Lillian Wald

2010-11 First-year Application For Spring 2011 or Fall 2011 Enrollment

APPLIC ANT D. Wald Lillian Legal Name ___________________________________________________________________________________________________________________ Last/Family/Sur (Enter name exactly as it appears on official documents.)

First/Given

Middle (complete)

Jr., etc.

Preferred name, if not first name (choose only one) ______________________

Former last name(s), if any _______________________________________

03/10/1867 Birth Date ____________________________________________________ ! Female ! Male

US Social Security Number, if any ___________________________________

mm/dd/yyyy

Optional, unless applying for US Federal financial aid with the FAFSA form

Preferred Telephone ! Home ! 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: ! Fall (Jul-Dec)

! Spring (Jan-Jun)

Do you intend to apply for need-based financial aid?

! Yes ! Yes ! Yes ! Yes

! No ! No ! No ! No

Decision Plan___________________________________________________ Anthropology, Africana Studies, Sociology Academic Interests _____________________________________________

Do you intend to apply for merit-based scholarships?

Metropolitan Studies, Gender and Sexuality Studies, ____________________________________________________________

Do you intend to enroll in a degree program your first year?

Public Health and Policy ____________________________________________________________

No Do you intend to live in college housing? ______________________________

Public Service, Education and Human Development Career Interest _________________________________________________

Nursing What is the highest degree you intend to earn? _________________________

Do you intend to be a full-time student?

DEMOGRAPHICS Full U.S. Citizen Citizenship Status ______________________________________________

1. Are you Hispanic/Latino?

Non-US Citizenship ______________________________________________

! Yes, Hispanic or Latino (including Spain) ! No

_____________________________________________________________ _____________________________________________________________ 43 Years lived in the US? ____________________________________________ Ohio U.S.A Cincinnati Birthplace ________________________________________________________ City/Town

State/Province

_________________________________________________________________________

2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check all that apply.) ! American Indian or Alaska Native (including all Original Peoples of the Americas) Are you Enrolled? ! Yes ! No If yes, please enter Tribal Enrollment Number________________

Country

English First Language _________________________________________________ English Primary language spoken at home _____________________________________ French, German Are you proficient in any other languages? _______________________________

_________________________________________________________________

_________________________________________________________________________

! Asian (including Indian subcontinent and Philippines) _________________________________________________________________________

! 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.

Single Marital Status ____________________________________________________ Jewish Religious Preference _______________________________________________ US Armed Services veteran? ! Yes ! No Š

2010 The Common Application, Inc.

! Native Hawaiian or Other Pacific Islander (Original Peoples) _________________________________________________________________________

! White (including Middle Eastern) _________________________________________________________________________

AP-1 / 2010-11

Honors Briefly list any academic distinctions or honors you have received since the 9 th grade or international equivalent (e.g., National Merit, Cum Laude Society).

Grade level or post-graduate (PG) 9

10

11

12

Honor

! ! ! !

! ! ! !

! ! ! !

School State/ National InterRegional national

PG

Miss Cruttenden's English-French Boarding and Day School for Young Ladies Cum Laude Society _________________________________________________________________________________

!

!

!

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Woman's Medical College in New York Honors Graduate ! _________________________________________________________________________________ ! _________________________________________________________________________________ ! _________________________________________________________________________________ ! _________________________________________________________________________________

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Level of Recognition

EXTRACURRICULAR ACTIVITIES & WORK EXPERIENCE Extracurricular Please list your principal extracurricular, volunteer, and work activities in their order of importance to you. Feel free to group your activities and paid work experience separately if you prefer. Use the space available to provide details of your activities and accomplishments (specific events, varsity letter, musical instrument, employer, etc.). To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach a résumé.

Grade level or post-graduate (PG) 9

10

11

12

Approximate time spent PG

! ! ! ! !

Hours per week

7

When did you participate in the activity?

Summer/ Weeks School School per year year Break

20

!

!

Positions held, honors won, letters earned, or employer

If applicable, do you plan to participate in college?

Employee ________________________________________________________________

!

New York Juvenile Asylum in 1891 Activity _________________________________________________________________________________________________________________

! ! ! ! !

3

52

!

!

Volunteer from Woman's Medical College in New York ________________________________________________________________

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Taught free home-nursing informational classes for immigrants from 1892-1893 Activity _________________________________________________________________________________________________________________

! ! ! ! !

8

52

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Co-founder ________________________________________________________________

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Nurses' Settlement in 1895 (later known as the Henry Street Settlement) Activity _________________________________________________________________________________________________________________

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6

52

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Co-organizer ________________________________________________________________

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Henry Street Visiting Nurses Service in 1896 Activity _________________________________________________________________________________________________________________

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2

26

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Educational Director ________________________________________________________________

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Created the country's first public school nursing program in New York City in the early 1900s Activity _________________________________________________________________________________________________________________

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3

26

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Developer/Educator ________________________________________________________________

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Columbia University Nursing Department in 1910 Activity _________________________________________________________________________________________________________________

! ! ! ! !

