High School Financial Aid
Resume:
Application for Admission
(Not for F-* Student Visa)
PLEASE PRINT CLEARLY Date
PERSONAL
INFORMATION
SOCIAL SECURITY#
(Needed for Financial Aid, 1098T and other purposes) ECC ID#
(Issued when application is submitted)
Last Name
First Name
M
Former Last Name
Address (Verification required for PO Boxes)
Apt#
City
State
Zip Code
County
Email Address
Phone
Sex M F Date of Birth / /
MM / DD / YYYY
Are you 18 or older? Y N Are you a veteran? Y N
RACE
Select all that apply
(Optional)
01 White (Non-Hispanic) 05 Asian ETHNICITY
02 Black/African American 07 Native Hawaiian or Pacific Islander Hispanic or Latino 03 American Indian/Alaskan Native
Non-Hispanic or Latino
ENTRY
INFORMATION
Term 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 RN
Main Campus
(Newark)
FOCUS Nursing Physical Therapist Asst. Radiography Ironbound West Caldwell Campus
APPLYING 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) CITIZENSHIP
U.S. Citizen
Non-citizen
Permanent Resident
RESIDENCY
How long have you lived in the State of New Jersey? Years Months Do you currently live in Essex County? Yes No INTERNATIONAL
STUDENTS
This 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/ 07/2021
HOW TO APPLY
Submit 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 transcript
Official GED or High School Equivalency
Official College transcript
Official SAT or ACT score report
Official AP Score
IMMUNIZATION 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 HIGH
SCHOOL
INFORMATION
Are you a high school graduate? Yes No
Name of High School
Graduation Date
High School City
High School State
Do you have a GED or equivalency? Yes No
GED or Equivalency State
GED or Equivalency Test Date
High 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.
PRIOR
COLLEGE
INFORMATION
Do 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 Campus
Enrollment Services
Attention: Transcript Evaluation Officer
303 University Avenue
Newark, NJ 07102
or email to:
*************@*****.***
West Essex Campus
Enrollment Services
730 Bloomfield Avenue
West Caldwell, NJ 07006
or email to:
*************@*****.***
Official 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.
07/2021
FINANCIAL
AID
If 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 973-***-**** 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 973-***-**** or 3231 or on-line at www.essex.edu/eof. AMERICANS
WITH
DISABILITIES
Essex 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 973-***-****. GENERAL
INFORMATION
How 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 Fair
Information sent in the mail
Houses of Worship Tour/
Community Event
Other
I hereby certify that all the information supplied by me in this application is accurate and complete. Signature
Date
YOUR
SIGNATURE Applications will not be accepted without a signature. Please be sure to fill out all requested information. AFFIDAVIT
This 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.
CONTACT
INFORMATION
Main Campus
Enrollment Services
303 University Ave
Newark, NJ 07102
West Essex Campus
Enrollment Services
730 Bloomfield Ave
West Caldwell, NJ
07006
FOCUS Extension Center
443 Broad St
Newark, NJ 07102
973-***-**** ext. 135
Ironbound Extension Center
432 Lafayette St
Newark, NJ 07102
973-***-**** ext. 403
Or visit us on-line at www.essex.edu
It 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. 07/2021
DEGREE & CERTIFICATE PROGRAMS
DEGREE PROGRAMS
Major
Curriculum
CERTIFICATE PROGRAMS
Major
Curriculum
Code Code
Art 3072
Accounting 2001 Building Code Technology 3052
Applied Computer Science 2303 Business Career Development 3001 Architectural Technology 2301 Business Professional 3013 Art 0401 Childhood Development Associate 0204
Biology/Pre-Medicine 0601 Computer-Aided Design Technology 3205 MD Option 061G Computer and Network Support 3321
Business Administration 2005 Cybersecurity 3322
Hospitality 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. 3312
Cybersecurity & Network Technology 2312 Massage Therapy 6013 Education 0206 Mechatronics 3316
Electrical & Computer Engineering Tech. 2313 Paralegal 3208 Engineering 0399 Plumbing Code Technology 3053
Environmental Science 2207 Software Development & Programming 3323 Finance 2016 Supply Chain Management & Logistics 3014 General Science 0603 Vision Care Technology 3310
Health Information Technology 2124
Human and Social Services 2202 Visiting Student 8000 Liberal Arts 0199
Africana Studies Option 019A
Communication Option 019C
HEALTH SCIENCES AND NURSING DEGREE PROGRAMS
Applicants 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 LPN
Nursing: LPN to RN Articulation Option Nursing
Physical Therapist Assistant Radiography
Students 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 DIVISIONS
Division of Biology, Chemistry & Physics
Division of Business
Division of Health Sciences
Division of Humanities & Bilingual Studies
Division of Mathematics, Engineering
Technologies and Computer Sciences
Department of Nursing
Division of Social Sciences
Journalism Option
Spanish Language Option
Mathematics
019J
019L
0604
Mechanical & Manufacturing Engr. Tech. 2314
Music 0409
New Media Technology 2071
Paralegal Studies 2015
Physical Education 0899
Physics 0608
Social Sciences 0710
Software Development Technology 2316
Supply Chain Management 2017
Technical Studies 5304
Technical Studies: Uniform Constr. Code 5305
Undecided 019U
Vision Care Technology 2122
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