New York University-SSS-Application Form

  • Office for Academics, Success and Individualized Support

    STUDENT APPLICATION
    • STUDENT DATA FORM 
    • Today's Date:
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    • 3) Gender*
    • Birth Date
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    • 4) Is this your first semester transferring from another college/university?*
    • 5) Ethnicity - Hispanic/Latino:*
    • 6) Race - Check at least one:*
    • 7) Are you a citizen of the USA?*

    • 8) According to the 2024 US Tax Forms filed:

    • 9) Do you have any physical or learning disability?*
    • If 'Yes', have you registered with the Moses Center for Students with Disabilities?
    • 9a. If yes, have you registered with NYU's Moses Center for Accessibility and Inclusive Culture?

    • 10. You MUST answer either question A or question B

    • A. If your parents are not divorced or separated, check one:

    • OR

       

      B. If your parents are divorced or separated, check:

    • B1. The parent I am living with has a four year university degree
    • B2. The parent I am NOT living with provides me with substantial and regular financial support
    • B3. If Yes, does this parent have a 4 year degree?

    • When necessary, the Office for Academics, Success and Individualized Support staff may share information regarding student performance, adjustment, etc. with other administrative and academic offices.

      The TRIO Scholars Program is primarily funded by the U.S. Department of Education, which requests the collection of the above information for statistical purposes. If participating in the TRIO Scholars Program, I further understand that the TRIO Scholars Program has my permission to verify the information provided above and will have access to my academic, admissions and financial aid information.

    • Clear
    • Date
       - -
    • SELF-ASSESSMENT FORM 

    • PLEASE ANSWER ALL QUESTIONS

    • Date:
       - -

    • A. Please check the appropriate box:

    • Which of the following services are you interested in using this semester?
    • High School average:
    • College GPA
    • Math SAT score:
    • Verbal SAT score:
    • Writing SAT score:
    • Current English Placement
    • Current Math Placement:
    • Rows
    • F. Have you taken any AP courses in high school?
    • G. Your current living situation:
    • K. Currently working:
    • L. If I have a problem/question, I usually speak up and ask for help.
    • Rows
    • N. What obstacle(s) may hinder you from completing your academic goals? (Check all that apply)
  • Should be Empty: