Email Address: EMAIL AVAILABLEPage 1 of 6Emergency Contact InformationResidencyPrimary ContactRelationship: MotherFirst Name: CindyMiddle Name: CLast Name: RoodalStreet Address: 945 Washington StreetStreet Address Additional:City: BaldwinState: NYZip Code: 11510Phone Number: PHONE NUMBER AVAILABLESecondary ContactRelationship: FatherFirst Name: EdwinMiddle Name: SLast Name: RoodalStreet Address: 945 Washington StreetStreet Address Additional:City: BaldwinState: NYZip Code: 11510Phone Number: PHONE NUMBER AVAILABLECitizenshipCitizen of the United States of America: NAdditional QuestionsCountry of Citizenship: CubaCountry of Birth: Trinidad & TobagoVisa StatusWhat is your current status in the USA: OtherOther: Alien-ResidentResidencyLived in Nassau County for the last six (6) months: N Lived in New York State for at least one (1) year: N Lived in NYS at least one year, but outside Nassau County: VeteranAre you a current member or veteran of the US Armed Forces, or a dependent of a service member?:NPage 2 of 6High School InformationHigh School Code: 332585High School Name: Thomas Edison Voc-Tech HSHigh School City: JamaicaHigh School State: NYHigh School Graduation Date,Expected Graduation Date,or Date of High School Equivalency(GED/TASC) Exam Passed: 06/2020 NYC DOE OSIS Number: 209177799Math Grades and Completion Dates9th GradeCourse: Algebra 1Grade: 85Year of Class Completion: 2010th GradeCourse: Algebra 2/TrigGrade: 80Year of Class Completion: 2011th GradeCourse: OtherGrade: 75Year of Class Completion: 2012th GradeCourse: OtherGrade: 70Year of Class Completion: 20High School College CreditsPage 3 of 6Prior CollegesProgram QuestionsNo Prior Colleges EnteredAnticipated Semester of Entry: FALL 2023Intended Major/Program: CMP6-CT - Cybersecurity-CTF Joint Admissions HOFS - Hofstra UniversityNYIT - NYITSTJO - St. John's UniversityALBA - SUNY - AlbanyFARM - SUNY - Farmingdale State CollegeOLDW - SUNY - Old WestburyAdditional QuestionsInterested in taking Honors Courses: NEnglish as a Second Language Placement Exam: NCollege DismissalHave you been dismissed, expelled, and/or suspended from College for any disciplinary reasons: NParent/Guardian Email: EMAIL AVAILABLEPage 4 of 6Educational Opportunity Program (EOP)Are you applying for the Educational Opportunity Program (EOP): N I have read and understood the requirements above: Y Page 5 of 6AcknowledgementI declare that all statements made in this application are, to the best of my knowledge, true and correct, and that reporting any information on this application inaccurately can result in the revocation of an offer of admission. I understand that if I was born on or after January 1, 1957, I must provide the College with proof of immunization against measles, mumps and rubella prior to the 30th day of the semester. ALL students, regardless of age, must fill out the meningitis survey, which is available at http://www.ncc.edu/healthservices. My failure to comply with this New York State law NO LATER THAN 30 days from the start of the semester will result in my disenrollment from classes without refund of tuition and fees.By providing your mobile number you are giving permission to the college to send you text message notifications. I understand that completing an academic program does not guarantee that I will be able to obtain licensure in my chosen profession. I am responsible for understanding any licensing requirements for the particular program in which I intend to enroll. Such licensing requirements may include submitting to a criminal background check, providing proof of work authorization, or fulfilling other specified conditions. Students with overdue tuition and fees may be referred to a collection agency and will incur additional liabilities of up to 33% to cover all associated collection costs processes. Further, I understand that the College may have such default information forwarded to credit reporting agencies.By checking this box, I understand and agree to the above and also understand that filling in my first name and last name below serves as my electronic signature for this application. Nassau Community College is committed to the acceptance of students without regard to sex, race, creed, color, national origin, age or handicap as defined by law, religion, sexual orientation, marital status, or status as a disabled or Vietnam veteran.Adriana RoodalPage 6 of 6

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