2013
COLLEGE OF HEALTH
PROFESSIONS
COLLEGE OF
HEALTH PROFESSIONS
Graduate Application and
Admission Information
1
Admission Information .......................................................................................................................................................... 2
Eligibility
Pace University Graduate Merit Scholarships
Admission Categories
Deferrals
Decision Appeal
International Student Information ......................................................................................................................................... 3
Application Instructions ........................................................................................................................................................ 4
Priority Deadline Dates
Admission Application .......................................................................................................................................................... 6
Recommendation Forms........................................................................................................................................................ 9
Graduate Assistantship Application .....................................................................................................................................13
Visiting Student Application.................................................................................................................................................14
Table of Contents
2
ADMISSION INFORMATION
ELIGIBILITY
Applicants to Pace University graduate
degree and certificate programs must hold a
bachelor’s degree from an accredited college
or university if post-secondary education was
completed in the United States. Applicants
who are currently in their senior year at an
undergraduate institution may apply for
admission, but acceptance is contingent
upon receipt of a final transcript indicating
all senior year grades and receipt of the
bachelor’s degree. Applicants who have
attended institutions outside of the United
States must hold a degree equivalent to a US
bachelor’s degree.
All information provided in the application
must be accurate and complete. Any
misrepresentation in or omission of facts
from the application will justify a denial
or revocation of admission or subsequent
dismissal from the graduate program. The
Office of Graduate Admission reserves the
right to veri fy any or all information in the
applica tion and supporting documentation.
PACE UNIVERSITY GRADUATE MERIT
SCHOLARSHIPS
Merit-based scholarships are awarded
to entering full-time and part-time
matriculated graduate students who
demonstrate exceptional scholastic ability.
The Scholarship Committee considers each
applicant’s academic record to determine the
scholarship award. All students admitted to
a degree program are automatically reviewed
for scholarship. There is no separate
application to be completed. Domestic
scholarship recipients must register for a
minimum of six (6) credits per fall and
spring semesters. Other credit requirements
and criteria will apply to BSN/MS.
ADMISSION CATEGORIES
Matriculant
Applicants who wish to pursue a graduate
degree or certificate at Pace University should
apply for matriculant status. The University
has established the following criteria as the
most critical in the evaluation of applications
for matriculant status: scholastic achievement
and a desire to excel as evidenced by previous
academic work; aptitude for graduate study
as indicated by scores on an admission test
(if required), motivation, leadership potential,
and maturity as evidenced by work and/or
volunteer experience, extra curricular activities,
recom mendations, and responses to questions
on the application.
Alumni Auditor
Alumni of Pace University’s Lienhard graduate
pro grams are eligible to audit graduate classes
subject to the approval of the instructor
and space limitations. Students must have
the necessary background for admission to
courses; not every course is open to alumni
auditors. Interested alumni should file an
Alumni Auditor Application with the Office of
Student Assistance during the second week of
the desired semester.
SPECIAL INSTRUCTIONS
DEFERRALS
Students who have been admitted to a
graduate program at Pace University but
who wish to delay their entrance for a
period of time may request a deferral by
writing to the Office of Graduate Admission
prior to the start of the semester for which
admission has been granted. The request
must specify the semester the student
anticipates entering the program. The
graduate admission staff considers each
request for deferral individually and retains
the right to grant or deny admission for a
future semester.
DECISION APPEAL
An applicant who is not approved for
admission may appeal the decision. The
appeal should be made in writing to the
Office of Graduate Admission within one
month of notification of denial.
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INTERNATIONAL STUDENT INFORMATION
APPLICATION FEE
International students are only eligible to
apply to the Accelerated Bachelor of Science
in Nursing (ASBN) one-year program and
the PA program. Applicants from outside the
United States must remit the $70 application
fee by international money order or by a
check drawn from a US bank.
DEADLINE DATE AND STATUS
International applicants who require a student
visa are advised to apply well before the
priority deadline dates, and must apply for
full-time matriculated status.
TRANSCRIPTS
If foreign language transcripts are issued,
English translations must accompany
the original transcript. Pace will accept
translations and evaluations in the following
manner:
sent from any NACES (www.naces.org)
accredited translation evaluator (preferred)
sent and attested by the institution
of origin
the student’s Ministry of Education
a US consular officer; or
an EducationUSA advisor
(www.educationusa.state.gov).
