October 21, 2009

Dear Ms. Ogunyemi,

Thank you for submitting a General Freshman Admission application

to CUNY for the Spring 2010 semester.

Please review the following page to determine if additional steps are

needed to complete your application. Once your application is
complete, you will receive notification from each college to which
you have applied. For updates on the status of your application,
please return to the CUNY Portal with your login information and visit
your Application Status page.

We are pleased that you have considered CUNY and look forward to
becoming a part of your academic future.

Sincerely,

Richard P. Alvarez
University Director of Admission
 Next Steps to Completing Your Application
for Admission to CUNY
INSTRUCTIONS: Step 1: Pay Application Fee
Please review this
All applicants are required to pay an application fee. We are unable to evaluate your application for admission until
page to determine if
the fee is received. For confirmation that your application fee has been received or to view payment options, please
additional steps are visit your Application Status page.
required to complete
your application.

Step 2: Submit Academic Records

MAIL SUPPORTING A. High School Students: An official copy of your high school transcript is required. You may wish to print the High
DOCUMENTS TO: School Request Letter included in this Application Summary Package and mail it directly to your high school.

General Freshman New York City Public School Students: If you have provided your OSIS number in Section 2 of the
application, we will access your New York City Public High School transcript from our files once your
Admission
application fee has been received. You only need to send a paper transcript if you have previously
CUNY/UAPC attended a high school that is not a New York City Public High School. Visit our OSIS FAQs and
P.O. Box 350136 Definition page for more information.
Brooklyn, NY
11235-0001 B. Home-Schooled Students: New York State residents who are home-schooled must submit a transcript outlining
all completed course work with grades earned. Students must also submit a letter from the superintendent of their
school district confirming that all high school graduation requirements of the district have been met through home-
When possible, please
schooling. If students cannot obtain the letter from the high school district, they must obtain a GED and send an
send all documents
official copy of the results and diploma to UAPC.
together in a single
envelope.
Out-of-state residents who are home-schooled must submit a state-issued diploma. If students have not obtained a
state-issued diploma, they must obtain their GED and send an official copy of the results and diploma to UAPC.
Please make sure to
affix proper postage.
C. GED Diploma Recipients: If you have received your General Educational Development (GED) diploma from
New York State, mail a photocopy of the original diploma along with your GED test scores to UAPC. You may obtain
a copy from the New York State Education Department High School Equivalency Testing Program, PO Box 7348,
Albany, New York, 12224-0348. If you received your GED diploma in a state outside of New York, contact the
ADMISSION STATUS: appropriate State Education Department.
To receive updates
on the status of your D. Students Educated Outside the United States: A complete record (all years) of your high school/secondary
application, return to school education is required. Educational records in a language other than English must be accompanied by an
the CUNY Portal with official word-for-word translation on business letterhead.
your login information
and visit your
Application Status
page.
Step 3: Submit Test Scores
A. SAT or ACT Scores are required if you are applying to a four-year college and have graduated from a high school
in the United States within the past year. To request SAT or ACT scores, use the CUNY institutional code (2950).
You do not need to use both the CUNY institutional code and a specific CUNY college code.

B. TOEFL scores are required of all applicants who are on temporary visas and whose native language is not
English. Please use the CUNY institutional code (2950). You do not need to use both the CUNY institutional code
and a specific CUNY college code.
 APPLICATION FOR FRESHMAN ADMISSION

Please be sure that this is the CORRECT APPLICATION for you.

Since graduating from high school or receiving a GED diploma, W0008999914

have you attended a college, university, or postsecondary
institution?
YES ✔ NO

If your answer is YES, please DO NOT use this form. Contact the Office of Admission Services at (212) 997-CUNY (2869) for the Transfer application.

