General InformatIon
Name: ______________________ Relationship to Student: __________________Phone: _________________
Street Address: ______________________________ City: __________________ State: ____ Zip: __________
Semester: Fall 20____ Spring 20____ Summer 20____
Associate of Arts Degree Candidate
Early Childhood Education Human Services Administration General Studies
Certicate Candidate
Early Childhood Education Human Services Administration General Studies
Infant/Toddler ECE Health, Nutrition and Food Safety Elder Care
Case Management Management Direct Service Worker OST
ECE Administration & Leadership Youth Program Administration OST
Child Health Care, Safety and Nutrition
Professional Studies (Does not qualify for Financial Aid) Subject: __________________________
ADVISOR: __________________________
First Name: ___________________________ MI: ____ Last Name: _______________________ SUF: ________
Street:___________________________________________ City:____________ State:______ Zip Code:_______
Male ____ Female ____ Date of Birth: ____________ Alien Reg. #_______________Soc. Sec. # ______________
Phone: (personal)__________________(work)__________________Email: ______________________________
emerGency contact
ProGram of Study
How did you hear about Urban College? ( Check all that apply)
Friend/Family Radio MBTA UCB Mailing Television
UCB Student Work UCB Website Newspaper UCB Sta
Other: ____________________
Admission Application
Urban College of Boston
2 Boylston Street, 2nd Floor, Boston, MA 02116 Tel: 617.449.7039
Page 1
RAMP Program
Please list your country of citizenship:______________________________________________________
What is your native language? ___________________________________________________________
Are you a United States Veteran? YES N
Why are you attending college at this time? (Please check all that apply.)
To start a new career To improve self To explore options
Need specic course/s for job Other: ____________________________________________
What are your long-term educational goals?
College Courses Certicate
Bachelors Degree Master’s Degree
Associate Degree
Other: _______________________________________
What is the highest level of education you received prior to attending Urban College?
0-8 grade 9-12 (non-graduate) Attended college, did not graduate
Associate degree
Bachelors degree Master’s degree Doctorate degree Some graduate courses
Some post-graduate courses
Are you the rst person in your family to go to college?
High School
School Name: ________________________________________ Date of Graduation: ___/___/____
Address: ____________________ City: ________________ State: _____ Country:________Zip: __________
GED/HiSet State In Which Received: ___________________________________ Date Granted: ___/___/____
College or University
University Name: _________________________
Date of Graduation: ____/____/____
Country: ________________________________
Address: ________________________________
City: _______________ State: _____ Zip: ______
other InformatIon
Why did you choose to apply to Urban College rather than another college or
Cost & Location Specic courses Convenient hours
Courses in my language Reputation of the school Quality of faculty
Other: _________________________________
educatIon hIStory
Page 2
Urban College is home to one of the most diverse student bodies in New England. By providing the following information, you are
not affect admissions decisions. Thank you so much for your cooperation.
Race/Ethnicity: (Please check one.)
Asian/Pacic Islander
Native American
Other: _______________
demoGraPhIc ProfIle
Page 3
urban colleGe of boSton commItment
Please read the following commitment information for Urban College of Boston students.
Urban College of Boston will assess your writing skill level so you can be placed in courses appropriate
to your skill level.
Attendance is required for classes. Approximately 3-6 hours of homework is assigned weekly for each
3-hour class.
As an Urban College student, you will be required to make a number of nancial investments in your
education (tuition and fees, books, etc.)
New students are required to attend an orientation session, and all students must meet with an advisor
at least once each semester.
We encourage students to apply for nancial aid by completeing a FAFSA application each year.
$15 non-refundable application fee (cash, check, money order, debit/credit). For Degree and Certificate
Candidates only.
I hereby certify that the above and enclosed information is true and complete to the best of my knowledge.
I also understand that as a candidate for an Associate of Arts degree or a Certicate of Achievement, I must
submit a copy of my High School or GED Diploma to the Urban College of Boston before my application can
be considered complete, and that willful actions that constitute inappropriate conduct on my part may result in
rejection of my application or my withdrawal from college..
Signature: _________________________________________ Date: ______________________________
Urban College of Boston is an armative action/equal opportunity institution and does not discriminate on the basis of
gender, age, religion, race, color, disability, sexual orientation, or national and ethnic origin in the administration of its educational
policies, employment policies, and other programs and activities.
Urban College of Boston is accredited by the New England Commission of Higher Education (NECHE). Inquiries regarding
the accreditation status by the New England Commission should be directed to the administrative staff of the institution. Individuals
may also contact: New England Commission of Higher Education, 3 Burlington Woods Drive, Suite 100, Burlington, MA 01803.
Phone: (781) 425-7785. E-mail:
Urban College of Boston is a 501(c)(3) non-profit organization.
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