To help expedite the process and review
of an application, it is suggested that an
academic evaluation by a NACES accredited
evaluator of foreign course work be
submitted with all translations.
All materials submitted become the
confidential property of Pace University
and cannot be returned or forwarded to
the applicant or a third party.
ENGLISH LANGUAGE
PROFICIENCY TESTS
Students who earned a bachelor’s degree
in a country where English is not the official
language and English is not their first
language must submit a Test of English as
a Foreign Language (TOEFL), International
English Language Testing System (IELTS), or
Pearson Test of English (PTE) score that is no
more than two years old.
A minimum TOEFL score of 88 (Internet
version), an IELTS score of 7.0, or a Pearson
PTE score of 60 is preferred to demonstrate
the requisite proficiency in English for
admission to Pace University. Once a student
submits an application, the Admission
Committee will advise about being admitted
into this program.
Students who submit proof of citizenship
from a country where English is the official
language may have the English language
proficiency test requirement waived. For more
information, visit www.pace.edu/English.
STUDENT VISAS
Admitted international students will need
to receive a form I-20 from Pace University,
which is required to obtain an F1 visa. For
more information, visit www.pace.edu/
accepted-grad.
ADDITIONAL INFORMATION
Information regarding applying for a non-
immigrant visa or transferring/changing
status if already in the US will be included
in the official acceptance packet. In order
to assist students, it is required that a home
address be provided on the application
for admission.
Please note that, as specified by US
immigration regulations, students who have
entered the US on a tourist visa or on a visa
waiver must be in proper status prior to
enrolling in classes.
Special situations regarding immigration
status should be discussed with an adviser
in the Office of International Programs
and Services.
Students should submit a copy of the first
page (data information) and last page (current
address) of their current passport. This should
be submitted with the other documentation
required for Pace University
to issue the form I-20.
APPLICATION INSTRUCTIONS
Please complete and mail your application to the Office of Graduate Admission. Be sure to sign the last page of the application and all addi-
tional papers. Applicants to the DNP program must fill out the DNP application at www.pace.edu/DNP. Applicants to the PhD program must
fill out the PhD application at www.pace.edu/ApplyPhD. PA applicants must apply at www.pace.edu/PAStudiesApply. To check the status
of your application visit applicantportal.pace.edu.
Pace University
Office of Graduate Admission
Graduate Application Processing Center
One Pace Plaza
New York, NY 10038
(212) 346-1531
Please submit the following:
APPLICATION,
APPLICATION FEE,
AND RESUME
PERSONAL STATEMENT
LETTERS OF
RECCOMENDATION
Applications may be printed or typed and must be accompanied by the non-refundable
application fee of $70 in the form of a check or money order in US dollars payable to Pace
University. A resume or typewritten outline, describing at least the past five years of your
employment history and significant community, professional, or college extracurricular activities
should be sent. Please include recognitions of achievements you have received (e.g., licenses,
publications, and awards).
Submit a typewritten essay, not to exceed 750 words, that responds to the following:
Discuss two (2) professional career goals, identifying how your professional experiences to
date have prepared you for graduate study at Pace University and how the graduate program
will assist you in meeting these goals.
Describe your plans to alter your professional and/or personal obligations to have the time
needed for graduate study, including the required clinical experiences.
Identify one issue in the United States health care system and discuss the role of advanced
nursing practice in addressing this issue.
Essays should be submitted in Times New Roman, 12-point font size, double spaced, with
one-inch margins. Include your name and the title of your essay. Additional information regarding
your academic performance or professional experience may also be included as a supplement.
Two recommendations from individuals who can knowledgeably comment on your ability to
successfully complete graduate study are required. These references may be either academic or
professional.
Letters may be sent by your recommenders electronically or forwarded in sealed
envelopes. Letters sent electronically to [email protected] must meet the
following requirements:
Letters must be sent directly from recommender.
Letters sent directly from applicants will not be accepted.
Letters must be on official letterhead and must include the recommender’s signature.
