Vous êtes sur la page 1sur 8

Application For Undergraduate Admission

FOR FASTER PROCESSING, PLEASE CONSIDER APPLYING ONLINE AT: WWW.SVA.EDU/APPLY

Application

Applicant Information

Legal Last Name/Surname

Legal First Name/Given

Middle Name

Other Name (nickname, maiden name, abbreviation, etc)

Social Security Number

Date of Birth (Month/Day/Year)

Permanent Address

Street Address

City

State

Zip/Postal Code

Country

Home Phone

Cell Phone

E-mail Address

Mailing Address (If different from above) _ _ /_ _ /_ _ Valid untilMonth/Day/Year

Street Address

City

State

Zip/Postal Code

Country

Home Phone

Cell Phone

E-mail Address

Citizen Information

Country of Birth

Country of Citizenship

U.S. Citizen

Permanent Resident

(Please attach a copy of your Permanent Resident card) International Applicant currently on Visa Visa Type

International Applicant desiring Student Visa Other (Please explain)

Is English your primary language? Yes No (If not, please select primary language) Chinese Japanese French Korean German Spanish Spring 2012 Italian Other

Entering: Fall 2011 Applying as: Freshman

Summer 2011 (ESL/Studio Only) ESL/Studio ESL/Non-Studio International Exchange

Transfer

Special Student

Re-entering Student

Please check ONE major eld of interest: Advertising Film and Video Illustration Animation Fine Arts Interior Design Cartooning Graphic Design Photography Computer Art, Computer Animation & Visual Effects Graphic Design Part Time Visual and Critical Studies

Application

Early Action Applicant: No

Yes (Available to current high school seniors only. All application materials must be submitted by December 1, 2010)

Have you applied to SVA before? No

Yes Dates:

Have you previously attended SVA? No Undergraduate program

Yes Dates: Pre-college program

Continuing Education program

What inuenced your decision to apply to SVA? Check all that apply: SVA Admissions Counselor SVA Student/Faculty Reputation Portfolio Day Campus Visit Alumni Advertising Teacher/Guidance Counselor Internet Search Engine High School Visit College Fair SVA Web Site Friend Open House Continuing Education Courses Pre-College Program SVA Magazine/Newsletter SVA Pages on Facebook US News & World Report/Other Directory Other

Gender:* Male

Female

Marital Status:* Single

Married

Divorced/Separated

Ethnic Category:* Do you consider yourself to be of Hispanic/Latino/Spanish Origin? Yes No

In addition, select one or more of the following racial categories to describe yourself: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacic Islander White

Are you related to any SVA faculty/staff members?* No Are you related to any SVA alumni?* No Yes Name:

Yes Name:

* This information is optional; providing it is strictly voluntary. It is for information reporting purposes as required of educational institutions by federal or state law.

Application

Family information All applicants under the age of 21 are required to submit at least one family contact. Father Stepfather Guardian Spouse

Legal Last Name/Surname

Legal First Name/Given

Date of Birth (Month/Day/Year)

Street Address

City

State

Zip/Postal Code

Country

Telephone

E-mail

Occupation

Employer

Mother

Stepmother

Guardian

Spouse

Legal Last Name/Surname

Legal First Name/Given

Date of Birth (Month/Day/Year)

Street Address

City

State

Zip/Postal Code

Country

Telephone

E-mail

Occupation

Employer

Emergency Contact

Legal Last Name/Surname

Legal First Name/Given

Telephone

To what other colleges are you applying?

Application

Education and Activities (Ofcial transcripts are required for all schools listed) Secondary School/ High School

Name of School

CEEB (if known)

Address

Dates Attended

Expected Date/Date of Graduation

Name of School

CEEB (if known)

Address

Dates Attended

Expected Date/Date of Graduation

G.E.D./High School Equivalency Diploma Have you earned or do you plan to earn a G.E.D.? No Yes Date? Ofcial G.E.D. score report must be submitted.

Colleges and Other Institutions of Higher Education

Name of School

CEEB (if known)

Address

Dates Attended

Credits Earned

Certicate or Degree

Major

Pre-college program: No

Yes

Name of School

CEEB (if known)

Address

Dates Attended

Credits Earned

Certicate or Degree

Major

Pre-college program: No

Yes

Name of School

CEEB (if known)

Address

Dates Attended

Credits Earned

Certicate or Degree

Major

Pre-college program: No

Yes

Application

Extracurricular Activities, Awards, Honors (and any additional information you would like to add to support your application)

Employment Information Have you been out of high school for more than four months? No Yes If yes, you must detail any art- and non-art-related activities, or attach rsum.

Name of Organization

Position

Address

Telephone

Dates

Community or Volunteer Work?

Please Describe

Name of Organization

Position

Address

Telephone

Dates

Community or Volunteer Work?

Please Describe

Application

I hereby certify that the preceding information is complete and accurate, and that the materials I am submitting are my own.

Signature of Candidate

Date

Print Name

For applicants under 18 years of age: As parent or guardian of the applicant, I am aware of and give consent to his or her decision to apply for admission to the School of Visual Arts.

Signature of Parent or Guardian

Date

Return this application with a nonrefundable $50 application fee and Statement of Intent to: OFFICE OF UNDERGRADUATE ADMISSIONS School of Visual Arts 209 East 23 Street New York, NY 10010-3994 SVA DOES NOT ACCEPT CASH Make check or money order payable to: School of Visual Arts Payment amount enclosed $50 application fee American Express Visa Mastercard Discover JCB Check #

Credit Card Number

Expiration Date

Cardholder Name

Cardholder Signature

Financial Aid Information Students interested in nancial aid must le the Free Application for Federal Student Aid (FAFSA), which is required for all forms of federal nancial aid, including student loans. The FAFSA should be led by the rst week of February 2011. PLEASE NOTE: When ling, be sure to include SVAs Title IV School Code007468.

Application

Statement of Intent In 500 words or less, discuss your reasons for pursuing undergraduate study in the visual arts. Feel free to include any information about yourself, your goals and interests that may not be immediately apparent from the review of your transcripts or portfolio.

Application

Statement of Intent (page 2)