Dorothea Lynde Dix Scholars Undergraduate

Dorothea Lynde Dix Scholars Undergraduate Studies
admission application for adult students
www.simmons.edu
application instructions for Dix Scholars
The admission application for adult students is also available online at www.simmons.edu.
Congratulations on your decision to apply to Simmons as a Dorothea Lynde Dix Scholar. As one
of New England’s oldest, most successful undergraduate programs for women 24 years of age
and older, we o¤er you professional preparation with a foundation in the liberal arts. For more
than three decades, the undergraduate admission sta¤ has provided support and guidance to
women applying to Simmons to begin, complete, or supplement their undergraduate education.
We look forward to learning about you.
A P P L I C AT I O N C H E C K L I S T
Please provide the following:
Interview: An interview is recommended for Dix Scholar
applicants. Please send or bring an oªcial copy of any
transcript(s) of previous college work with you so a preliminary evaluation of transfer credit may be made. If
you live some distance away, please call us if you would
like to arrange a phone interview.
Application Form: A completed and signed application form.
$55 Application Fee: A non-refundable $55 application fee
must be submitted along with your application form.
Please make checks payable to Simmons College.
Statement of Purpose: See page two for description.
Official High School Transcripts: Oªcial high school tran-
scripts or GED scores are required. (Second baccalaureate degree candidates and those candidates with an
associate’s degree are exempt from this requirement.)
Official College Transcripts: Oªcial transcripts from all
previously attended institutions, if any, must bear the
college stamp and arrive in sealed envelopes. Contact
the Registrar at each college you have attended and
ask that an oªcial transcript be sent directly to the
Simmons College Oªce of Undergraduate Admission.
College or university transcripts from institutions outside the U.S. must be oªcially translated and evaluated
by the Center for Educational Documentation, P.O.
Box 199, Boston, MA 02117. Phone: 617-338-7171;
fax: 617-338-7101; email: info@cedevaluations.com.
Recommendation(s): Two recommendations are required.
Academic recommendations are preferred.
Résumé: Recommended for all applicants.
NURSING APPLICANTS
Nursing License: Registered nurses applying for the
R.N.–B.S.N. degree completion program are required
to submit a copy of the registered nursing license.
SAT or ACT Information: Nursing applicants must submit
either oªcial SAT or ACT scores. Second baccalaureate
degree candidates are exempt from this requirement.
Deadlines: Nursing applicants should be aware that
spaces for an upcoming start-term may be filled well
before the official application deadline.
TUITION DEPOSIT
Once you are admitted to Simmons College, a nonrefundable tuition deposit of $250 is required. This
deposit is your first payment toward tuition. If you are
interested in on-campus housing, an additional $250
deposit and a housing application is required.
FINANCIAL AID
All degree-seeking Dix Scholars are eligible for the Dix
Scholarship. Simmons also o¤ers financial aid through
grants, loans, and part-time employment. To be considered for financial aid, you must be a U.S. citizen or
permanent resident. Applying for financial aid will have
no bearing on your admission to the College. If you
are interested in applying for aid, you should apply
simultaneously with your application for admission.
Contact the Simmons Oªce of Student Financial Services
to obtain financial aid forms or to inquire about the
process. Phone: 617-521-2001; fax: 617-521-3195; website:
www.simmons.edu/financial_aid. Notification of financial
aid will follow acceptance to Simmons.
Test Scores: If English is not your native language a TOEFL,
IELTS, or comparable test score is required.
Financial Support: Evidence of financial support is
required of applicants who are not U.S. citizens or
permanent residents.
Resident Alien Card: A copy of the Resident Alien card
is required of applicants who are permanent residents.
