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Transfer Supplemental Admission Form
Thank you for your recent application to Purchase College. Please complete all sections of this form and email it to
the Office of Admissions: firstname.lastname@example.org. This document can be attached to an email as a PDF, or as a
Microsoft Word document. Be sure to have additional supplemental materials, including College and/or *High
School transcript(s) and *SAT/ACT scores, sent directly to the processing center:
Purchase College, Application Processing
279 Broadway, Albany, New York 12204-2755
I am applying for the following semester (CHOOSE ONE):
Spring 20 18 ____
Street Address: 12 Deborah Dr. Westhampton Bch NY
Phone (Home): 6316787892
I am applying to the undeclared
major OR I am not selecting a major at this time. However, based on the
majors offered at Purchase, I am interested in the following three majors:
Think Wide Open Statement
Purchase College's motto is "Think Wide Open." It's our way of learning, teaching and being and so much more. By
choosing Purchase, students make a conscious decision to join an intense community with a deep respect for
individuality and diversity and an unparalleled environment of creativity and innovation. We want to know what
Think Wide Open means to you. Please submit either an essay, video, or a previously graded work for which you
earned a B+ or better. Your work should be original and should connect to Think Wide Open broadly or specifically.
Videos and previously graded work should include a brief introduction or statement that helps contextualize your
submission for the viewer/reader. You may submit written statements on a separate sheet. If you submit a video,
please provide a link to access it. Include your name on any attachments.
The works I've submitted for the "Think Wide Open" dissection are two animations I made. One is "Ana Beirut" and the other is a
The works I’ve submitted for the “Think Wide Open” dissection are two animations I made. One is the more traditionally-crafted “Ana Beirut” and the other is a
in the Maya
a 3D piece
Beirut” is stop-motion
frame by frame
in a frame
of the animation,
from the bomb-riddled
to the more
York City. Herroads
her mind is
by the war-torn
of what her
within a completely
the latter with
a new leaf
by the war-torn
of her homeland
lets loose the tethers of what was was and settles within a completely new environment.
The piece “Rete Mirabile” also represents the “Think Wide Open” aspect of individuality and diversity. The piece explores the nuances of a rete mirabile, which
is a system
net” on a minute
of the skin
is able to look
a minute visual
level, the viewer
to look past
a beautiful on
of a warm-blooded
by the human
is an illustration
at it’s core;
life to identity
level. themselves. The microscope is the vessel in which
the viewer is segued into a beautiful representation of a structure most often looked over by the human eye. Such is an
illustration of individuality at it's core, giving life to identity on a microscopic level.
High School Graduation (mm/yyyy):
If you received a GED, list date (mm/yyyy):
Please indicate if you have taken any of the following AP exams:
Science: ____ History:x____
Math: ____ English: x____
* High School transcript(s), and SAT/ACT scores should be sent directly to the processing center for students who have
completed less than 24 college credits.
Previous College Information
List all colleges/universities in which you are currently enrolled or have taken courses for credit. Be sure to
have an official transcript sent from every institution. Attach an additional sheet if necessary.
Failure to report all colleges attended can significantly delay the processing of your application and
admission decision and may result in dismissal you Purchase.
1.5 semesters 2015-2016
Suffolk County Community College
Please Note: Degree Progress Reports are completed approximately two weeks after acceptance to the college. Be sure
to submit official transcripts from all colleges previously attended regardless if credit was awarded.
Have you taken or are you currently taking classes at Purchase College?
Yes ■x No
Are you currently enrolled in the Bridges or Baccalaureate and Beyond Program?
Yes x■x No
Are you applying for the Purchase College at Rockland Community College Program?
Have you earned or will you be earning a degree before attending Purchase College?
If yes, what type of degree?
Yes xx■ No
Name of Institution:
Please complete the following if there has been a break of four months or longer in your educational
experience. If the entire timeframe is not accounted for, it will be necessary to return the form to you, thus
delaying a decision on your application. Attach an additional sheet if necessary.
Type (i.e. Employment, Raising a
family, Military Service, Other)
from personal trauma, Work
to make money for school and settle
Money for school money for school
Optional Additional Statement
Please provide any additional information (up to 250 words) that will help us better understand your academic
performance. You may also use this statement to explain any chronological gaps in your academic history (e.g.
a period of time after high school graduation before applying to college or gaps between attendance at
colleges). Submit your statement on a separate sheet. Be sure to include your name on any attachments.
I pledge that the information included here is complete and true. I understand that any deliberate falsification or
omission of data may result in the denial of admission or revocation of a decision. I prepared all of the responses
on this form and understand that they supplement my application for admission.
* High School transcript(s), and *SAT/ACT scores should be sent directly to the processing center for
students who have completed less than 24 college credits.
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