PLEASE PRINT IN BLUE OR BLACK INK. Refer to the instructions in the Freshman Admission application packet and be sure to answer the question above.
1 Applicant's Last Name 2 Expected Date of Entrance

O G U N Y E M I Fall Spring ✔ Year 2 0 1 0

Applicant's First Name MI
3 4 Date of Birth
E L I Z A B E T H O
Female ✔
(Any prior last name used) Suffix (Jr., Sr.)
0 9 1 6 1 9 9 2
O G U N Y E M I Male
Month Day Year

5
Applicant's Address Apt. #

PY
7 8 9 T H O M A S S B O Y L A N D B S M T
City State Zip Code
B R O O K L Y N O N Y 1 1 2 1 2 _

5a Length of time at the above address 01/00 5b Length of time in N.Y.C. 02/08 5c Length of time in N.Y.S. 02/08
C
Years / Months Years / Months Years / Months

6 Mailing Address (if different from above, or local address for international applicants)
Apt. #
T

7 8 9 T H O M A S S B O Y L A N D B S M T
EN

City Country State Zip Code

B R O O K L Y N N Y 1 1 2 1 2 _
D

7 8 8a E-mail Address, if available

Social Security Number Day Telephone Number
OGUNYEMI_OLAYINKA@YAHOO.COM
U

0 9 2 9 6 8 2 6 0 3 4 7 2 4 1 2 2 2 7
9 Have you taken or do you plan to take the SAT I or Yes
ST

Evening Telephone Number ACT? Note: If you are applying to a CUNY

baccalaureate program and are in your last year of No
If you do not have a Social Security
high school in the United States, or have graduated
Number, check below.
from high school within the past year, you must
submit SAT I or ACT scores.
CUNY COLLEGE CHOICES
10 Intended Major 10a
I am considering preparing to become a Early Childhood or Elementary School
Business Administration teacher in: Middle School or High School
10b Choices of Colleges and Curriculum: Before entering your college choices, please refer to the instructions. Indicate your choices in the boxes printed
below, in order of preference. You may list up to six choices. You must enter both the code and the college name.

1st Choice 2nd Choice

1 0 0 8 Kingsborough Community College 0 8 3 1 Bronx Community College
Code College Name Code College Name
3rd Choice 4th Choice

1 4 7 3 Hostos Community College

Code College Name Code College Name

5th Choice 6th Choice

Code College Name Code College Name

-1-
*** Student Copy ***
HIGH SCHOOL/SECONDARY SCHOOL INFORMATION
11 11a
Name of High School or GED Center FOR UAPC USE ONLY Date of actual or anticipated H.S. graduation or
receipt of GED
ADEOLA ODUTOLA

1 1 2 0 0 8
H.S. Address: City State
Month Year

12 Number of Credits Dates of Attendance:

While a high school student, did you take any college courses? Yes ✔ No Completed

College Name to
Month/Year Month/Year

13 14
Have you ever received financial aid? Yes ✔ No Are you a veteran of the U.S. Armed Forces? Yes ✔ No

If yes, at: Are you a dependent of a veteran of the U.S. Yes ✔ No

Armed Forces?
Questions 15-16: Citizenship status and alienage are used to determine if any other educational documents are needed to evaluate your application and to
begin the visa process for temporary visa applicants. They are also used to determine your eligibility for available financial aid programs.
15 16 Immigration Status:
Are you a U.S. citizen? Yes ✔ No If no, please state: ✔ U.S. permanent resident 058-871-619 02/07
Alien Registration (I551) Card # Date Obtained MM/YY

NIGERIA Temporary

PY
Country of Citizenship
Visa Please Specify Type of Visa Date Obtained MM/YY Expiration Date MM/YY

Country of Birth NIGERIA Other

Explain

SEEK/CD: Complete questions 17-20 only if you wish to be considered for SEEK or College Discovery.
O
If you are placed into SEEK/CD, you will be required to provide proof of income eligibility to the financial aid office at the college.
If you are not applying to SEEK/CD, skip to Question 21.
C
17 For information regarding SEEK and College Discovery, consult 18 Family Income - How much money did your family receive this year
the CUNY Admission Guide. from each source listed below? [Refer to your latest Federal Income
Tax Return (Form 1040) and other supporting documentation.]
T