Application Deadlines: The application deadlines are as
follows: Spring December 1, Summer April 1, Fall July 1
MAILING INSTRUCTIONS
All application materials should be mailed directly to:
Simmons College,Oªce of Undergraduate Admission
300 The Fenway, Boston, MA 02115–5898
The Simmons College admission sta¤ is available to
answer your application questions. Please email us at
dix@simmons.edu or call us at 617-521-2051.
of
admission application
for Dix Scholars
SUBMIT TO:
SIMMONS COLLEGE
TEL: 617-521-2051 800-345-8468
OFFICE OF UNDERGRADUATE ADMISSION
FAX: 617-521-3190
300 THE FENWAY
EMAIL: DIX@SIMMONS.EDU
3
BOSTON, MA 02115-5898
WEBSITE: WWW.SIMMONS.EDU
P E R S O N A L I N F O R M AT I O N
Name
last
first
Date of birth
middle
Place of birth
day
month
name(s) used on previous records or maiden name
Social Security number
year
Mailing address
street
apt. or p.o. box number
city
state
zip
country (if not U.S.)
Home telephone
Cell phone number
Work telephone
Fax number
Email address
Citizenship:
U.S.
Permanent U.S. Resident
Other Country:
Dual Citizenship U.S. and
Visa type/Number:
Native language
Language(s) spoken at home
OPTIONAL QUESTIONS
How would you describe yourself:
Are you Hispanic or Latino?
Yes
No
Check one or more of the following groups in which you consider yourself to be a member:
American Indian or Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
White
Marital Status:
Single
Married
Number of Children
Widowed
Black or African American
Separated
Divorced
Ages
A P P L I C AT I O N I N F O R M AT I O N
I am applying to Simmons College as a Dix Scholar to pursue the following program (please check one):
First Baccalaureate Degree
Second Baccalaureate Degree
I wish to enroll in the term beginning in:
Fall/September
Spring/January
year
I plan to attend:
Summer/May
year
year
Full-time (12–16 credits per semester)
Part-time (4–8 credits per semester)
Intended major (refer to the list on the inside back cover of this application booklet)
Check if you are a Simmons employee or employee dependent.
Have you previously attended Simmons College?
Will you be (check one):
Yes
living in on-campus housing
Will you be filing for financial assistance?
Yes
No
Dates attended
commuting
No
Your answer to this question has no bearing on your admission to the College.
2
admission application
for Dix Scholars
of
3
E D U C AT I O N A L I N F O R M AT I O N
Please list college/post-secondary education and high school information in chronological order, starting with the
most recent.
Name of college
Location
Dates attended
Degree/major
Name of high school
Location
Dates attended
Degree/major
A D D I T I O N A L E D U C AT I O N
List technical training, noncredit, or adult education courses you have taken.
Course title
Institution
Dates attended
S TAT E M E N T O F P U R P O S E
Please attach an autobiographical essay, reflecting upon your personal and professional experiences. Describe how these
experiences have influenced your decision to attend college as an adult student.
Please double-space your statement, which should be between two and four pages long.
T E S T I N F O R M AT I O N
If English is not your native language, you are required to submit a TOEFL, IELTS, or comparable test score. A minimum
TOEFL score of 560 paper-based (83 Internet-based) or IELTS score of 6.5 is required for admission. Additional English
language proficiency exams are accepted on a case by case basis. Scores will be reviewed individually.
English Language Proficiency Exam (TOEFL or IELTS)
dates taken or to be taken
score
dates taken or to be taken
score
SAT/ACT*
*Required for first degree nursing applicants.
WORK EXPERIENCE
Please list in chronological order, starting with the most recent. You may also submit a résumé.
Employer
Address
Does your current employer provide tuition reimbursement?
Position
Yes
Dates
No
3
admission application
for Dix Scholars
of
3
VOLUNTEER EXPERIENCE
Volunteer and community activities during the past five years:
Organization
Address
Nature of the work
Dates
HONORS AND ACTIVITIES
Briefly describe any awards, publications, or other special achievements:
R E L AT I V E S W H O A R E S I M M O N S A L U M N A E / I O R C U R R E N T S T U D E N T S
Name
last
first
maiden
class year
relationship
last
first
maiden
class year
relationship
Name
A D D I T I O N A L I N F O R M AT I O N
How did you first learn about Simmons College?
Simmons student
Simmons publication
name
name
College fair
Advertisement
where
where
Online college guide
Guide book
name
name
Career/College counselor
Familiar with Boston area
Friend/relative
Teacher
Simmons website
Alumnae/i
Internet search
name
Why have you chosen to apply to Simmons College? (Please rank the following items from 1–8 with 1 being the most influential.)
