APPLICATION
FOR ADMISSION
140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
[Link]
SECTION 1. FILING STATUS & PROGRAM SELECTION
Freshman International Student Re-applicant Resumed Education Transfer
Program selection: BFA Dance BM Performance (Instrument: ___________ ) Intended start term: 201__ Summer Fall Spring
Applicant status (choose all that apply):
SECTION 2. PERSONAL INFORMATION
How would you describe your background?
Asian
Black, African American
White Other ___________________________
LEGAL NAME: GIVEN NAME(S), SURNAME
CHINESE NAME
PREVIOUS NAME
DATE OF BIRTH (MM/DD/YYYY)
CITIZENSHIP
MARITAL STATUS
PREFERRED NAME
Gender:
SOCIAL SECURITY NUMBER
PRIMARY LANGUAGE SPOKEN AT HOME
OTHER LANGUAGE(S)
PHONE NUMBER
HOME ADDRESS: STREET, CITY, STATE/PROVINCE/TERRITORY, COUNTRY, ZIP/POSTAL CODE
Male Female
IMMIGRATION STATUS (i.e. US Citizenship, US Visa,
US Permanent Residence, US Dual Citizenship)
SECTION 3. FAMILY INFORMATION
PARENT/GUARDIAN 1
Relationship to Applicant:
FATHER MOTHER GUARDIAN
MS. MRS. MR. DR.
LEGAL NAME: GIVEN NAME(S), SURNAME
CHINESE NAME
EMPLOYER
OCCUPATION/TITLE
WORK PHONE NUMBER
E-MAIL ADDRESS (REQUIRED)
HOME PHONE NUMBER
CELLULAR NUMBER
HOME ADDRESS (IF DIFFERENT FROM APPLICANTS)
Marital Status (check one):
MARRIED DIVORCED SINGLE REMARRIED
Name of spouse (if applicable):
PARENT/GUARDIAN 2
Relationship to Applicant:
FATHER MOTHER GUARDIAN
MS. MRS. MR. DR.
FIRST NAME, MIDDLE NAME, LAST NAME
CHINESE NAME
EMPLOYER
OCCUPATION/TITLE
WORK PHONE NUMBER
E-MAIL ADDRESS (REQUIRED)
HOME PHONE NUMBER
CELLULAR NUMBER
HOME ADDRESS (IF DIFFERENT FROM APPLICANTS)
Marital Status (check one):
MARRIED DIVORCED SINGLE REMARRIED
Name of spouse (if applicable):
Page 1 of 18
Rev. 2016
APPLICATION FOR ADMISSION
140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
[Link]
SIBLINGS
GIVEN NAME(S), SURNAME
DATE OF BIRTH
CURRENT SCHOOL
GIVEN NAME(S), SURNAME
DATE OF BIRTH
CURRENT SCHOOL
GIVEN NAME(S), SURNAME
DATE OF BIRTH
CURRENT SCHOOL
SECTION 4. EDUCATIONAL BACKGROUND
SECONDARY SCHOOL (please attach an additional page if you have attended more than one secondary school)
Dates Attended:
SCHOOL NAME
(MM/YY)
/
(MM/YY)
SCHOOL ADDRESS: STREET, CITY, STATE/PROVINCE/TERRITORY, ZIP/POSTAL CODE, COUNTRY
TELEPHONE NUMBER
GUIDANCE COUNSELOR
School Type (check all that apply):
EMAIL ADDRESS
PUBLIC PRIVATE PAROCHIAL CHARTER BOARDING
POST-SECONDARY SCHOOL
SCHOOL NAME
MAJOR / DEGREE AWARDED
Dates Attended:
/
(MM/YY)
/
(MM/YY)
SECTION 5. TESTS AND HONORS
You must arrange for official transcripts and score reports to be sent from your secondary school and the appropriate testing agencies to the
Office of Admissions and Records at Fei Tian College.
Scholastic Assessment Test (SAT)
DATE
R/W
American College Test (ACT)
MATH
DATE COMPOSITE SCORE
COMPOSITE SCORE
ST
________ ________
________
1 TEST ________ ________
ND
________ ________
________
2 TEST ________ ________
1 TEST ________
2 TEST ________
SAT Subject Test (optional)
SUBJECT DATE
ST
ND
Advanced Placement Exams (AP) (optional)
SCORE
SUBJECT DATE
SCORE
________ ________ ________
________ ________ ________
________ ________ ________
________ ________ ________
________ ________ ________
Proof of English Proficiency*
TEST
DATE
________ ________ ________
SCORE
1 TEST ________ ________ ________
ST
ND
2 TEST ________ ________ ________
*Important note: Applicants whose primary language is not English are strongly encouraged to provide proof of English proficiency, unless: he/she
is a transfer applicant who has earned three semester credits of freshman English composition, at a regionally accredited US college or university,
Page 2 of 18
Rev. 2016
APPLICATION FOR ADMISSION
140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
[Link]
and has a cumulative GPA of 2.50 or higher; or holds a bachelors degree from an accredited US college or university recognized by the US
Department of Education. English proficiency is preferably demonstrated through an official score on TOEFL (Test of English as a Foreign Language).
It may also be proven through performance on other tests and exams, such as IELTS, EIKEN, SAT Critical Reading, ACT English, New York Regents
English, and the AP English or History exam. Generally, FTC accepts TOEFL 75 IBT or 537 PBT (or its equivalents) as proof of English proficiency.
Please briefly list any academic distinctions, honors, or awards you have received since the ninth grade (or international equivalents).