A. Will you be 24 years of age before December Yes No Your own gross pay $ 0
31 of your initial year at CUNY? ,
EN

B. Are you a veteran of the U.S. Armed Forces? Yes No Gross pay of wife/husband $ 0
,
C. As of today, are you married? Yes No
Gross pay of father/stepfather $ 0
D. Are you an orphan or a ward of the court, or ,
D

were you a ward of the court until age 18? Yes No

Gross pay of mother/stepmother $ 0
E. Do you have legal dependents (other than a ,
U

spouse) who receive more than half their Yes No

support from you?
Income of other people included in Question 19B $ 0
,
ST

F. Do you have children who receive more than Dividends, interest, rents, or other income from
half their support from you?
Yes No
investments
$ 0
,
Social Security, unemployment insurance, $
veteran's pension, other pensions
0
,
If you answered "Yes" to any of the above questions, answer Questions Welfare (public assistance, aid to dependent
18-20 with information only for you, your spouse, and other family $ 0
children, etc.) ,
members who live with you.
Other income $ 0
,
If you answered "No" to every question above, answer Questions 18-20
Total $ 0
with information for you, your parents , and other family members who live ,
with you.
If other income, explain
19 20
How many people who live in your household are
A. How many people live in your household (including 0 1 working?
yourself)?
Please indicate their relationship to you.
B. Of the number reported above, how many are your:
Father, Mother,
Stepfather Stepmother
Brother/Sister Children Spouse

Wife or
Husband Yourself Other
Parents Other

FOR UAPC USE ONLY

*** Student Copy *** -2-

BATES TRAN ESL CS S R V

Response to Questions 21 through 23 is voluntary, and the information will be kept confidential. Refusal to provide this information will not affect your
application.
21 Are you Hispanic / Latino? Yes ✔ No

Indicate your race by selecting American Indian or Alaska Native Asian ✔ Black or African American
one or more options.
Native Hawaiian or Other Pacific Islander White
22 From what country or part of the world did you or your family originally come? (Check the box next to the name of the country or part of the world
with which you most identify.)

Bangladesh (012) Cuba (038) Greece (060) Ireland (074) ✔ Nigeria (113) Russia (158)

Barbados (013) Dominican Republic (045) Guyana (065) Israel (075) Panama (117) The Philippines (121)

China: Mainland (032) Ecuador (046) Haiti (066) Italy (076) Peru (120) Trinidad (153)

China: Taiwan (148) England, Scotland, or Wales (160) Hong Kong (170) Jamaica (077) Poland (122) Ukraine (223)

Colombia (033) Germany (056) India (070) Korea (083) Puerto Rico (185) Vietnam (178)

Other - specify

23

PY
Where were you and each of your parents born? You Mother Father
Check one in each column.
Born in the United States, excluding
Puerto Rico or U.S. Territories
Born in Puerto Rico or U.S. Territories
O
Born outside of the United States
C
24
Do you speak a language other than English at home? If yes, with which language do you feel more comfortable?
T

Language other than Equally comfortable

Yes ✔ No ✔ English English with both
EN

24a Your native language 24b Other languages spoken

D

YORUBA ENGLISH
U

25
Father's full name
ST

Last Name First Name MI

26 26a
Father living? Yes No
Father's occupation

Citizen of U.S.? Yes No

27 Father's residence

City State Country

28 Mother's full name

OGUNYEMI OLAWUNMI O
Last Name First Name MI
29 29a
Mother living? ✔ Yes No
Mother's occupation
WORKING
Citizen of U.S.? Yes ✔ No
30 Mother's residence
BROOKLYN NY USA
City State Country

-3-
*** Student Copy ***
EDUCATIONAL INSTITUTIONS ATTENDED
31 A. List the secondary schools that you have attended, beginning with the most recent. Applicants do not have the discretion of omitting any part
of their educational history.

Your Age Dates of Dates of

Name of Institution Country While Attendance: From Attendance: To
Attending
ADEOLA ODUTOLA N/A 11/2008

PY
B. What diploma or certificate did you receive when you completed the secondary
school?
HIGH SCHOOL DIPLOMA Date 1 1 2 0 0 8
Awarded
Month Day Year
O
ALL APPLICANTS MUST SIGN HERE
32
C
I hereby certify that all the information in this application is accurate and complete. I realize that failure to file the appropriate application may affect
my admission status. I understand that all the information contained in this application will be treated confidentially and will be used for institutional
purposes only.
T

Applicant's Signature: Date:

