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SUMMER 2014 APPLICATION

for

NYC Public High School Students


MONDAY JUNE 30- THURSDAY AUGUST 8, 2014
DEADLINE: Wednesday MAY 14, 2014

Mail/ Hand Deliver Application to:


(FAXES ARE NOT ACCEPTED) College Now Office Baruch College 55 Lexington Avenue, B5-237 New York, NY 10010 Attn: Maziely Crisostomo, Associate Director College Now

QUESTIONS?
Email us at collegenow@baruch.cuny.edu or call us at (646)312-4297

Application Checklist:
(Before mailing in the application, make sure you have ALL the documents below)
Summer 2014 College Now Application College Now Student Application / Registration Form Baruch College Undergraduate Non-degree Student Application Form A2 Baruch College Immunization Record Parent/Guardian Notification and Consent Form SAT scores High School transcript

Note priority is given to Baruch College Now partner high schools students.

Baruch College Now - The College Experience Summer 2014 Student Application

To enroll in a College Now course, a student must meet the following criteria:
At least a 50 on the PSAT Critical Reading or at least a 480 on the SAT Critical Reading or at least a 75 on the English Language Arts Regents Exam AND At least a 50 on the PSAT Math or at least a 480 on the SAT Math or at least a 75 on the Algebra, Geometry or A2/Trigonometry Regents

reporting on both individuals and institutions. Interviewing techniques, database research, and writing style will be developed during the semester. JRN3050 Afternoon Workshop: Here and Now Students will apply principles from the morning course to create an online newspaper. Students will learn about the role of the press in society, how the media has evolved and what are the rights and responsibilities of the audience. The workshop will include visits from Journalists and field trips to various media outlets.

*All classes will meet 9:30am 11:30am and all workshops will meet from 12:30 - 2:30pm MONDAY-THURSDAY. * Please note that college credit completion will be based on mandatory attendance in afternoon workshop. *Students who exceed 2 absences from either the morning or afternoon session will be automatically withdrawn from the program and receive no credit.

Course Descriptions
BUS 1000: Introduction to Business (Entrepreneurship Focus) OR (Marketing Focus), 3 credits Students are given an overview of the study of business early in their college studies so that they can decide which field to major in and how the world of business works. The class is broken in four distinct parts - finance, marketing, management and an introductory section that covers ethics, global business and economics. Each of these parts covers the basic concepts found in one of the areas a student might select as a major. Each section also covers the current issues in today's business world. These are the kinds of topics likely to be encountered in the current business press. Lectures are supplemented with real world case histories designed to highlight a specific topical, and often controversial, issue. (Entrepreneurship Focus) BUS 1000 Afternoon Workshop: The Business of Planning Students will apply principles of the morning course to create a business plan. By the completion of the course students will be able to describe their business, including its products, its markets, the people involved and their financing needs. (Marketing Focus) BUS 1000 Afternoon Workshop: Cornering the Market Students will apply principles of the morning course to study an industry in the Inverted Pyramidform and its top two competitors therein. By the completion of the course students will create a competitive strategy supported by a marketing message and creative integrated marketing campaign (ads, PR, sales and promotion). JRN 3050: Journalistic Writing, 3 credits This course is designed to teach students the fundamentals of journalism - reporting, researching, and writing news and feature articles, with a focus on fairness, accuracy, balance, and thoroughness. Students will cover stories on a range of topics, most of which will be culled from their own communities. Assignments are designed to give students an introduction to
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PAF 1250, Citizenship and Public Affairs 3 credits The course is an examination of the historical, institutional, political, and social context of civic life in the United States. The place of the individual in a democratic society is explored. The course will examine government structures and how businesses and advocacy groups interact with public officials. Constitutional principles are identified and applied to civil liberties, civil rights, and property rights. (This course was previously PUB 1250, and students may receive credit for only one of the courses.) PAF 1250 Afternoon workshop Debate-> Legislate Students will act as a Mock New York City Council. Students will learn and apply principles of the legislative process in New York City. Participants will receive a hands on education from faculty members and actual current and former NYC council members while enhancing important life skills such as their organization, research, public speaking and negotiation.

BLS 1003: The Evolution and Expression of Racism, 3 credits This course approaches Racism from a historical, political, economic, and sociological point of view. The nature of prejudice will be discussed with regard to prejudice against Southern European, Mexican-American, Jewish, and Puerto Rican groups. Emphasis will be placed upon the effects of racism on Black people in the United States. This course will discuss the effects on the perpetrators and their victims. BLS 1003 Afternoon Workshop The Color of Hope Students will apply principles of the morning course to examine the impact that racism has had on their own lives. How does the racist see them, describe them, and expect them to behave? How do they see themselves? How can they express who they are in a way that will truly represent their history and their present lives despite the stereotypes thrust upon them? By the completion of the course students will develop selfawareness, self-management and self-motivation. Students will develop interpersonal skills i.e. oral communication, written communication, presentation skills and listening skills i.e. active listening.