Visit the Forms and Brochures page for access to printable Recommendation Forms.
4
5
OFFICIAL TRANSCRIPTS
INTERVIEWS
ENGLISH
LANGUAGE
PROFICIENCY
APPLICATION
DEADLINES
Transcripts from every accredited college or university attended (not just the degree granting institution) must
be sent either to Pace University, directly from the academic institution electronically or by mail, or forwarded
by the applicant in sealed envelopes from the academic institution.
Academic records issued in a language other than English are required to be translated and attested to by
the institution of origin or a Pace-approved translation agency accredited through NACES. Transcripts are
considered official only if they are sent directly to Pace University from the educational institution of origin, or
forwarded by:
Any NACES-accredited translation evaluator preferred OR
The student’s Ministry of Education OR
A US consular officer OR
An EducationUSA adviser OR
The Institute of Foreign Credential Services: www.ifcsevals.com
Applicants may send unofficial copies of all transcripts to [email protected] for the initial
processing and review of your application. Please include your name and program of interest. If you are
admitted, your offer is contingent upon the receipt and verification of all official printed transcripts.
Applicants who have earned a degree or completed coursework at Pace University will not be required to
submit a transcript from Pace University, but are required to indicate on the application that they have
attended Pace. Transcripts from all other institutions attended are required and must be submitted to
be considered for admission.
An interview is required for all ABSN applicants. Applicants to the MS program may be asked to participate in
an interview.
If you earned a bachelor’s degree in a country where English is not the official language, you are required to
submit a TOEFL, IELTS, or Pearson PTE score. The ETS reporting codes for Pace University are: New York City,
2635, and Westchester, 2644. Students who submit proof of citizenship from a country where English is the
official language may have the English language proficiency test requirement waived.
Note: Graduate nursing students are expected to effectively communicate in oral and written English across
their academic program. All documents submitted in support of an application for admission become the
permanent possession of Pace University and cannot be returned to the applicant or photocopied for the
applicant. For your records, please make photocopies of all materials submitted, except for transcripts and
recommendation forms, which must be received unopened in the original sealed envelopes.
International students are only eligible for the ABSN one-year program and the PA program.
All master's and doctoral level nursing programs (Fall admission only)................................................March 1
Accelerated Bachelor of Science, Nursing Program (ABS) only (Fall admission—NYC Campus)........February 1
Accelerated Bachelor of Science, Nursing Program (ABS) only....................................................September 15
(Spring admission—Westchester Campus)
PA Completion Program (Spring)....................................................................................................November 15
PA studies completion program applicants must apply at www.pace.edu/PACompletionApply
PA Program NYC (Summer)..............................................................................................................September 1
PA NYC applicants must apply at www.pace.edu/PAApplyNYC
PA Program Pleasantville (Fall).........................................................................................................December 1
PA PLV applicants must apply at www.pace.edu/PAApplyPLV
6
Pace University Application for Graduate Admission
Complete and return the application along with the $70 non-refundable application fee. Please print neatly using blue or black
ink or type.
Mr.
Ms.
Mx.
Last Name First Name
Middle Name Jr., III, etc.
Email Address
Mailing Address Apt. #
City State Zip/Postal Code
Social Security Number*
Date of Birth (MM/DD/YYYY)
Home Phone Number
Gender
Male Female
If any records will be under another name(s), please indicate.
Country
Address 2
Business Phone Number Fax Number
Please indicate your degree or certificate objective:
Accelerated Bachelor of Science in Nursing
(ABSN): for non-nurse college graduate, full-
time one-year plan (NYC and Westchester)
All prerequisites must be completed prior to
starting the program. Transcripts and catalog
descriptions of this course work should be
sent to the appropriate Office of Graduate
Admission.
(The Accelerated Bachelor of Science in Nursing (ABSN) New York City program begins in September. The ABSN Westchester program begins in January.)
MS for RNs with a bachelor’s in a
non-nursing major
Are you a licensed RN?
Yes No
If yes, please indicate state
in which you are an RN.
State
MS Family Nurse Practitioner
(NYC and Westchester) (part-time only)
MS Professional Nursing Leadership
(Clinical nurse leader masters)
Professional Nursing Leadership
Adult Acute Care Nurse Practitioner
Doctor of Nursing Practice (NYC)
www.pace.edu/DNP.
