Graduate Application - Mercy College

Mercy College 

Graduate Application

Admissions Procedures 

Your application cannot be processed until the 

following documents have been submitted. The 

application process is confidential. 

Application requirements: 

• completed and signed application (Physician 

Assistant students must apply online at 

www.casponline.org. DO NOT USE THIS 

FORM.) 

• nonrefundable $40 application fee ($62 

application fee for Communication Disorders, 

Occupational Therapy, and Physical 

Therapy.) 

• official Baccalaureate transcript(s) 

• supporting documents may be required 

depending on program of interest. 

Supporting documents may include: 

• letters of recommendation 

• personal statement 

• resume 

• test scores 

• additional transcripts from other 

colleges or universities 

*For a complete list of documents please visit 

our Graduate catalog, 

www.mercy.edu/academics/bulletins-catalogs 

Application Type and Submission 

Mercy College accepts applications online and 

in paper format. Online applications are available 

from Mercy College’s website: www.mercy. 

edu/apply. Any application and supporting 

document(s) should be mailed to Student Services 

Support Center 2651 Strang Boulevard, 

Yorktown Heights, NY 10598. 

Admissions Policy 

Once all required documents are submitted 

to the Student Services Support Center your 

file will be reviewed by the academic program 

for which you applied. A graduate admissions 

committee will assess your credentials and 

provide you with prompt feedback. 

Additional Application Information 

for International Students 

If you have attended colleges and universities 

outside of the United States your official 

transcripts must be evaluated by an accredited 

evaluation service. Please visit www.NACES. 

org for a complete list of accredited agencies 

accepted by Mercy College. Please note TOEFL 

scores may be required for non-native speakers 

of English. 

Master’s Degree Programs 

Degree Major Code 

School of Business 

• Business Administration MBA GBNS 

• Human Resource Management MS HRMG 

• Human Resource Management, Certificate CER HRCT 

• Public Accounting MS ACMP 

• Organizational Leadership MS BUOL 

School of Liberal Arts 

• Cybersecurity MS CSEC 

• Web Strategy and Design MS WEBS 

• Web Strategy and Design, Certificate CER WBCT 

• English Literature MA ENGL 

School of Health and Natural Sciences 

• Communication Disorders MS CMDS 

• Nursing Administration MS NUAD 

• Nursing Administration (Post Masters Certificate) PMC NSAD 

• Nursing Education MS NUED 

• Occupational Therapy MS OTNS 

• Physical Therapy DPT PTNS 

• Physician Assistant Studies 

*(apply at www.casponline.org) 

School of Education 

• Adolescent Education, Grades 7-12 MS EDAE 

• Applied Behavior Analysis (Post Masters Certificate) PMC ABHA 

• Bilingual Education MS BLNS 

• Childhood Education, Grades 1-6 MS EDCE 

• Early Childhood Education, Birth-Grade 2 MS EDEC 

• School Building Leadership MS SBLD 

• School Building Leadership, Advanced Certificate ACER SBLD 

• School District Leadership, Advanced Certificate ACER SDLD 

• Teaching English to Speakers of Other Languages (TESOL) MS TESL 

• Teaching English to Speakers of Other Languages (TESOL) Cert. ACER TESL 

• Teaching Literacy, Birth-Grade 6 MS RLCH 

• Teaching Literacy, Birth-Grade 12 MS RLCE 

• Teaching Literacy, Grades 5-12 MS RLEL 

• Teaching Literacy, Grades 5-12, Advanced Certificate ACER RLEL 

School of Social and Behavioral Sciences 

• Counseling MS CDNS 

• Health Service Management MPA HSMG 

• Health Service Management MS HSMG 

• Marriage and Family Therapy MS MFTH 

• Marriage and Family Therapy, Certificate CER HSCT 

• Mental Health Counseling MS MHCN 

• Psychology MS PSYN 

• School Psychology MS SCPY 

Program is offered fully online and on campus 

For more information regarding the 

International application procedure please 

email: [email protected]

for office use only 

1 

fee paid 

recruiter code________________ 

555 Broadway | Dobbs Ferry, New York 10522 USA 

1-877-MERCY-GO | www.mercy.edu 

APPLICATION FOR GRADUATE ADMISSION 

Apply now - visit www.mercy.edu for an online application. Please note that the Admissions Office does not 

process any application that is not accompanied by the non-refundable application fee or is incomplete. 

