2010-11 First-year Application For Spring 2011 or Fall 2011 Enrollment
APPLIC ANT Augustn Riis Jacob Legal Name ___________________________________________________________________________________________________________________ Last/Family/Sur (Enter name exactly as it appears on official documents.)
First/Given
Middle (complete)
Jr., etc.
Jacob Preferred name, if not first name (choose only one) ______________________
n/a Former last name(s), if any _______________________________________
May 3, 1849 Birth Date ____________________________________________________ 쑗 Female 쑗 Male
US Social Security Number, if any ___________________________________
mm/dd/yyyy
Optional, unless applying for US Federal financial aid with the FAFSA form
Preferred Telephone 쑗 Home 쑗 Cell Home (_______) __________________________________ Cell (_______) __________________________________ Area/Country/City Code
Area/Country/City Code
E-mail Address ________________________________________________
IM Address ____________________________________________________
Permanent home address __________________________________________________________________________________________________________ Number & Street
Apartment #
____________________________________________________________________________________________________________________________ City/Town
County or Parish
State/Province
Country
If different from above, please give your current mailing address for all admission correspondence.
ZIP/Postal Code
(from ___________ to ___________) (mm/dd/yyyy)
(mm/dd/yyyy)
Current mailing address __________________________________________________________________________________________________________ Number & Street
Apartment #
____________________________________________________________________________________________________________________________ City/Town
County or Parish
State/Province
Country
ZIP/Postal Code
If your current mailing address is a boarding school, include name of school here: ____________________________________________________________ _____
FUTURE PLANS Your answers to these questions will vary for different colleges. If the online system did not ask you to answer some of the questions you see in this section, this college chose not to ask that question of its applicants.
NYU College ________________________________________________________
Deadline ______________________________________________________ mm/dd/yyyy
Entry Term: 쑗 Fall (Jul-Dec)
쑗 Spring (Jan-Jun)
Do you intend to apply for need-based financial aid?
쑗 Yes 쑗 Yes 쑗 Yes 쑗 Yes
쑗 No 쑗 No 쑗 No 쑗 No
Decision Plan___________________________________________________ Journalism, Carpentry, Social Sciences Academic Interests _____________________________________________
Do you intend to apply for merit-based scholarships?
Immigration Studies, Public Relations ____________________________________________________________
Do you intend to enroll in a degree program your first year?
____________________________________________________________
No Do you intend to live in college housing? ______________________________
Journalism Career Interest _________________________________________________
PhD What is the highest degree you intend to earn? _________________________
Do you intend to be a full-time student?
DEMOGRAPHICS Naturalized Immigrant Citizenship Status ______________________________________________
1. Are you Hispanic/Latino?
Original Citizen of Denmark Non-US Citizenship ______________________________________________
쑗 Yes, Hispanic or Latino (including Spain) 쑗 No
_____________________________________________________________ _____________________________________________________________ 43 Years lived in the US? ____________________________________________ Esbjerg Municipality Denmark Ribe Birthplace ________________________________________________________ City/Town
State/Province
_________________________________________________________________________
2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check all that apply.) 쑗 American Indian or Alaska Native (including all Original Peoples of the Americas) Are you Enrolled? 쑗 Yes 쑗 No If yes, please enter Tribal Enrollment Number________________
Country
Danish First Language _________________________________________________ English Primary language spoken at home _____________________________________ Danish Are you proficient in any other languages? _______________________________
_________________________________________________________________
_________________________________________________________________________
쑗 Asian (including Indian subcontinent and Philippines) _________________________________________________________________________
쑗 Black or African American (including Africa and Caribbean) _________________________________________________________________________
Optional The items with a gray background are optional. No information you provide will be used in a discriminatory manner. Married Marital Status ____________________________________________________ Methodist Religious Preference _______________________________________________ US Armed Services veteran? 쑗 Yes 쑗 No ©
2010 The Common Application, Inc.
쑗 Native Hawaiian or Other Pacific Islander (Original Peoples) _________________________________________________________________________
쑗 White (including Middle Eastern) _________________________________________________________________________
AP-1 / 2010-11