PhD in Nursing (PLV)
www.pace.edu/ApplyPhD.
Physician Assistant Program (NYC)
Applications must be submitted through the CASPA
website at www.pace.edu/PAApplyNYC.
Physician Assistant Program (PLV)
Applications must be submitted through the CASPA
website at www.pace.edu/PAApplyPLV.
Physician Assistant Completion Program (NYC)
www.pace.edu/PACompletionApply.
Please visit the following links to apply to any of
the programs listed below:
Certificate of Advanced Graduate Study in Nursing
MS Adult Acute Care Nurse Practitioner
Family Nurse Practitioner
(NYC and Westchester) (part-time only)
* Please be advised that your Social Security Number is
required in order for your Free Application for Federal
Student Aid (FAFSA) to be processed. Your SSN will not
be used for identification purposes at Pace University.
COllege OF HeAlTH PROFeSSIONS
International applicants who will require a student visa must apply for full-time study.
Have you previously applied to or enrolled in any school or program of Pace University?
Yes No
If yes, please explain (include school, program, and entry term date):
Are you Hispanic/Latino? Yes, Hispanic or Latino (including Spain) No If yes, please describe your background_______________________________
If you answered No, or if you answered Yes and wish to describe yourself further, please check one or more from the list below.
American Indian or Alaska Native (including all Original Peoples of the Americas) Are you enrolled in a Tribe? Yes No
If yes, please enter Tribal Enrollment Number
Asian (including Indian subcontinent and Philippines) Black or African American (including Africa and Caribbean)
Native Hawaiian or Other Pacific Islander (Original Peoples) White (including Middle Eastern) Other______________________________________________________
Ethnicity (optional)
Native language (if other than English) ________________________________________________________________________
Is English your native language?
Yes
No
Campus: New York City Westchester Semester: Fall Spring
20
Summer I Summer II Status: Full-Time Part-Time
If accepted for graduate study, will you need
campus housing?
Yes No
Are you a spouse of a veteran using their benefits?
Yes No
Are you a dependent of a veteran using their benefits?
Yes No
( ) - ( ) - ( ) -
______________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________________________ ___________ __________________________________________________________________________
_______________________________________________ _______ __________________ _________________________________________________
________________________________________ ____________________ _____ _____ __________
__________ __________ _____________ __________ __________ _____________ __________ __________ _____________
_____________________________________________
__________ -_________ -__________
_______
_______
7
Are you a citizen of the United States?
Yes
No
Are you a permanent resident of the United States?
Yes
No
If you are not a US citizen or permanent resident, please complete the following:
If accepted for admission to Pace University, will you need a Certificate of Eligibility (I-20) for a student visa?
If no, please indicate visa status you hold or will hold:
If yes, please provide the information below:
Yes
No
Visa
Occupation in Your Home Country
City of Birth
Country of Birth Country of Citizenship
Are you or an immediate family member an employee of Pace University?
Yes
No
If yes, please explain:
Current Employer
Are you now in the USA?
Yes
No
If yes, please indicate your present visa status below and provide your home country address:
Visa Status
City
State
College / Organization / Employer
Home Country Address:
Please explain here if this visa status expires prior to
your anticipated Pace University enrollment date:
(Please note: If you do not provide this information,
we cannot process your I-20.)
Will dependents accompany you in the US?
Yes
No
If yes, please provide information below:
(Please attach information regarding additional dependents who will accompany you.)
Last Name
First Name
Middle Name
Date of Birth
(MM/DD/YYYY)
City of Birth
Country of Birth
Relationship to Student
If applicable, please indicate when the TOEFL, IELTS, or Pearson PTE test was or will be taken:
Test Date
(MM/DD/YYYY)
Please provide the information below:
Does your employer provide tuition reimbursement?
Yes
No
City
State
Country
Which of the following was the biggest influence in your decision to apply to Pace University?