General Information 

middle name 

social security number 

last name 

telephone 

street address apartment # 

cell phone 

city state zip code 

e-mail 

Preferred Mailing Address (if different from above) 

street address 

apartment # 


country 

telephone 

Personal Information 

birth date 

Sex: male female 

month/day/year 

U.S. citizen 

non - U.S. citizen 

visa type 

permanent resident 

alien registration number 

country of citizenship 

Check here if you require an I-20 Eligibility Form

Personal Information (continued) 

2 

Marital status: single married divorced widowed 

Do you consider yourself to be Hispanic/Latino: 

Hispanic or Latino 

Not Hispanic or Latino 

Select one or more of the following racial 

categories to describe yourself: 

American Indian or Alaskan Native 

Native Hawiian or other Pacific Islander 

Asian 

White 

Black or African American 

Have you ever served in the U.S. Armed Forces? yes no 

start date 

end date 

Family Information 

Are either of your parents/guardian a fulltime 

Mercy College employee? 

yes 

no 

if yes, provide name 

Has a family member or friend attended 

Mercy College? 

yes 

no 

if yes, provide name, dates attended, and relationship to you 

What is the highest level of education 

achieved by your parents? 

mother 

father 

Academic Information 

year 

Desired entrance date: Spring Summer 

Fall 

Winter 

I plan to study: full-time part-time 

Intended major concentration: 

degree 

major code 

Enter the code related to your degree and major concentration found in 

the degree programs section (on the inside cover). 

Which campus do you wish to attend: 

main campus - Dobbs Ferry 

Manhattan 

Distance Learning (online) 

Bronx 

Yorktown Heights 

University or College(s) Attended 

school name 

degree earned 

anticipated degree 

or 



date entered date left graduation date/ anticipated date GPA credits earned 

include credits 

in progress

University or College(s) Attended (continued) 

If extra space is needed for additional university or college(s) please attach a separate sheet of paper 

school name 

degree earned 

53 



date entered 

date left 

graduation date/ anticipated date 

GPA 

credits earned 


in progress 

Graduate School Attended (if applicable) 

If extra space is needed for additional university or college(s) please attach a separate sheet of paper 

school name 

degree earned 

program enrolled in 


or 


date entered 

date left 

graduation date 

GPA 

credits earned 


in progress 

How did you first learn about Mercy College? 

billboard 

bus advertisement 

email 

internet advertisement 

internet search engine 

magazine 

Mercy College website 

military publication 

newspaper 

off campus event 

postcard 

radio 

recruiter 

referred by counselor 

referred by family member 

referred by student/alumni 

responding to phone call 

television 

other 

What are your most important reasons for choosing Mercy College? 

variety of courses 

affordability 

academic reputation 

career advancement 

flexible scheduling 

convenient location 

small classes 

specific majors 

support services 

other 

referred by friend 

referred by professional

Meningococcal Meningitis Vaccination 

64 

Mercy College is required to maintain a record of the following for each student: 

1. A response to receipt of meningococcal disease and vaccine information signed by the student. 

2. A record of meningococcal meningitis immunization within the past 10 years; or 

3. An acknowledgment of meningococcal disease risks and refusal of the immunization signed by the student. 

Graduate Application 

New York State Public Health Law requires that all college and university students enrolled for at least six (6) semester hours complete and 

return the following form to the Registrar’s Office. Please check one: 

I have (for students under the age of 18: My Child has): 

had meningococcal meningitis immunization within the past 10 years. 

If checked, date received: 

(Date Format: MM/YYYY) 

(Note: If you (or your child) received the meningococcal vaccine available before February 2005 called Menomune, please note this vaccine’s protection lasts for aproximately 

3 to 5 years. Revaccination with the new conjugate vaccine called Menactra should be considered within 3-5 years after receiving Menomune. 

read, or have had explained to me, the information regarding meningococcal meningitis disease. I understand the risks of not receiving 

the vaccine. I have decided that (my child) will not obtain immunization against meningococcal meningitis disease. 

Student’s name: 

Student’s date of birth: 

(format: MM/DD/YYYY) 

Application Checklist please check off submitted items 

Completed application that is signed and dated 

Attached a check or money order for non-refundable U.S. fee. Nonrefundable $40 application fee ($62 application fee for Communication 

Disorders, Occupational Therapy, and Physical Therapy.) 

Official Baccalaureate transcripts 

Supporting documents that may be required depending on program of interest (please visit our Graduate catalog, 

www.mercy.edu/academics/bulletins-catalogs to determine program specific requirements) 

Letters of recommendation 

Personal statement 

Resume 

for international students 

Sent TOEFL score 

Test Scores 

Attached an officially translated transcript from an accredited agency. Please visit www.NACES.org. 

