Njit Application For Admission To Graduate Study
ADVERTISEMENT
1
2PPLIC TION FOR
DMISSION
TO GR DU TE STUDY
$65 Application fee, non-refundable
PERSON L INFORM TION (please type or print clearly)
Have you previously applied to NJIT?
Yes
No
__________________________________________________________________________________________________
U.S. Social Security Number (optional)
__________________________________________________________________________________________________
Name
Last/Family
First/Given
Middle
__________________________________________________________________________________________________
Other names that may appear on credentials
__________________________________________________________________________________________________
Mailing Address (number, street, city, state, zip)
Valid until
__________________________________________________________________________________________________
Permanent/Foreign Address (number, street, city, state, zip)
__________________________________________________________________________________________________
Home Phone
Business Phone
E-mail
Cell Phone
If you are a resident of New Jersey, how long have you lived in New Jersey? _____________________________________________________________________
Citizenship
United States
U.S. Permanent Resident
Non-U.S.
Permanent Residents are required to submit a copy of their alien registration card (both sides); Non-U.S. applicants are required to submit copy of passport.
__________________________________________________________________________________________________
Country of Citizenship
Country of Birth
City of Birth
Date of Birth (Month/Day/Year) ______ /______ /_______
Gender (optional)
Male
Female
Marital Status (optional)
Single
Married
DEMOGRAPHICS:
Please indicate the groups in which you would include yourself. (Check up to 4 categories- any response is voluntary.)
1. Are you Hispanic / Latino (A person of Cuban, Mexican, Puerto Rican, South
Having origins in any of the original peoples of central or southern Africa
or Central American or other Spanish culture of origin, regardless of race)?
or the Caribbean
YES, Hispanic / Latino
African American/Black
NO
Caribbean (Haiti, Dominican Republic, Barbados, Jamaica, Trinidad, etc.)
Central African (Congo, Kenya, Uganda, etc.)
If you answered YES to the above, please indicate how you identify yourself as
Southern African (Namibia, Madagascar, South Africa, etc.)
a Hispanic / Latino. Please check all that apply.
Having origins in any of the original peoples of Hawaii, Guam, Samoa or other
Central American (Nicaragua, Guatemala, etc.)
Pacific Islands
Cuban
Iberian-European (Spanish, Portuguese)
Pacific Islander (Fiji, Guam, Samoa, Tahiti, etc.)
Mexican
Native Hawaiian
Puerto Rican
Aborigine (Australian or Pacific native)
South American (Brazil, Venezuela, Argentina, etc.)
Having origins in any of the original peoples of Europe, the Middle East, or
Northern Africa
2. Regardless of your answer to the prior question, please indicate how you
identify yourself. Check all that apply:
White American
Eastern European (Ukraine, Poland, Albania, etc.)
Having origins in any of the original peoples of the Americas
Indo-European (Turkey, Azerbaijan, Afghanistan etc.)
American Indian
Middle Eastern (Israel, Jordan, Lebanon, etc.)
Alaskan Native
Northern Africa (Morocco, Algeria, Egypt, etc.)
Western Europe (Italy, Sweden, Germany, etc.)
Having origins in any of the original peoples of the Far East, Southeast Asia,
Australian, New Zealander (not an indigenous person)
or the Indian subcontinent
Asian American
Central Asian (Mongolia, Kazakhstan, etc.)
East Asian (China, Japan, Korea, Philippines, etc.)
South Asia (India, Pakistan, Bangladesh, etc.)
Southeast Asia (Indonesia, Thailand, Vietnam, etc.)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business