Accelerated Admission Day Event
Attended a Pace Information Session
Campus Location
Career Services and Internship Program
College or Professional Fair
Course Offerings
Financial Aid/Scholarship Offerings
Information on Pace Website
Online Chat with Department/Admission
Ph one or In-Person Meeting with Pace Admission
Counselor
School Publication Received in the Mail
Recommendation from Current Pace Student
Recommendation from Pace Alumni
Recommendation from Pace Faculty/Staff Member
Recommendation from Employer
Tour of Pace University Campus
Attended a Special Event with Chosen Program
Yes
No
Yes
No
Have you completed or are you currently enrolled in a nursing degree program?
Have you ever been enrolled in another nursing program?
If yes, explain the reason that you did not graduate from the program: ______________________________________________________________________________________________
/ /
______ ______ _______________
_______________________________________________________________________________________________________________________
________________________________________________ _______ _______________________________________________________________
__________
_________________________________________________________________________
_________________________________________________________________________
________________________________________________ ________________________________________________ _________________________________________________________
________________________________________________ ________________________________________________ _______ ______ ___________
_______________________________________________ ________________________________________________ ________________________________________________
________ _______________________________________________________ ________________________________________________ _______
8
A personal statement, resume, and recommendation are required. Please refer to page 4 of this booklet.
I certify that all of the information provided by me or on my behalf in support of my application for admission is complete and accurate. I acknowledge that I am obligated to supplement
my application as soon as I know or reasonably should know if the information I have provided or that was provided on my behalf is inaccurate or incomplete. I also certify that the personal
statement submitted in support of my application for admission is solely my own original work. I acknowledge that Pace University may, at its sole discretion, verify any information
submitted in conjunction with my application. I acknowledge that if I omit relevant information or provide inaccurate information or information that is misleading, submit a personal
statement that is not solely my own original work, or if I fail to supplement my application as required, Pace University may, at its sole discretion, deny my application for admission, rescind
my admission, impose disciplinary sanctions against me, dismiss me from Pace University, and/or rescind any degrees or certificates awarded to me by Pace University.
I acknowledge that the application fee I have paid or will pay in the future is not refundable.
I acknowledge that I am bound by the policies, practices, and procedures of Pace University, whether published or unpublished, and I agree to comply with them.
Applicant’s Signature
Date (MM/DD/YYYY)
Please print name
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Please list, in chronological order, all colleges or universities attended since your high school graduation. Be sure to include all institutions at which you were, are, or will be enrolled
prior to your anticipated Pace University graduate program entry term. An official transcript from each institution must be received by the Pace University Office of Graduate Admission.
All documents not issued in English must be supplemented by professionally certified English Translations.
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Educational Institution Attended
City State
Start Date (MM/YY)
End Date (MM/YY)
Degree Received:
Associate
Master’s
Bachelor’s
None
Country
Date or Expected Date
of Degree (MM/YY)
Have you ever been placed on academic or disciplinary probation or been dismissed from any institution?
If yes, please attach your statement of the circumstances.
Yes
No
APP REC DATE (MM/DD/YYYY)
FEE REC DATE (MM/DD/YYYY)
FOR OFFICE USE ONLY
Non-Discrimination Statement
Pace University prohibits and will not tolerate discrimination or harassment in any of its programs or activities on the basis of sex, race, color, national origin, religion, creed, age,
disability, citizenship, marital status, sexual orientation, genetic predisposition or carrier status, veteran status, or any other characteristic protected by law. Pace University’s
Affirmative Action Officer has been designated to handle inquiries regarding the University’s non-discrimination and harassment policy and may be contacted at 156 William Street,
New York, New York 10038, (212) 346-1310, or at Marks Hall, Room 20, 861 Bedford Road, Pleasantville, New York 10570, (914) 773-3856.
Reasonable Accommodations
Pace University prohibits discrimination on the basis of disability and is committed to ensuring equal access to the application process for applicants with disabilities. An applicant who
may require a reasonable accommodation in order to complete the application process should contact the Director of Disability Services on either the New York City (212) 346-1526 or
Westchester Campus (914) 773-3710.
Have you ever been convicted of or plead guilty to a misdemeanor or felony?
If yes, please explain on a separate piece of paper (response required).
Note: Answering yes to either of the two questions above does not automatically bar you from admission to Pace University.