Campus visit
College night
Friend
Guidance counselor
Simmons publications
Admission Counselor
Parent(s)
Email communication
Open house
Other, please specify
Simmons website
S I G N AT U R E
My signature below indicates that all information contained in my application is complete, factually correct, and honestly
presented. I understand that upon acceptance and enrollment, I am subject to the oªcial policies and procedures of
Simmons College, as published or referred to in the Undergraduate Student Handbook and the Simmons College Course
Catalog. These policies and materials are revised from time to time, and form the contract for my enrollment with
Simmons College through the Dorothea Lynde Dix Scholars option. I understand that I am responsible for obtaining
and reviewing these policies and materials and agree to be bound by them. I aªrm that I will pay the tuition, fees, and
other charges assessed in accordance with the Simmons College published financial policies.
I hereby agree that the information given on this application is complete, factually correct to the best of my knowledge,
and honestly presented. In addition, I certify that I have not attended institutions other than those listed.
signature
date
Simmons College is committed to a policy of nondiscrimination. A statement of this policy and the mechanism for redress of grievances can be found
in the College’s Nondiscrimination Notice and Grievance Procedure. For a copy, call 617-521-2082.
recommendation form
SUBMIT TO:
SIMMONS COLLEGE
TEL: 617-521-2051 800-345-8468
OFFICE OF UNDERGRADUATE ADMISSION
FAX: 617-521-3190
300 THE FENWAY
EMAIL: DIX@SIMMONS.EDU
BOSTON, MA 02115-5898
WEBSITE: WWW.SIMMONS.EDU
TO BE COMPLETED BY APPLICANT
Applicant Information
Fill in your name and address, and give this form with a stamped envelope addressed to Simmons, to an individual
such as an employer, instructor, mentor, or professional colleague who is able to assess your potential.
Name
last
first
middle
street
apt. or p.o. box number
state
zip
Home address
city
Home telephone
Cell phone number
Email address
Date of birth
month
day
year
Under the provisions of the Family Educational Rights and Privacy Act,
I waive my right of access to this recommendation.
I retain my right of access to this recommendation.
signature
date
TO BE COMPLETED BY RECOMMENDER
The Admission Committee finds candid evaluations helpful in reviewing a candidate’s potential for success at
Simmons. Thank you for your help.
Name
Position
Company/college name
Company/college address
street
city
Telephone
Cell phone number
Email address
Fax number
B A C K G R O U N D I N F O R M AT I O N
How long have you known this applicant and in what capacity?
What are the first words that come to your mind when describing this applicant?
state
zip
R AT I N G S
Compared to other students, how does the applicant rate in terms of academic/professional skills and potential?
Please mark the appropriate boxes below:
below average
(lowest 40%)
no basis
average
(middle 20%)
good
(next 20%)
very good
(top 20%)
excellent
(top 10%)
outstanding
(highest 1%)
Creative, original thought
Motivation
Independence, initiative
Intellectual ability
Academic achievements
Written expression of ideas
E¤ective class discussion
Disciplined work habits
Potential for growth
Overall evaluation
Communication skills
E VA L U AT I O N
Please tell us what you think is important about the applicant, emphasizing her preparedness for college and the
academic, personal, and professional experiences that have contributed to her readiness for college.
S I G N AT U R E
Submitted by
signature
date
recommendation form
SUBMIT TO:
SIMMONS COLLEGE
TEL: 617-521-2051 800-345-8468
OFFICE OF UNDERGRADUATE ADMISSION
FAX: 617-521-3190
300 THE FENWAY
EMAIL: DIX@SIMMONS.EDU
BOSTON, MA 02115-5898
WEBSITE: WWW.SIMMONS.EDU
TO BE COMPLETED BY APPLICANT
Applicant Information
Fill in your name and address, and give this form with a stamped envelope addressed to Simmons, to an individual
such as an employer, instructor, mentor, or professional colleague who is able to assess your potential.