Baruch College Now - The College Experience Summer 2014 Student Application

BARUCH COLLEGE SUMMER 2014 COLLEGE NOW APPLICATION


First Name: _________________________________ Last Name: ____________________________

High School: _________________________________ Grade: ___________

Cell phone: ______________________

Home phone: ______________________

Email address: ___________________________________________________

Note College Now communicates application status and updates via email.
Are you a returning Baruch College Now Student?

Yes No

If yes, when were you a Baruch College now student?_____________________________


Please Circle math regents and indicate score

English Regents Grade _______ SAT Critical Reading _______ PSAT Critical Reading _______

Algebra / Geometry / Trigonometry Regents Grade _______ SAT Math _______ PSAT Math _______

Please indicate your first three course choices, in order of preference. If you do not have a 2nd or 3rd choice, leave this option blank. College Now cannot guarantee that you will be accepted into your first choice. Conditional acceptance letters will be emailed to students who meet the criteria contingent upon student/s RSVP for a mandatory orientation prior to the start of the course. Failure to attend orientation will lead to forfeiture of your seat. PLEASE INDICATE YOUR CHOICE BY PUTTING 1 FOR 1ST CHOICE, 2 FOR 2ND CHOICE AND 3 FOR 3RD CHOICE.

ONLY CHOOSE 3 CLASSES IN PREFERENCE Business 1000 Entrepreneurship Focus Business 1000 Marketing focus BLS 1003 The Color of Hope
PLEASE INDICATE YOUR CHOICE BY PUTTING 1 FOR 1ST CHOICE, 2 FOR 2ND CHOICE AND 3 FOR 3RD CHOICE.

Journalism 3050 Here and Now

Public Affairs 1250 Debate->Legislate

ONLY CHOOSE 3 CLASSES IN PREFERENCE


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Baruch College Now - The College Experience Summer 2014 Student Application

College Now
To be completed by Student Social Security __________________________ Last Name_____________________________________ First Name ___________________________ Apt. #__________________

Street Address ______________________________________________

City _____________________________ State____

ZIP_____ Home Phone_______________________


Circle to indicate your choice

Date of Birth (mm/dd/yy)

Sex (M or F)

Race

Black/Non-Hispanic White/Non-Hispanic

Asian or Pacific Islander Hispanic Other

______

Country of Origin ________________________

Native Language ______________________

Spring (Jan. - Jun.)

Year entered 9th Grade (yyyy) _______________Semester entered 9th Grade Fall (Sept. - Dec.) __________
_________________________________________________________________________________________________________

To be completed by 'College Now' staff HS ETS Code

33 -

High School Name

Summer 2014

Semester

CUNY College

Baruch College
if course is a non-credit course, enter 0.0 for 'number of credits'

College Now Activity Type 1 2 3 4

X College Course........... Catalog Course Number


Use this line if the student is taking a second "College NOW" course this semester

Number of Credits 3.0 Number of Credits

College Course...........Catalog Course Number


Check one box only

One High School Credit Course

Two High School Credit Courses

Three High School Credit Courses

Other College Now Course or Workshop (not checked elsewhere.

Contact Person: Maziely Crisostomo

Phone: 646-312-4297

One Bernard Baruch Way, Box B5-237 New York, NY 10010

College Now BARUCH COLLEGE

Baruch College Now - The College Experience Summer 2014 Student Application

Phone: 646) 312-4297 Email: collegenow@baruch.cuny.edu

UNDERGRADUATE NONDEGREE STUDENT APPLICATION FORM A2


Application for: Summer 2014 Application for: Non-degree (students who do not have a bachelors degree) Date of Birth: _____________________

Social Security number: ____ ____ ____ -____ ____ - ____ ____ ____ ____

Mr.

Ms.

________________________________________________________________________
LAST FIRST MI

Street Address: _______________________________________________________________Apt. No.: ______________ City: Length of time at the above address
Years/Months

State:

Zip:

Length of time in NYC


Years/Months

in NYS
Years/Months

Telephone: Day ( Email Address: High School: Are you a U.S. Citizen?

Evening (

YES

NO Country of Citizenship:

If no, state the Country of Birth: Immigration Status:

U.S. Permanent Resident: ______________________________________________________________________ Alien Registration Card# Date Issued Expiration Date

Other: _____________________________________________________________________________
Please Specify Type of visa

I hereby certify that the statements on this application and all the supporting documents are true. I realize that fraudulent information may affect my status at Baruch College.