Yes
No
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RECOMMENDATION FORM
To the Applicant—Please complete the section below. DNP and PhD applicants should not use this form; they are expected to submit
two letters of recommendation that describe the applicant’s (advanced) clinical practice, potential for achievement in graduate study, and
potential for professional achievement. The letters of recommendation should address the applicant’s intellectual ability, ability to work
with others, ability in written and oral expression, maturity, initiative/independence, and creativity/originality.
Pace University
Office of Graduate Admission
Graduate Application Processing Center
One Pace Plaza
New York, NY 10038
(212) 346-1531
Applicant Name __________________________________________________________________________________________________
First Middle Last
Applicant Address ________________________________________________________________________________________________
________________________________________________________________________________________________________________
Applicant Day Telephone (________) ________________________ Evening Telephone (________) ___________________________
Area Code / Number Area Code / Number
Fax
(________)
__________________________ Email
________________________________
Area Code / Number
Location New York City Westchester
Applicant Entry Term Fall
_______
Spring
_______
Summer I
_______
Summer II
_______
Year Year Year Year
CONFIDENTIALITY STATEMENT—Under the provisions of the Family Educational Rights and Privacy Act of 1974 (Buckley Amendment),
you have the right to review your educational records if you attend Pace University. You may waive your right of access to this specific
recommendation if you choose. Your decision to waive or not to waive your right of access will have no effect on your application for
admission. Please check the appropriate box and sign your name below:
I hereby waive my right of access to this recommendation. I do not waive my right of access to this recommendation.
To the Recommender—Please complete both sides of this form and return it to the Office of Graduate Admission indicated above.
If you wish to use a letter or different format, please feel free to do so. Thank you for your assistance.
Name of Recommender (Please print) ________________________________________________________________________________
Signature of Recommender ___________________________________________________________ ________/________/________
Month Day Year
Position or Title _________________________________ School or Firm ____________________________________________________
Address _________________________________________________________________________________________________________
Number and Street City State Zip Code
Telephone (________) _____________________________
Area Code / Number
In what capacity have you known the applicant? ____________________________________________
What is your overall recommendation?
Strongly recommend Recommend Recommend with some reservation Do not recommend
10
The Admission Committee would appreciate your candid appraisal of the applicant.
What are the applicant’s primary strengths and weaknesses? If possible, please describe specific instances or accomplishments which
demonstrate them. Describe the applicant’s current assignment and special responsibilities, if applicable.
Please assess the applicant in the following areas:
a. Area of specialization (technical knowledge, analytical ability, attention to detail, etc.)
b. Potential for achievement in graduate study
c. Potential for professional achievement
Outstanding
(Top 2%)
Superior
(Top 10%)
Good
(Top Third)
Fair
(Middle Third)
Poor
(Bottom Third)
No basis for
judgment
Intellectual Ability
Ability to Work with Others
Ability in Written Expression
Ability in Oral Expression
Maturity
Initiative/Independence
Creativity/Originality
Potential for Career Advancement
11
RECOMMENDATION FORM
To the Applicant—Please complete the section below. DNP and PhD applicants should not use this form; they are expected to submit
two letters of recommendation that describe the applicant’s (advanced) clinical practice, potential for achievement in graduate study, and
potential for professional achievement. The letters of recommendation should address the applicant’s intellectual ability, ability to work
with others, ability in written and oral expression, maturity, initiative/independence, and creativity/originality.
Pace University
Office of Graduate Admission
Graduate Application Processing Center
One Pace Plaza
New York, NY 10038
(212) 346-1531
Applicant Name __________________________________________________________________________________________________
First Middle Last
Applicant Address ________________________________________________________________________________________________
________________________________________________________________________________________________________________
Applicant Day Telephone (________) ________________________ Evening Telephone (________) ___________________________
Area Code / Number Area Code / Number
Fax
(________)
__________________________ Email
________________________________
Area Code / Number
Location New York City Westchester
Applicant Entry Term Fall
_______
Spring
_______
Summer I
_______
Summer II
_______
Year Year Year Year
CONFIDENTIALITY STATEMENT—Under the provisions of the Family Educational Rights and Privacy Act of 1974 (Buckley Amendment),
you have the right to review your educational records if you attend Pace University. You may waive your right of access to this specific
recommendation if you choose. Your decision to waive or not to waive your right of access will have no effect on your application for
admission. Please check the appropriate box and sign your name below:
I hereby waive my right of access to this recommendation. I do not waive my right of access to this recommendation.