Name
last
first
middle
street
apt. or p.o. box number
state
zip
Home address
city
Home telephone
Cell phone number
Email address
Date of birth
month
day
year
Under the provisions of the Family Educational Rights and Privacy Act,
I waive my right of access to this recommendation.
I retain my right of access to this recommendation.
signature
date
TO BE COMPLETED BY RECOMMENDER
The Admission Committee finds candid evaluations helpful in reviewing a candidate’s potential for success at
Simmons. Thank you for your help.
Name
Position
Company name/college
Company/college address
street
Home telephone
Email address
city
state
Cell phone number
Fax number
B A C K G R O U N D I N F O R M AT I O N
How long have you known this applicant and in what capacity?
What are the first words that come to your mind when describing this applicant?
zip
R AT I N G S
Compared to other students, how does the applicant rate in terms of academic/professional skills and potential?
Please mark the appropriate boxes below:
below average
(lowest 40%)
no basis
average
(middle 20%)
good
(next 20%)
very good
(top 20%)
excellent
(top 10%)
outstanding
(highest 1%)
Creative, original thought
Motivation
Independence, initiative
Intellectual ability
Academic achievements
Written expression of ideas
E¤ective class discussion
Disciplined work habits
Potential for growth
Overall evaluation
Communication skills
E VA L U AT I O N
Please tell us what you think is important about the applicant, emphasizing her preparedness for college and the
academic, personal, and professional experiences that have contributed to her readiness for college.
S I G N AT U R E
Submitted by
signature
date
midterm grade report form
for Dix Scholars
SUBMIT TO:
SIMMONS COLLEGE
TEL: 617-521-2051 800-345-8468
OFFICE OF UNDERGRADUATE ADMISSION
FAX: 617-521-3190
EMAIL: DIX@SIMMONS.EDU
300 THE FENWAY
BOSTON, MA 02115-5898
WEBSITE: WWW.SIMMONS.EDU
TO BE COMPLETED BY APPLICANT
Applicant Information
If your transcript with your final grades for the current semester will not arrive at Simmons in time to be considered in
the admission decision, the Admission Committee requests that you complete this form and send it with your application.
Complete the top portion of this page, and ask your professors to supply the information requested. Return this form to
the Oªce of Undergraduate Admission, Simmons College, 300 The Fenway, Boston, MA 02115–5898.
I am applying as a Dix Scholar for entry in:
Fall (deadline: July 1)
Spring (deadline: December 1)
Summer (deadline: April 1)
Name
last
first
middle
prefer to be called
Home address
city
Home telephone
Email address
street
apt. or p.o. box number
state
zip
Cell phone number
Date of birth
month
day
year
College or University
TO THE INSTRUCTOR
The applicant named above has applied for transfer admission to Simmons College. The Admission Committee reads this
form carefully and considers your comments to be very important. This report is for the use of the Admission Committee
only and will not become part of the student’s cumulative record. Thank you for your cooperation on behalf of this applicant.
Department
Course number
Course title
Midterm average
Instructor’s signature
Date
Comments (optional)
Department
Course number
Course title
Midterm average
Instructor’s signature
Date
Comments (optional)
Department
Course number
Course title
Midterm average
Instructor’s signature
Date
Comments (optional)
Department
Course number
Course title
Midterm average
Instructor’s signature
Date
Comments (optional)
Department
Course number
Course title
Midterm average
Instructor’s signature
Date
Comments (optional)
Department
Course number
Course title
Midterm average
Instructor’s signature
Date
Comments (optional)
Department
Course number
Course title
Midterm average
Instructor’s signature
Date
Comments (optional)
application instructions for
financial aid, academic year
SUBMIT TO:
SIMMONS COLLEGE
TEL: 617-521-2051 800-345-8468
OFFICE OF UNDERGRADUATE ADMISSION
FAX: 617-521-3190
300 THE FENWAY
EMAIL: DIX@SIMMONS.EDU
BOSTON, MA 02115-5898
WEBSITE: WWW.SIMMONS.EDU
F I N A N C I A L A I D A P P L I C AT I O N P R O C E D U R E
Application for financial aid begins at the same time as application for admission. The two decisions are made
independently and application for aid will in no way influence the decision for admission.