Signature

Date

YOU MUST SUBMIT THIS PAGE WITH ORIGINAL SIGNATURES

Baruch College Now - The College Experience Summer 2014 Student Application

The City Universit

Parent/Guardian Notification and Consent


(Please note: An alternate form is available for students who are eighteen or older.)

I am aware that ______________________________________ is participating in (print name of student) the City University of New York College Now program and that the instructional activities will take place at Baruch College, which is located at 55 Lexington Avenue, New York, NY 10010. The program will take place on Monday Thursday, 9:30am 2:30pm from June 30th to August 8, 2014. I understand that my child may travel to the college site and to field trips by various forms of public and private transportation. I understand that there may be risks involved in my childs departure from his/her home or school without adult supervision, and I assume those risks on behalf of my child and myself. To help increase awareness of College Now for other city students, I give permission for The City University of New York (CUNY) to use my childs image or photograph, name, high school affiliation, and/or written and/or recorded oral statements made in or about College Now solely for CUNY's non-commercial purposes, including promotion of the College Now program and use on CUNY TV and cuny.edu, in any manner or media, now and in the future, throughout the world.
Yes No

___________________________________
Signature of parent/guardian

____________________________
Date

___________________________________
Printed name of parent/guardian

____________________________
Home telephone

___________________________________
Cellular and/or work phone

____________________________
Email address

___________________________________
Name of emergency contact

____________________________
Emergency contact telephone

I consent to the use of my image or photograph, name, high school affiliation, and/or written and/or recorded oral statements made in or about College Now as described above. _____________________________ ______________________________ Signature of student Printed name of student
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_____________ Date

YOU MUST SUMBIT THIS PAGE WITH ORIGINAL SIGNATURES

Baruch College Now - The College Experience Summer 2014 Student Application

IMMUNIZATION RECORD
Medical Unit Undergraduate Admissions One Bernard Baruch Way New York, NY 10010 Box H-0720 Phone: 646.312.1400 Fax: 646.312.1362 or 1363 Email: medicalrecords@baruch.cuny.edu

IMMUNIZATION CERTIFICATION

Part 1: To be completed by the student


_________________________________________ LAST NAME (PLEASE PRINT)

Social Security # ______-____-______ (Return the completed form to the College Health Center before registration)
_____________________________________________ FIRST NAME _____ M.I.

_____________________________________________________________________________________________________________________ ADDRESS APT # CITY STATE ZIP ______________________________ DATE OF BIRTH (MM/DD/YR) (_____)________________________ DAY PHONE _______________________________________ EMAIL ADDRESS

If you have attended another CUNY college, please name the college: ____________________________________________________ MENINGOCOCCAL MENINGITIS To be completed and signed by student or parent/guardian for students under the age of 18

I have read the meningitis disease information sheet, and I (my child) will not receive the vaccine. I had the Meningococcal Meningitis Immunization (Menomune) within the past 10 years. Date received ______________
Month/Year

______________________________________________________ Students Signature (Parents signature for students under 18 years)

______________ Date

NYS Public Health Law 2165 requires that postsecondary students who are enrolling for six or more credits must show protection against measles, mumps, and rubella. Persons born prior to January 1, 1957 are exempt from this requirement.

Part 2: Immunization History - to be completed by a Health Care Provider. Signature and stamp required.
Month/Day/Year

MMR (Measles, Mumps, Rubella) If given instead of individual immunization.


Date of 1st vaccine (12 months after birth or later, AND on or after January 1, 1972) Date of 2nd vaccine (15 months after birth or later, AND at least 28 days after 1st vaccine) ____ / ___/____ ____ / ___/____ ____ / ___/____ ____ / ___/____ ____ / ___/____

MEASLES (Rubeola)
Date of 1st vaccine (12 months after birth or later, AND on or after January 1, 1968) Date of 2nd vaccine (15 months after birth or later, AND at least 28 days after 1st vaccine) -or- Attach copy of Positive lab results for Measles titer

RUBELLA (German Measles)


Date of one vaccine (on or after 1st birthday or later, AND on or after January 1, 1969) -or- Attach copy of Positive lab results for Rubella titer ____ / ___/____ ____ / ___/____ ____ / ___/____ ____ / ___/____

MUMPS
Date of one vaccine (on or after 1st birthday or later, AND on or after January 1, 1969) -or- Attach copy of Positive lab results for Mumps titer ACCEPTABLE PROOF OF IMMUNITY MAY INCLUDE: 1. Immunization cards from childhood. 2. Immunization records from college, high school, or other schools you attended. 3. Immunization records from your Health Care Provider or clinic. Include official stamp (In English)
Include official stamp (In English)

_______________________________________
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____ / ___ /_____

YOU MUST SUBMIT THIS PAGE WITH ORIGINAL SIGNATURES