High School United States

Biographical

Contact Information

Admissions Application

Applicant Type: Freshman ********@*****.***

Anticipated Semester of Entry: FALL 2023

Create Date: 08/21/2023 Last Modified: 08/21/2023 2:07 PM Application Status: Exported

Legal First Name: Adriana

Middle Name: S

Legal Last Name: Roodal

Preferred/Chosen Name:

Birth Date: 01/03/2001

Legal Sex: F

Social Security Number: ***-**-****

Previous Names

Legal Previous First Name 1:

Legal Previous Last Name 1:

Legal Previous First Name 2:

Legal Previous Last Name 2:

Ethnicity

Are you Hispanic/Latino? N

Race: Black or African American

Permanent Address

Street Address: 945 Washington Street

Street Address Additional:

City: Baldwin

State: NY

Zip Code: 11510

Mailing Address the same as your Permanent Address: Y Cell/Mobile Phone: 917-***-****

Additional Phone:

Communication Email Address: ********@*****.***

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Emergency Contact Information

Residency

Primary Contact

Relationship: Mother

First Name: Cindy

Middle Name: C

Last Name: Roodal

Street Address: 945 Washington Street

Street Address Additional:

City: Baldwin

State: NY

Zip Code: 11510

Phone Number: 917-***-****

Secondary Contact

Relationship: Father

First Name: Edwin

Middle Name: S

Last Name: Roodal

Street Address: 945 Washington Street

Street Address Additional:

City: Baldwin

State: NY

Zip Code: 11510

Phone Number: 917-***-****

Citizenship

Citizen of the United States of America: N

Additional Questions

Country of Citizenship: Cuba

Country of Birth: Trinidad & Tobago

Visa Status

What is your current status in the USA: Other

Other: Alien-Resident

Residency

Lived 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: Veteran

Are you a current member or veteran of the US Armed Forces, or a dependent of a service member?:

N

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High School Information

High School Code: 332585

High School Name: Thomas Edison Voc-Tech HS

High School City: Jamaica

High School State: NY

High School Graduation Date,

Expected Graduation Date,

or Date of High School Equivalency(GED/TASC) Exam Passed: 06/2020 NYC DOE OSIS Number: 209177799

Math Grades and Completion Dates

9th Grade

Course: Algebra 1

Grade: 85

Year of Class Completion: 20

10th Grade

Course: Algebra 2/Trig

Grade: 80

Year of Class Completion: 20

11th Grade

Course: Other

Grade: 75

Year of Class Completion: 20

12th Grade

Course: Other

Grade: 70

Year of Class Completion: 20

High School College Credits

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Prior Colleges

Program Questions

No Prior Colleges Entered

Anticipated Semester of Entry: FALL 2023

Intended Major/Program: CMP6-CT - Cybersecurity-CTF Joint Admissions HOFS - Hofstra University

NYIT - NYIT

STJO - St. John's University

ALBA - SUNY - Albany

FARM - SUNY - Farmingdale State College

OLDW - SUNY - Old Westbury

Additional Questions

Interested in taking Honors Courses: N

English as a Second Language Placement Exam: N

College Dismissal

Have you been dismissed, expelled, and/or suspended from College for any disciplinary reasons: N

Parent/Guardian Email: *********@*****.***

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Educational 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 6

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Acknowledgement

I 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 Roodal

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