List in chonological order (the most recent first) all secondary and higher educational institutions attended.  Be sure to include high school information.

Provisional Admittance Agreement

 

A student, who does not meet the admissions requirements of a 2.0 GPA for Massage Therapy or a 2.5 GPA for Acupuncture or Oriental Medicine, may be considered for provional admittance as a matriculated student.  This agreement with New York College of Health Professions is on a provisional basis with the approval of the Director of Student Services and/or the Dean of the program.  This agreement serves to define the terms and conditions of provisional admittance for the student above.

1.  The student must take the following courses:

Massage Therapy Program:

1. Anatomy & Physiology I
2. Fundamental Holistic Health/Public Health

 

AC/OM Program:

1. Fundamental Theory
2. Intro to Physical Arts
3. Intro to Herbs

2.  The purpose of the probitionary period is to determine the student's ability to successfully complete the program.  The student is required to meet with the Director of Student Services and must follow their recommendations.

3.  At the end of the trimester, the Director of Student Services will evaluate the performance of the student, and the student will be permitted to either continuecontinue in the program  as a full-time student or be dismissed from New York College.

Provisional Admittance is fo one trimester only.

STUDENT OATH

 

I, the undersigned, do solemnly swear that my behavior while a student of the New York College of Health Professions shall be an example of professionalism, decency and respect.  I understand that my fellow students have interests, backgrounds, and beliefs that differ from my own, and agree that this diversity will be acknowledged, understood, and respected.  I understand that training in oriental medicine/massage therapy requires crossing certain physical and interpersonal boundaries, and that I must at all times be sensitive and aware of the potential discomfort to fellow boundaries.  I understand that misconduct of any kind, be it physical, verbal and/or sexual in nature, will not be tolerated and will be grounds for dismissal from the program.

By singing this oath, I am agreeing to uphold the highest standards of personal and professional conduct, and I am contributing to the overall positive development and reputation of the field of oriental medicine/massage therapy and of the New York College of Health Professions.

STATEMENT OF COMMITMENT

 

Sign and date this docuement to let us know that you have read the New York College's Drug and Alcohol Abuse Program and that you understand that you are prohibited from using, possessing, and distributing illegal drugs or aocohol while on school grounds or engagaed in activities which are part of school programs.  This mandate includes arriving under the influence of any of these substances.  This form will be kept in your permanent student file.

I have read the New York College's Drug and Alcohol Abuse Prevention Program.  I understand that drug abuse will not be accepted or overlooked, and that the college has information available to assist me in staying drug free.

DOCUMENTATION FOR REASONABLE ACCOMMODATIONS

Enrollment Form for all programs at New York College of Health Professions

Please sign and return this form to the Admissions Office withyour enrollment papers.  All students are required to return this form.  New York College will provide reasonable accommodations in the learning and instructional environment or enjoyment of the benefits offered, in order to meet the documented needs of students with a disability within the meaning of section 504 of the Rehabilitation Act of 1993, 29 U.S.C. 794.

 While necessary accommodations will be made, the regulations and requirements of New York College will remain identical for all students.  In order to provide accommodations, any report here shall be formally assessed.  You are responsible for procuring and submitting to the Admissions Office any and all written professional assessments regarding any disability you may have that would require special accommodations.  If you do not submit written assessments to the Admissions Office the College will not be able to make accommodations on your behalf.  As such, please provide New York College with the following information:

Federal Family Educational Rights and Prvacy Act (FERPA)

Notice & Release Form

 

Intrepretation of The Family Educational Rights and Privacy Act:

The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. 1232g; 34 CFR Part 99) is a Federal Law that protects the privacy of student education records.  The law applies to all schools that receive funds under an applicable program of the U.S. Department of Education.

FERPA gives parents certain rights with respect to their children's education records.  These rights transfer to the student when he or she reaches the age of 18 or sttends a school beyond the high school level.

Essentially, the law states that no on eoutside the institution shall have access to a student's educational record nor will the institution disclose any information from those records without written consent from the student.  By completing this form you are giving permission to the stated person to access the specific records indicated.