1

10

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New Member ________________________________________________________________

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New York Board of Health in 1908 Activity _________________________________________________________________________________________________________________

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3

26

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Original Member/Meeting Hostess ________________________________________________________________

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NAACP Activity _________________________________________________________________________________________________________________

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1

13

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Founder ________________________________________________________________

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Women's Trade Union in 1903 Activity _________________________________________________________________________________________________________________

! ! ! ! !

1

52

!

!

Author ________________________________________________ ________________________________________________________________

!

Currently writing a book about the public health mission called The House on Henry Street Activity _________________________________________________________________________________________________________________

! ! ! ! !

7

26

!

!

Researcher/Humanitarian ________________________________________________________________

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Public health service trip to Hawaii, Russia, China and Japan Activity _________________________________________________________________________________________________________________

! ! ! ! !

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!

________________________________________________________________

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Activity _________________________________________________________________________________________________________________ ©

2010 The Common Application, Inc.

AP-4 / 2010-11

Evaluate a significant experience, achievement, risk you have taken, or ethical dilemma you have faced and its impact on you.

Discuss some issue of personal, local, national, or international concern and its importance to you.

Indicate a person who has had a significant influence on you, and describe that influence.

Describe a character in fiction, a historical figure, or a creative work (as in art, music, science, etc.) that has had an influence on you, and explain that influence.

A range of academic interests, personal perspectives, and life experiences adds much to the educational mix. Given your personal background, describe an experience that illustrates what you would bring to the diversity in a college community or an encounter that demonstrated the importance of diversity to you. ' Topic of your choice.

! # $ % &

forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution? ! Yes ! No ) Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? ! Yes ! No [Note that you are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.]

If you answered “yes” to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances, and reflects on what you learned from the experience.

( Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent)

Disciplinary History

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Additional Information If there is any additional information you’d like to provide regarding special circumstances, additional qualifications, etc., please do so in the space below or on an attached sheet.

!

! ! ! ! !

Personal Essay Please write an essay (250 words minimum) on a topic of your choice or on one of the options listed below, and attach it to your application before submission. Please indicate your topic by checking the appropriate box. This personal essay helps us become acquainted with you as a person and student, apart from courses, grades, test scores, and other objective data. It will also demonstrate your ability to organize your thoughts and express yourself.

NOTE: Your Common Application essay should be the same for all colleges. Do not customize it in any way for individual colleges. Colleges that want customized essay responses will ask for them on a supplement form.

Hope from Health Laboring men weakened by fevers in the 105 range, beautiful women deteriorating from agonizing rashes, newly-born Infants coughing so vigorously that they cannot breathe— witnessing these illnesses grapple innocent masses opened my eyes to our nation’s poor health care conditions. It was during my volunteer period as a house-call nurse in the immigrant slums of the Lower East Side that I realized how non-existence public health service is, specifically in urban environments. With such mass concentrated population, cities like New York are cesspools of unsanitary conditions, cultivating and spreading severe epidemics such as Tuberculosis, Typhus, and Typhoid Fever. However, virtually no venue for treatment exists for the lower classes. Not only do hospitals lack the capacity to treat numerous groups with such a variety of illnesses, but these institutions are also known discriminators of certain races and religions. It pained me to watch such a deeply rooted problem transpire without any intervention.

Thus, watching hundreds of poor individuals suffer with no outlet from treatment was my call to action. Along with my fellow nursing colleague Mary Brewster, I, moved into the diseasestricken neighborhoods in order to collect personal experience, instead of simple external research. The result of collective our assessment: a mission to create a local center where lower class families, regardless of racial identity or religious afflictions, could seek free medical care and other health services from an army of nurses. Our establishment, the Nurse's Settlement, began as single tenement space with the intention of someday reaching a vast span of people.

Besides offering nursing care, we also yearn to fight for low class health care rights. By urging with Insurance companies to offer seriously ill customers free nursing services, we have persuaded the Metropolitan Life Insurance and now other agencies to agree to adopt this policy.

Because we so closely observed how limited public knowledge is about general health, Mary and

I now want to inspire public schools both offer public health services, like nurses, and create health education programs. In co-ordinance with the New York City Board of Education we have begun aiding in the employment of public school nurses. It is true we have significantly expanded our mission and outreach; yet, our basic principles have only grown stronger. Since my poignant early encounters with the terrors of disease on so many lives, I will always believe that working to better even the lowliest of places is truly the most uplifting calling.