International Student

Scholarship Application
International student scholarships are awarded based on both financial Please mail to:
need and past academic history. To receive consideration, your scholarship Berkeley College
application must be submitted along with your application for admission. International Department
12 East 41st Street, 14th Floor
Scholarship awards are non-transferable, and must be used for the semester New York, NY 10017 USA
and for the campus for which you are accepted. Any changes are subject to
further review. Scholarship recipients must maintain a minimum grade point Phone: 212-687-3730
average of 3.00 and full-time, degree-seeking status. (Exception made for Fax: 212-986-7827
final semester of enrollment.) Failure to do so will result in a loss of the award. international@BerkeleyCollege.edu

Personal Information
Name

Family Name (UPPER CASE LETTERS) First Name

Mailing Address (Please do not write a P.O. Box address. Express Mail will not deliver to a P.O. Box.)

Street

City Province

Country Postal Code

Permanent Address (if different from above.)

Street

City Province

Country Postal Code

Phone Fax Email

Country of Citizenship

Secondary School Attended City Country

Are you transferring from another university or college? Yes No

Name of College/University Location

Semesters Completed Degree Earned

Will you be applying for an F-1 Student Visa? Yes No

If you do not receive a scholarship, do you still plan to enroll at Berkeley College? Yes No

When do you plan to begin your studies? January April September Year
Check Campus Desired
New York: New York City White Plains Brooklyn
New Jersey: Newark Paramus Woodbridge Woodland Park
Online: Berkeley College Online®

Program of Interest Bachelor’s Degree Associate’s Degree

Major

Family Information

Father’s Name Occupation Annual Salary

Mother’s Name Occupation Annual Salary

Financial Information
Please indicate the amount of funds available to you from the following sources each academic year (9 months).
Source Amount available in U.S. dollars
1. Personal Savings
2. Family Funds
3. Sponsor’s Funds
4. Other (please specify)

Are you currently employed? Yes No

If yes, what is your occupation and annual salary?

If your sponsor is an individual other than your parents, please answer the questions below:
Name of Sponsor Relationship to you

Occupation Annual Salary

You must include the following with this application:

• Essay (1-2 pages) explaining why you should be considered for a scholarship.

Please note: The Scholarship Application will not be reviewed unless your INTERNATIONAL APPLICATION FOR
ADMISSION and all supporting documents and fees have been received.

Certification Information
By signing below I certify to the best of my knowledge that the information contained in this application is true and complete.

Signature of Applicant Date

In accordance with Title IX of the Education Amendments, Berkeley College prohibits discrimination, harassment, and assault based upon sex or gender in its programs and activities. Questions regarding Title
IX may be referred to the College Title IX Coordinator: Dallas F. Reed, Ph.D., Vice President, Student Development and Campus Life, at 973-278-5400 ext. 4211 or 212-986-4343 ext. 4211, TitleIXCoordinator@
BerkeleyCollege.edu; or the U.S. Department of Education, Office for Civil Rights, at 32 Old Slip, 26th Floor, New York, NY 10005-2500; Telephone: 646-428-3900; TDD: 800-877-8339; Email: OCR.NewYork@ed.gov.
Berkeley College prohibits discrimination based upon disability in its programs and activities.

Questions regarding disability discrimination and the implementation of services offered at Berkeley College may be referred to Sharon McLennon-Weir, Ph.D., CRC, LMHC, Director of Disability Services,
(914) 694-1122 ext. 3169 or Sharon-Mclennon@BerkeleyCollege.edu. Individual requests for accommodations may be referred to the College ADA/Section 504 Coordinators: [NY students] Adam Rosen, Psy.D.,
212-986-4343 ext. 4216 or AMR@BerkeleyCollege.edu; [NJ students] Sandra Coppola, Ph.D., 973-278-5400 ext. 1320 or SEC@BerkeleyCollege.edu; [Online students] Katherine Wu, Ed.M., LMHC, LPC,
973-405-2111 ext. 1394 or KNW@BerkeleyCollege.edu; [associates] Karen Carpentieri, Vice President, Human Resources, KJC@BerkeleyCollege.edu, 201-291-1111 ext. 5162

Berkeley College reserves the right to add, discontinue, or modify its programs and policies at any time. Modifications subsequent to the original publication of this information may not be reflected here.
For the most up-to-date information, please visit BerkeleyCollege.edu. For more information about Berkeley College graduation rates, the median debt of students who completed programs, and other important
disclosures, please visit BerkeleyCollege.edu/disclosures.
© Copyright 2017 Berkeley College 4000.8.2017