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Click here or scroll down to respond to this candidate07/2021Application for Admission(Not for F-1 Student Visa)Candidate's Name
PERSONALINFORMATIONSOCIAL SECURITY#(Needed for Financial Aid, 1098T and other purposes) ECC ID#(Issued when application is submitted)Last NameFirst NameMFormer Last NameAddress (Verification required for PO Boxes)Apt#CityStateZip CodeCountyEmail AddressPhoneSex M F Date of Birth / /MM / DD / YYYYAre you 18 or older? Y N Are you a veteran? Y NRACESelect all that apply(Optional)01 White (Non-Hispanic) 05 Asian ETHNICITY02 Black/African American 07 Native Hawaiian or Pacific Islander Hispanic or Latino 03 American Indian/Alaskan NativeNon-Hispanic or LatinoENTRYINFORMATIONTerm you wish to enter: I will major in *Curriculum Code Spring (Jan) (See last page for a list of major and curriculum codes.) Sum I (May) __I am not pursuing a degree/certificate 8000 Sum II (Jul)Fall (Sep)*Students interested in being considered for the Nursing and Health Science programs must select a major from the Degree Program list on page 4. It is strongly recommended that they select the General Science Degree program. I will attend: (Select one only) Health Science LPN LPN to RNMain Campus(Newark)FOCUS Nursing Physical Therapist Asst. Radiography Ironbound West Caldwell CampusAPPLYING AS(Check one)First-Time College Student Non High School Grad Cross Register Visiting Student Transfer Student Readmit (Students who have attended ECC, but not in the last 3 years, must apply in person) CITIZENSHIPU.S. CitizenNon-citizenPermanent ResidentRESIDENCYHow long have you lived in the State of New Jersey? Years Months Do you currently live in Essex County? Yes No INTERNATIONALSTUDENTSThis application is not to be used for students who currently have or desire to apply for an F-1 student visa. Potential or current F-1 visa holders must complete a separate application. International Student Applications are available on-line at http://www.essex.edu/international/ 07/2021HOW TO APPLYSubmit the application with the application fee of $30.00. An incomplete application will delay the process. You will receive an Acceptance Package within two weeks of submitting application to Enrollment Services.Submit - if applicable:Official High School transcriptOfficial GED or High School EquivalencyOfficial College transcriptOfficial SAT or ACT score reportOfficial AP ScoreIMMUNIZATION REQUIREMENTS:Applicants for admission to the College who are seeking a degree or certificate from Essex County College or intending to enroll as fulltime (12 or more credits per semester), must provide documentation of immunization prior to initial enrollment for Measles, Mumps and Rubella (MMR) and Hepatitis B (three doses) or blood tests confirming immunity. N.J.A.C. 8:57-6.1. Log on to the following link for a copy of the immunization form: http://www.essex.edu/wp-content/uploads/2018/07/essex-immunization-form_rev0816.pdf HIGHSCHOOLINFORMATIONAre you a high school graduate? Yes NoName of High SchoolGraduation DateHigh School CityHigh School StateDo you have a GED or equivalency? Yes NoGED or Equivalency StateGED or Equivalency Test DateHigh school students seeking to take college level courses prior to graduation from high must be at least age 16 and must submit a letter from their guidance counselor or principal indicating that the course(s) is needed as a high school requirement.Essex County College reserves the right to request documentation to verify high school completion or equivalent.PRIORCOLLEGEINFORMATIONDo you plan to transfer credits from your previous college(s) or technical school? Yes No Please have an official transcript sent from each institution to: Essex County College - Main CampusEnrollment ServicesAttention: Transcript Evaluation Officer303 University AvenueNewark, NJ 07102or email to:EMAIL AVAILABLEWest Essex CampusEnrollment Services730 Bloomfield AvenueWest Caldwell, NJ 07006or email to:EMAIL AVAILABLEOfficial transcripts and a completed application must be received six (6) weeks prior to your anticipated registration in order to be processed in time for advisement and registration. Information received after this deadline will be processed as time permits.Coursework taken outside of the US must be reviewed by an evaluation service. List of these services is available upon request.07/2021FINANCIALAIDIf you are applying for financial aid, please be sure to refer to the financial information at www.essex.edu/fa. If you need help or have questions regarding financial aid, please call the Financial Aid Office at PHONE NUMBER AVAILABLE or visit them in Room 3220. You can also apply for financial aid on-line at www.fasa.ed.gov.If you are interested in receiving additional funds or support services contact the