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Admissions
Application for Undergraduate Enrollment
Instructions:
Answer all questions as completely and accurately as possible.
If you have any questions, please e-mail us or call 1-800-DOWLING (369-5464).
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Biographical Information
Social Security Number:
Male
Female
Date of Birth: (MM/DD/YYYY)
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1. Last Name:
First Name:
Middle Name:
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| Previous Last Name:
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2. Permanent Address:
P.O. Box:
Street:
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City:
State:
Zip:
-
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Home Telephone:
- -
Business Telephone:
- -
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Cell Phone: - -
Fax: - -
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Email:
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| Preferred method of contact: Telephone
E-mail
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3. Citizen of:
4. If other than United States, please indicate visa/immigration status:
Academic History
5. Do you have a high school diploma?
Yes
GED
Have you taken the
SAT
ACT
Date Taken
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6. High School
Name of School:
City:
State:
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Date of Graduation/GED:
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7. Please list all prior colleges
Have you previously attended Dowling College?
Yes
No
If so when,
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Have you participated in a Dowling College Early College Program?
Yes
No
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8. Have you taken any AP exams for which you expect to receive college credit?
Yes
No
If Yes, please specify:
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9. Do you hold any licenses or certificates for which you expect to receive credit?
Yes
No
If Yes, please specify:
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Educational Plans
10. You plan to enter Dowling in the:
Fall
Winter/Spring
Summer
Year
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11. You will enter as a:
Freshman
Transfer
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12. You will attend:
Full-Time
Part-Time
Day
Evening
Weekend
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13. You plan to:
Commute from your own home
Room in Residence Hall
Other
If you wish to live in a Dowling College Residence Hall, please  download the application
for student residence and submit it to: Dowling College Office of Residence Life, 150 Idle Hour Blvd. , NY 11769-1999
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14. Are you interested in:
Secondary Education
Pre-Med
Pre-Law
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15. Please indicate a major.
When choosing a major of Elementary Education or Special Education please indicate a required major in liberal
arts and sciences as well. Students may choose from Biology, Chemistry (BA), Communication Arts, Earth Science,
English, Humanities, Mathematics, Political Science, Psychology, Romance Languages, Social Sciences,
Sociology/Anthropology, or Visual Arts.
Students interested in seeking certification for Secondary Education must choose a major in a corresponding subject area
for their specific certification. Questions regarding choosing the correct major for certification should be directed to the
Office of Enrollment Services at 631-244-3030 or admissions@dowling.edu.
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16. Would you like to be considered as a candidate for the Honors Program?
Yes
No
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17. Would you be interested in any of our accelerated programs for working adults?
Yes
No
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18. If you are a transfer student and have been previously enrolled in a New York State Opportunity
Program, would you like to be considered as a candidate for Dowling's Higher Education Opportunity
Program?Yes
No
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19. If you are considering Education as a major, would you like to be considered as a candidate for the
Center for Minority Teaching Development and Training Program?
Yes
No
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20. You plan to participate in:
Student Government
Intramural Sports
Varsity Sports
Type of Sport:
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21. Do you plan to file for financial aid?
Yes
No
If yes, has the free application for Federal Student Aid been filed with the Federal Government?
Yes
No
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22. Which campus will you be attending?
Rudolph Campus at Oakdale
Brookhaven Campus
Melville Center
Corporate Site
Teacher Center
Early College Program
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Additional Information
23.What special reason or person was responsible for your applying to Dowling College?
Dowling College Representative
Relative/Friend
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Trustee/Alumnus/Employee
Guidance Counselor
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Newspaper
Radio
Other
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24. Ethnic Origin:
Response is voluntary and the information will be kept confidential. Refusal to provide this information will
not subject the applicant to any adverse treatment. The information is being collected for Dowling
College to comply with The Civil Rights Act of 1964 and will not be used in a discriminatory manner.
a. Are you Hispanic?
Yes No
b. Two or More Races
Black Non-Hispanic
Native American
White Non-Hispanic
Asian or Pacific Islander
Non-resident Alien
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25. What is your preferred means of communication?
E-mail
Telephone
26. Person to contact in case of emergency:
Name:
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Address: P.O. Box:
Street:
City:
State:
Zip:
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Home Telephone:
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Business Telephone:
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NON-DISCRIMINATION POLICY: Dowling College complies fully with the provisions of the Civil Rights Act of 1964, with Title IX of the 1972 Educational
Amendments, the Age Discrimination Act of 1975, and with the Rehabilitation Act of 1973 in its policies on admission of students, educational programs and
activities and access thereto, and employment practices. Dowling College does not discriminate on the basis of race, color, religion, national origin, citizenship,
sex, sexual orientation, marital status, mental or physical disabilities, age, veteran/national guard or any other similarly protected status in its programs
and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Ms. Ronnie MacDonald, Title IX Coordinator, Racanelli Center Room 209, Oakdale, NY 11769, 631.244.3362.
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