To the Recommender—Please complete both sides of this form and return it to the Office of Graduate Admission indicated above.
If you wish to use a letter or different format, please feel free to do so. Thank you for your assistance.
Name of Recommender (Please print) ________________________________________________________________________________
Signature of Recommender ___________________________________________________________ ________/________/________
Month Day Year
Position or Title _________________________________ School or Firm ____________________________________________________
Address _________________________________________________________________________________________________________
Number and Street City State Zip Code
Telephone (________) _____________________________
Area Code / Number
In what capacity have you known the applicant? ____________________________________________
What is your overall recommendation?
Strongly recommend Recommend Recommend with some reservation Do not recommend
12
The Admission Committee would appreciate your candid appraisal of the applicant.
What are the applicant’s primary strengths and weaknesses? If possible, please describe specific instances or accomplishments which
demonstrate them. Describe the applicant’s current assignment and special responsibilities, if applicable.
Please assess the applicant in the following areas:
a. Area of specialization (technical knowledge, analytical ability, attention to detail, etc.)
b. Potential for achievement in graduate study
c. Potential for professional achievement
Outstanding
(Top 2%)
Superior
(Top 10%)
Good
(Top Third)
Fair
(Middle Third)
Poor
(Bottom Third)
No basis for
judgment
Intellectual Ability
Ability to Work with Others
Ability in Written Expression
Ability in Oral Expression
Maturity
Initiative/Independence
Creativity/Originality
Potential for Career Advancement
13
GRADUATE ASSISTANTSHIP APPLICATION
Please complete this form, attach a copy of your resume, and forward to:
Sophie R. Kaufman, DPS
Assistant Dean for Grants and Strategic Initiatives
College of Health Professions
Center of Excellence—ALPS
Pace University, LSN LH 314
861 Bedford Road
Pleasantville, NY 10570
Tel: (914) 773-3636
Fax: (914) 773-3339
To the Applicant—Please complete both sides of this application.
Name Ms. Mr. Mx. _____________________________ ________________________________________ ____________________
First Name Last Name U Number
Present Address
______________________________________________________________________________________________________
Street City State Zip Code
Permanent Address ___________________________________________________________________________________________________
Street City State Zip Code
Day Telephone (_______) _____________________ _________
Area Code / Number Ext.
Cell Number (_______) _____________________________ Email
________________________________
Anticipated entry term: Fall _______ Spring _______ Summer I _______ Summer II _______
Year Year Year Year
Please indicate your campus location: New York City Westchester
Please indicate your availability to work as a Graduate Assistant:
10 hours per week 5 hours per week
Please indicate the Pace University graduate degree program to which you are applying __________________________________________
Undergraduate Institution _______________________________________________________________________________________________
Undergraduate Grade Point Average ____________ Previous graduate institution, major, GPA (if applicable)
________________________
TOEFL, IELTS, or Pearson PTE score (if applicable) Total _____________ Date_______/_______/_______
Month Day Year
Please complete the Skills Questionnaire on the next page
I understand and agree that my admission, if granted, my registration and continuance on the rolls and graduation are subject to all policies,
rules, regulations, and procedures set forth in the current bulletins, catalogs, and other publications, and notices of Pace University and as they
may be amended, including but not limited with respect to scholarship, discipline, attendance, and payment or abatement of fees.
Applicant Signature _______________________________________________________________ Date _________/_________/_________
Month Day Year
VISITING STUDENT APPLICATION
Please submit this application with a $70 non-refundable application fee to the Pace University Office of Graduate Admission Graduate
Application Processing Center, One Pace Plaza, New York, NY 10038 accompanied by a sealed envelope containing an original statement
from the graduate school in which you are currently enrolled that includes the following:
1. The graduate degree program in which you are matriculated;
2. Verification that you are a graduate student in good standing; and
3. An official university seal or signature.
Name
_____________________________________________________________________________________________________________
First Middle Last
Present Address ____________________________________________________________________________________________________
Street City State Zip
Home Telephone (________) _________________________________ Business Telephone (________) _______________________________
Area Code / Number Area Code / Number
Fax
(________) _________________________________
Email ________________________________
Area Code / Number
Are you a US citizen or permanent resident?