Grade level or Post-graduation _________
Honor ____________________________________________________________
Grade level or Post-graduation _________
Honor ____________________________________________________________
SECTION 6. ACTIVITIES AND INTERESTS
Please list your school, community, performance, and work activities in their order of importance to you. To allow us to focus on the highlights of
your activities, please complete this section even if you plan to attach a rsum.
Grade
9 10 11 12
PG
Hours
Weeks
per week
per year
Position held / honors received
Do you plan to
participate at FTC?
__________ _________ __________________________________________
Activity _____________________________________________________________________________________________________
__________ _________ __________________________________________
Activity _____________________________________________________________________________________________________
__________ _________ __________________________________________
Activity _____________________________________________________________________________________________________
__________ _________ __________________________________________
Activity _____________________________________________________________________________________________________
Please briefly elaborate on one of your extracurricular or work activities in the space below or on an attached sheet (150 words or fewer).
_____________________________________________________________________________________________________________
SECTION 7. INTEREST IN FEI TIAN
Please tell us what you find most appealing about Fei Tian College and why.
_____________________________________________________________________________________________________________
Please tell us what attracts you specifically to the study of classical Chinese dance or classical music.
_____________________________________________________________________________________________________________
To what other schools have you applied? _____________________________________________________________________________
Page 3 of 18
Rev. 2016
APPLICATION FOR ADMISSION
140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
[Link]
Have you visited the FTC campus? No Yes
Have you conferred with any FTC representative about the admissions process? No Yes (FTC representative: __________________________)
Please list any relatives who are attending or have graduated from a Fei Tian system school:
RELATIONSHIP TO APPLICANT
RELATIVES NAME
RELATIVES NAME
RELATIONSHIP TO APPLICANT
PROGRAM / DEGREE AWARDED / DATES OF ATTENDANCE
PROGRAM / DEGREE AWARDED / DATES OF ATTENDANCE
Is either of your parents an employee of the Fei Tian school system? No Yes (Name / Position: _____________________________________)
How has your interest in FTC developed? Campus visit Website Conferral with FTC personnel, students Other: ___________________
SECTION 8. ESSAY
Please choose one of the following essay topics to construct a 1-2 page original essay. Please submit your essay by attaching it as a separate
document to this application.
A.
Tell us about a particular person or event who/which strongly affected your decision to pursue a career in the arts.
B.
What value do you believe your art form has for the society at large?
C.
If you are a current or formerly enrolled Fei Tian Academy of the Arts student: Please explain your motivation for continuing or resuming your
studies at Fei Tian College. Students may choose to address academic, artistic, or professional goals that they believe could be accomplished
by continuing to study in the Fei Tian community.
D.
If you are a bachelors degree transfer student: The decision to transfer is a significant and often difficult one to make. Please explain when
the idea of transferring first occurred to you and how that idea developed.
E.
Evaluate a significant experience, achievement, risk you have taken, or ethical dilemma you have faced and its impact on you.
F.
Discuss some issues of personal, local, national, or international concern and their importance to your decision to pursue a career in the arts.
G.
Describe a character in fiction, a historical figure, or a creative work that has influenced your artistic goals in life.
H.
Other topic of your choice that relates to your wish to attend Fei Tian College.
SECTION 9. ADDITIONAL INFORMATION
If there is any additional information you would like to provide regarding your application including special circumstances or additional
qualifications, please do so in the space below or attach an additional page.
_____________________________________________________________________________________________________________
SECTION 10. ARTISTIC SUPPLEMENT
If you are applying to the Bachelor of Fine Arts in Classical Chinese Dance program, please complete Section 10A.
If you are applying to the Bachelor of Music in Performance program, please complete Section 10B.
SECTION 11: INSTRUCTOR EVALUATIONS
If you are applying to the Bachelor of Fine Arts in Classical Chinese Dance program, please see Section 11A and Section 11C.
If you are applying to the Bachelor of Music in Performance program, please see Section 11B and Section 11C.
Page 4 of 18
Rev. 2016
APPLICATION FOR ADMISSION
140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
[Link]
SECTION 12. DISCIPLINARY HISTORY
Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from ninth grade (or the
international equivalent) forward, whether related to academic 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 to 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 condential.]
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 reects on what you learned from the experience.
SECTION 13. ACKNOWLEDGEMENT & SIGNATURE
How will you be paying for the application fee? Credit Card Check Cash Bank Transfer Waived
I certify to the best of my ability that all information submitted in the admission process - including the application, essay, supplements, and any
other supporting materials - is my own work, factually true, and honestly presented, and that these documents will become the property of the
institutions to which I am applying and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions,
including admission revocation, expulsion, or revocation of course credit, grades, and degree should the information I have certied be false.
I acknowledge that I have reviewed the application instructions for Fei Tian College. I understand that all offers of admission are conditional,
pending receipt of nal transcripts showing work comparable in quality to that upon which the offer was based, as well as honorable dismissal from
the school.
X
Name of Applicant
X
Name of Parent/Guardian
Date:
Applicants Signature
Parents/Guardians Signature (if applicant is under 18)
Date:
(MM/DD/YYYY)
(MM/DD/YYYY)
NOTICE OF NON-DISCRIMINATION
Fei Tian College admits students of any race, color, national origin, and ethnic origin to all the rights, privileges, programs, and activities generally
accorded or made available to students at the school. It does not discriminate on the basis of race, color, national origin, and ethnic origin in
administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school-administered programs.
Page 18 of 18
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