EN

To ensure that your application is processed in a timely manner:

D

· Use paper clips, not staples, to attach documents to your application form.
· Print clearly on all application forms. If you have been educated outside of the
U

· Where possible, submit all documents at the same time. CUNY cannot begin
United States:
processing your application until we have received every component, including
fees and transcripts. You have submitted photocopies of your
ST

· Submit only one application. secondary school documents/transcripts, mark

· Please be sure to mail your completed application to UAPC at the P.O. Box number sheets, and/or diploma.
specified below. You have submitted translations of all foreign
Is your application complete? language documents.
You have submitted a copy of your TOEFL exam,
All items are filled out completely and accurately.
if applicable.
You have enclosed the non-refundable money order or check.

You have included all names under which your transcripts may be filed. You can mail your transcript and money
order or check payable to UAPC to:
You have requested that all official high school transcripts be sent to UAPC.
University Application Processing Center
P.O. Box 350136
If you are applying to a baccalaureate program, you have requested that
Brooklyn, NY 11235-0001
SAT I or ACT scores be sent to UAPC. To request SAT I scores, you may
use either a single CUNY college choice code or the University's code FOR UAPC USE ONLY
(2950), but use only one code.
You have made copies of your application and fee payment for your
records. V M TOEFL

If you are a GED diploma holder, you have sent a photocopy of your diploma
and have requested that your GED scores and all high school transcripts be
sent to UAPC.

NOTE: The City University of New York does not discriminate on the basis of age, sex, race, creed, color, national origin, physical or mental disability,
sexual orientation, marital status, alienage or citizenship status, or veteran's status.
-4-

*** Student Copy ***

*HTRN*

High School Transcript Request Form

Freshman

October 21, 2009

Instructions: Print this form and submit to your school counselor or guidance office so
that your transcript may be forwarded to CUNY/UAPC.

Student Information
Elizabeth O Ogunyemi
789 Thomas S Boyland BSMT
Brooklyn, NY 11212
Date of Birth: 09/16/1992
Graduation Date: 2008

High School Information

Adeola Odutola

To Whom It May Concern:

I am applying to The City University of New York. Please send my high school
transcript, including SAT or ACT scores (if applicable) to the following address:

General Freshman Admission

CUNY/UAPC
P.O. Box 350136
Brooklyn, New York 11235-0001

Please do not include a copy of the application with this document.

Yours truly,
Elizabeth O Ogunyemi

W0008999914 (F)
*FEES*
Application Fee Return Receipt
Freshman

October 21, 2009

Instructions: Print and mail this return receipt along with your non-refundable $65.00
check, money order, or CUNY Fee Waiver payable to CUNY/UAPC in a sealed envelope
to the following address:

General Freshman Admission

CUNY/UAPC
P.O. Box 350136
Brooklyn, New York 11235-0001

Please do not include a copy of your application with this document.

Check the method of payment included with this receipt.

† Personal check in the amount of _____________

† Money order in the amount of _____________
† Official CUNY Fee Waiver # _____________

Student Information
Elizabeth Ogunyemi
789 Thomas S Boyland
Brooklyn, NY 11212
Date of Birth: 09/16/1992
Graduation Date: 2008

W0008999914 (F)
 Document Return Receipt
Freshman

October 21, 2009

Instructions: Print and mail this receipt along with any supporting documents required to
complete your application. When possible, send all documents together in a single
envelope. Please remember to affix proper postage. Mail your materials in a sealed
envelope to the following address:

General Freshman Admission

CUNY/UAPC
P.O. Box 350136
Brooklyn, New York 11235-0001

Please do not include a copy of your application with this document.

Check all the items included with this receipt.

Students Educated Within the United States

† GED (Test Scores & Diploma)

† SAT or ACT Score Report

† Other ___________________________

Students Educated Outside the United States

† Secondary School Transcript(s)

† TOEFL Score Report
† Translation(s) of Academic Record(s)
† Other ___________________________

Student Information
Elizabeth Ogunyemi
789 Thomas S Boyland
Brooklyn, NY 11212
Date of Birth: 09/16/1992
Graduation Date: 2008

Application Control Number: W0008999914 (F)