*
Yes
*
No
International students who require an F1 visa are not eligible to enroll as a visiting student.
Institution Currently Attending
_______________________________________________________________________________________________________
Name Location
Semester in which you wish to enroll:
* Fall
_______
* Spring
_______
* Summer I
_______
* Summer II
_______
Year Year Year Year
Campus:
*
New York City
*
Westchester
Graduate program you wish to attend:
DYSON COLLEGE OF ARTS AND SCIENCES
*
Biochemistry and Molecular Biology
*
Counseling
*
Environmental Policy
*
Environmental Science
*
Forensic Science
*
Media and Communication Arts
*
Psychology
*
Public Administration
*
Publishing
*
LUBIN SCHOOL OF BUSINESS
*
SCHOOL OF EDUCATION
*
SEIDENBERG SCHOOL OF COMPUTER SCIENCE AND INFORMATION SYSTEMS
You may register for a maximum of TWO COURSES on a space-available basis. Courses must be completed in the semester indicated above.
_________________________ _______________________________________________
Course Number Title
_________________________ _______________________________________________
Course Number Title
Have you ever applied to or enrolled in any graduate program at Pace University?
*
Yes
*
No
If yes, please indicate: Semester _______________________ Year ___________ Program __________________________________
I certify that all of the information provided by me or on my behalf in support of my application for admission is complete and accurate. I acknowledge that
I am obligated to supplement my application as soon as I know or reasonably should know if the information I have provided or that was provided on my
behalf is inaccurate or incomplete. I also certify that the personal statement submitted in support of my application for admission is solely my own original
work. I acknowledge that Pace University may, at its sole discretion, verify any information submitted in conjunction with my application. I acknowledge that if
I omit relevant information or provide inaccurate information or information that is misleading, submit a personal statement that is not solely my own original
work, or if I fail to supplement my application as required, Pace University may, at its sole discretion, deny my application for admission, rescind my admis-
sion, impose disciplinary sanctions against me, dismiss me from Pace University, and/or rescind any degrees or certificates awarded to me by Pace University.
I acknowledge that the application fee I have paid or will pay in the future is not refundable.
I acknowledge that I am bound by the policies, practices, and procedures of Pace University, whether published or unpublished, and I agree to comply with them.
Date__________/__________/__________ _________________________________________________________________________
Month Day Year Signature of Applicant
14
15
GRADUATE ASSISTANT—SKILLS QUESTIONNAIRE
Please rate your level of graduate experience with each of the areas listed below. You do not have to be an expert in all areas to qualify
for the position. We are looking for graduate assistants with a variety of skills.
Very Confident Some Experience No Experience Comments
Library Research
Searching Databases
Reference Management Software:
Endnote, Zotero
Writing
Editing Manuscripts
Statistics
Statistical Software: SPSS, SAS
Survey and Research Software:
Qualtrics
Teaching
Tutoring
Assisting Faculty in Classroom
Assisting Faculty Online (Blackboard)
Microsoft Office (Excel, PowerPoint)
Web Page Design
Foreign Languages (please specify):
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Other Skills (please specify):
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Pace University does not discriminate in admission, administration of programs, or employment against any individual on the basis of
that individual’s sex, age, race, religion, sexual orientation, disability, or national origin, marital or domestic partnership status, or veteran
status. Inquiries regarding compliance with related federal regulations may be directed to: Affirmative Action Officer, Pace University,
One Pace Plaza, New York, NY 10038, or to the Director of the Office for Civil Rights, US Department of Health and Human Services, 200
Independence Avenue, SW, Washington, DC, 20201.
Comments:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Office of Graduate Admission
Pace University
Office of Graduate Admission
Graduate Application Processing Center
One Pace Plaza
New York, NY 10038
(212) 346-1531
@PaceAdmissions
#PaceBound
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