Educational Opportunity Fund Program, at PHONE NUMBER AVAILABLE or 3231 or on-line at www.essex.edu/eof. AMERICANSWITHDISABILITIESEssex County College complies with Section 504 and the Americans with Disabilities Act. You are not required to advise the College of any physical or mental impairment. However, if you wish to contact Disability Support Services, you may visit us in Room 4122 or call PHONE NUMBER AVAILABLE GENERALINFORMATIONHow did you find out about Essex County College?Newspaper/ Bus Advertisements Billboard Advertisements High school guidance counselor Radio Advertisements Social Media:(Instagram, Snapchat, Facebook, Twitter)School/Recruiter:College Fair/Career FairInformation sent in the mailHouses of Worship Tour/Community EventOtherI hereby certify that all the information supplied by me in this application is accurate and complete. SignatureDateYOURSIGNATURE Applications will not be accepted without a signature. Please be sure to fill out all requested information. AFFIDAVITThis affidavit is subject to verification in accordance with the rules, regulations, and procedures of Essex County College. If your mailing address listed above is a P.O. Box, verification of residency is required. The giving of false information on this application and affidavit may subject you to penalties provided for by the criminal laws of the State of New Jersey as well as immediate expulsion from the college.CONTACTINFORMATIONMain CampusEnrollment Services303 University AveNewark, NJ 07102PHONE NUMBER AVAILABLEWest Essex CampusEnrollment Services730 Bloomfield AveWest Caldwell, NJ07006PHONE NUMBER AVAILABLEFOCUS Extension Center443 Broad StNewark, NJ 07102PHONE NUMBER AVAILABLE ext. 135Ironbound Extension Center432 Lafayette StNewark, NJ 07102PHONE NUMBER AVAILABLE ext. 403Or visit us on-line at www.essex.eduIt is the policy of Essex County College not to discriminate on the basis of race, creed, color, national origin, age, marital status, familial status, affectional or sexual orientation, disability, gender identity or expression, genetic information, liability for military service, or any other category protected by applicable law. This policy applies to all terms, conditions, and privileges of student recruitment/enrollment, staff employment and vocational opportunities. 07/2021DEGREE & CERTIFICATE PROGRAMSDEGREE PROGRAMSMajorCurriculumCERTIFICATE PROGRAMSMajorCurriculumCode CodeArt 3072Accounting 2001 Building Code Technology 3052Applied Computer Science 2303 Business Career Development 3001 Architectural Technology 2301 Business Professional 3013 Art 0401 Childhood Development Associate 0204Biology/Pre-Medicine 0601 Computer-Aided Design Technology 3205 MD Option 061G Computer and Network Support 3321Business Administration 2005 Cybersecurity 3322Hospitality Management Option 200H Database System Administration 3324 Chemistry 0602 Digital Media & Electronic Publishing 3071 Civil Engineering Technology 5309 Electrical Code Technology 3051 Computer Information Systems 2002 Fire Code Technology 3050 Computer Science 2302 Human & Social Services 3057 Criminal Justice 0898 LPN Cert. 3312Cybersecurity & Network Technology 2312 Massage Therapy 6013 Education 0206 Mechatronics 3316Electrical & Computer Engineering Tech. 2313 Paralegal 3208 Engineering 0399 Plumbing Code Technology 3053Environmental Science 2207 Software Development & Programming 3323 Finance 2016 Supply Chain Management & Logistics 3014 General Science 0603 Vision Care Technology 3310Health Information Technology 2124Human and Social Services 2202 Visiting Student 8000 Liberal Arts 0199Africana Studies Option 019ACommunication Option 019CHEALTH SCIENCES AND NURSING DEGREE PROGRAMSApplicants to the Health Science and Nursing programs must meet special admission requirements. Students will not be admitted directly into one of these programs listed below:Health Science LPNNursing: LPN to RN Articulation Option NursingPhysical Therapist Assistant RadiographyStudents are admitted to the Nursing and Health Sciences programs only by the approval of program admission committee and after satisfactory completion of the pre-major requirements.ACADEMIC DIVISIONSDivision of Biology, Chemistry & PhysicsDivision of BusinessDivision of Health SciencesDivision of Humanities & Bilingual StudiesDivision of Mathematics, EngineeringTechnologies and Computer SciencesDepartment of NursingDivision of Social SciencesJournalism OptionSpanish Language OptionMathematics019J019L0604Mechanical & Manufacturing Engr. Tech. 2314Music 0409New Media Technology 2071Paralegal Studies 2015Physical Education 0899Physics 0608Social Sciences 0710Software Development Technology 2316Supply Chain Management 2017Technical Studies 5304Technical Studies: Uniform Constr. Code 5305Undecided 019UVision Care Technology 2122 |