For additional information regarding financial aid at Simmons, visit www.simmons.edu/sfs or refer to the publication
titled Financing Options. To receive a copy of this publication, please contact the Oªce of Undergraduate Admission.
For individual assistance or for answers to your specific questions concerning financial aid, a Simmons College financial
aid counselor is available to assist you. Please call 617-521-2001 to speak to a member of the Student Financial
Services sta¤.
PLEASE NOTE THE FOLLOWING:
■
■
The Free Application for Federal Student Aid (FAFSA) form is available in late fall.
The FAFSA form requires your family income information for the previous year. If you did not file a Federal Income
Tax Return last year, you should use estimated information based on the year-ending salary listed on your pay stubs
or W-2 forms.
■
Simmons College Title IV institution code for FAFSA is 002208.
■
Put your Social Security number on all forms submitted.
■
■
Be sure to save a copy of your FAFSA form as well as any materials you submit to the Oªce of Student
Financial Services.
Visit the Oªce of Student Financial Services website at my.simmons.edu/services/sfs for more information,
to download forms, or link to other related websites.
FINANCIAL AID REQUIRED DOCUMENTS AND DEADLINES*
The deadlines for completing each stage of the financial aid application process are listed below. It is important that
you meet these deadlines in order to receive full consideration for need-based financial aid from Simmons College.
Required documents
Free Application for Federal Student Aid (FAFSA)
(Title IV institution code: 002208)
Action required
Mail to federal processor
Deadline
April 1
*Dix Scholars may be required to complete a supplementary application for financial aid.
notes
program options
MAJORS
MINORS
Africana Studies
Art
Arts Administration
Biochemistry
Biology
Chemistry
Chemistry-Management
Communications
Integrated Media
Writing
Design (Including
Graphic Design)
Public Relations/Marketing
Communications
Computer Science
Dietetics
East Asian Studies
Economics
Economics and Mathematics
Education
Early Childhood
Elementary, Middle, or
High School
Social Studies Education
Spanish, French, or English
as a Second Language
English
Environmental Science
Finance
Financial Mathematics
French
History
Information Technology
International Relations
Management
Marketing
Mathematics
Music
Nursing
Nutrition and Dietetics
Nutrition and Food Science
Philosophy
Physical Therapy
Physics
Political Science
Psychobiology
Psychology
Public Health
Retail Management
Sociology
Spanish
Special Education
Women’s and Gender Studies
Most majors are offered as
minors in addition to:
Business Metrics
Cinema & Media Studies
Gender History
Leadership and Women
Photography
Physics of Materials
Performing Arts
Public History
Public Policy Studies
Scientific Computation
Social Justice
Statistics
SIMMONS
College of Arts and Sciences
Oªce of Undergraduate Admission
300 The Fenway
Boston, MA 02115-5898
Phone: 617-521-2051 or 800-345-8468
Fax: 617-521-3190
Email: dix@simmons.edu
www.simmons.edu
Simmons College does not
discriminate unlawfully on
the basis of race, color,
national origin, age, sex,
disability, sexual orientation,
religion, ancestry, genetic
information, or veteran
status in admission to, access
to, treatment in, or employment in its programs and
activities in accordance with
state and federal law, including
but not limited to, Title VI
of the Civil Rights Act of
1964, Section 504 of the
Rehabilitation Act of 1973,
Title IX of the Education
Amendments of 1972, the Age
Discrimination Act of 1975,
and the Code of Federal
Regulations Parts 100, 104,
106, and 110. The College’s
Director of Human Resources,
300 The Fenway, Boston,
MA, 02115 (telephone:
617-521-2084) has been
designated to handle
inquiries regarding the
College’s nondiscrimination
policies concerning employment. All other inquiries
should be directed to the
Office of the President,
Simmons College, MCB 202,
300 The Fenway, Boston, MA,
02115 (617-521-2073). Inquiries
concerning the application of
nondiscrimination policies
may also be directed to the
Assistant Secretary for Civil
Rights at the U.S. Department
of Education, Office for Civil
Rights, 330 C. Street, SW,
Washington, D.C., 20202