Transfer Success NSF HSI IUSE Application

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your CUNY EMPL ID?

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* 4. At which college did you pursue your associate degree?

Borough of Manhattan Community College (BMCC)

Bronx Community College (BCC)

Guttman Community College (GCC)

Hostos Community College (HCC)

Kingsborough Community College (KCC)

LaGuardia Community College (LaGCC)

New York City College of Technology (NYCCT)

Queensborough Community College (QCC)

Other (please specify)

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* 5. Date associate degree awarded or anticipated date of award (indicate fall, spring or summer and year; for example fall 2019).

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* 6. Baccalaureate major planned at City Tech

Applied Chemistry (CHB)

Computer Systems Technology (CIB)

Computer Engineering Technology (CEB)

Construction Engineering Technology (CTB)

Electrical Engineering Technology (ETB)

Other (please specify)

Transfer Success NSF HSI IUSE Application

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your CUNY EMPL ID?

Question Title

* 4. At which college did you pursue your associate degree?

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* 5. Date associate degree awarded or anticipated date of award (indicate fall, spring or summer and year; for example fall 2019).

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* 6. Baccalaureate major planned at City Tech

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* 7. Please enter your preferred email address.

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* 8. Please enter your college email address

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* 9. Please enter your preferred telephone number (format as (XXX) XXX-XXXX)

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* 10. Please enter your address including street, any apartment number, city, state, zip code

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* 11. Are you a US citizen or permanent resident?

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* 12. How did you hear about this program?