Required Immunizations

New York State Public Health Law (PHL) section 2165 requires all students attending post secondary institutions thatwere born on or after JANUARY 1, 1957 and registered for 6 or more credits to demostrate proof of immunity against measles, mumps, and rubella.  Those born before 1957 do not need to submit proof of immunization.

Failure to submit proof of immunization prior to the 30th day of the regular trimester will result in disenrollment from all classes.  Disenrolled students are not permitted to be physically present in any classes.  Disenrolled students are not entitled to any refund of tuition and fees.

A certificate of immunization (required to provide proof of immunity) includes documents such as a certifcate from a health care provider, immunization registry record, military immunization record, immunization portion of a passport, or an immunization card signed by a health care provider.  An immunization record may also show health care provider diagnosis of disease or labaratory evidence of immunity.  Immunization records must be signed or stamped by a health care provider.

IMMUNIZATION REQUIREMENTS

MEASLES (Proof of immunity for measles must be demostrated by meeting one of the following three requirements)

1. Two doses of live measles vaccine.  The first dose must have been received no more than 4 days prior to the first birthday and the second dose received at least 28 days after the first dose, OR
2. Physician diagnosis of disease, OR
3. Serologic evidence of immunity.

MUMPS (Proof of immunity for mumps must be demostrated by meeting one of the following three requirements)

1. One dose of live mumps vaccine received no more than 4 days to the first birthday, OR
2. Physician diagnosis of disease, OR
3. Serologic evidence of immunity.

RUBELLA (Proof of immunity for rubella must be demostrated by meeting one of the following three requirements)

1. One dose of live rubella vaccine received no more than 4 days to the first birthday, OR
2. Physician diagnosis of disease, OR
3. Serologic evidence of immunity.

EXEMPTIONS FROM IMMUNIZATIONS

1. A medical exemption must be written by a physician, physcian assistant, nurse practitioner and state that a valid contraindication to vaccination exists.  The exemption must specify which immunizations are contraindicated and why.
2. A religious exemption is a notorized written and signed statement from the student (parent or guardian of students less than 18 years of age) that he/she objects to the immunization due to his/her religious beliefs.
3. MILITARY WAIVER (Students honorably discharged from the military within 10 years from the date of application to this institution may attend class pending the receipt of immunization records from the armed services.)

I HAVE READ THE ABOVE, AND I FULLY UNDERSTAND THAT IT IS MY RESPONSIBILITY TO OBTAIN AND PROVIDE SATISFACTORY EVIDENCE OF THESE IMMUNIZATIONS AND THAT I MAY NOT ATTEND CLASSES UNTIL THE EVIDENCE HAS BEEN SUBMITTED.

Meningococcal Meningitis Vaccination Awareness Form

New York State Public Health Law requires that all college and university students enrolled for at least six(6) semester hours or the equivalent per semester, or at least four(4) semester hours per quarter, complete and return the following form to the Registrar's Office.

New York College of Health Professions

Financial Intent Form

AUTHORIZATION FOR RELEASE

There may be moments during your application process where you may need the assistance of our counselors to retrieve your records.  Should you require the aid of our counselors, we will attempt to the best of our abilities to request such documents on your behalf.  Please note, we will only request certain documents listed below.  Please note, this is not a guarentee that we will be able to retrieve/request these document for you, and that you as an applicant are still responsible in submitting these documents if required.

 

Directions:  In order to be completely enrolled in New York College of Health Professions, you must have all required documents and financial information completed.  Below is a checklist of required items if necessary and their corresponding Departments.  Please check off each one as acknowledgement:

ALL REQUIRED DOCUMENTATION IS DUE NO LATER THAN THE FIRST DAY OF THE TRIMESTER.  FAILURE TO SUBMIT THE REQUIRED DOCUMENTS WILL POSSIBLY RESULT IN BEING BLOCKED OR DISMESSED FROM ATTENDING CLASS.

When finished, please click the Submit Application below or hit back to review your application.  A representive will get in touch with you to complete the enrollment process.

Thank You.