Student Statement to be signed by all applicants 

I certify that all information given in this application is complete and accurate. If I am admitted to Mercy College, I agree to abide by established 

rules and regulations of the college stated in the current Mercy College catalog. 

applicant’s signature 

date 

signature of parent/guardian 

date 

If the applicant is under 18 years of age, the application must be signed by a parent or guardian. 

Please submit your completed application to any 

campus location or mail to the following address: 


Student Services Support Center 

2651 Strang Boulevard 

Yorktown Heights, NY 10598 

Mercy College is committed to achieving full equal opportunity in all aspects of college life. Mercy College does not discriminate on the basis of gender, race, age, ethnicity, marital or domestic 

partnership status, national origin, sexual orientation, religion, disability, or veteran status.

- Letter of Recommendation - 

Supporting Document: 

Graduate Recommendation Form (to be filled out by the applicant, please print) 

Please visit our Graduate catalog, www.mercy.edu/academics/bulletins-catalogs to determine program specific requirements 

_________________________________________________ _____________________________ _____________________________________ 

middle name 

social security number 

7 

_________________________________________________ 

last name 

__________________________________________________ 

street address apartment # 

_______________________________ 

_________________________________________________ _______ ____________________ 


_________________________________________________ 

program 

Under the federal Family Educational Rights and Privacy Act of 1974, as amended, (PL 93-380) students entitled to review their records, 

including letters of recommendation. It is your option to waive your right of access to this recommendation, or deadline to do so. The College 

does not require that you make such a waiver as a condition for admission. 

I waive my right to this recommendation. 

I do not waive my right of access to this recommendation. 

I hereby authorize 

____________________________________ 

to complete this recommendation, with the understanding that the 

information will be kept confidential. 

applicant’s signature: ______________________________________________ 

name of reference: _________________________________________________ 

reference address: _________________________________________________ 

__________________________________________________________________ 

date: ________________________________________________________ 

reference organization: _______________________________________ 

reference telephone number: __________________________________ 

reference email: _____________________________________________ 

To be completed by the person making the recommendation 

The student above is applying for admission to a Mercy College Graduate Program, and has selected you to provide a reference. Please 

respond to the following on the applicant’s behalf. 

How long have you known the applicant? 

How well do you know the applicant? 

___________________________________________________________________________________________ 

very well fairly well not well 

In what capacity have you known the applicant? _____________________________________________________________________________________ 

Please describe the qualifications, traits, strengths, or accomplishments you feel are significant in demonstrating the applicant’s ability to 

complete the Graduate Program. Please add a separate sheet of paper if necessary. 

_________________________________________________________________________________________________________________________________ 

_________________________________________________________________________________________________________________________________ 

_________________________________________________________________________________________________________________________________ 

Are there any concerns that may limit the applicant’s success in completing the Graduate Program? 

_________________________________________________________________________________________________________________________________ 

_________________________________________________________________________________________________________________________________ 

_________________________________________________________________________________________________________________________________

In comparison with other students you have taught, or other employees with whom you have worked or supervised, how do you rate the 

applicant on the following characteristics? Please check the appropriate box. 

8 

CHARACTERISTIC OUTSTANDING VERY GOOD GOOD AVERAGE BELOW AVERAGE NOT OBSERVED 

critical thinking and analytical skills 

leadership capability 

emotional stability and maturity 

ability to work in a team, collaborative ability 

speaking skills 

writing skills 

interpersonal skills 

ability to work independently 

organizational skills 

Please indicate the confidence with which you would or would not recommend the applicant for admission to Mercy College’s Graduate Program. 

strongly recommend recommend recommend with reservations not recommend 

signature: _______________________________________________________ 

date: _____________________________________________________ 

name (please print): ______________________________________________ 

title: 

_____________________________________________________ 

organization: 

___________________________________________________ 

business phone: 

___________________________________________ 

address: 

_______________________________________________________ 

email: ____________________________________________________ 

________________________________________________________________ 

Please return this letter in a sealed envelope to Mercy College Student Services Support Center. Be sure you have sealed the envelope and signed 

across the seal. 


Student Services Support Center 

2651 Strang Boulevard, 

Yorktown Heights, NY, 10598.

Funding Your Education 

Mercy College offers competitive financial 

support making a graduate degree affordable. 

We encourage you to contact our Student Services 

Support Center at 1-877-MERCY-GO. 

Financial Aid 

For students who qualify for need-based assistance, 

Mercy College offers a full range of 

federal, state and institutional grants, and 

loans. The amount of federal aid you are 

qualified to receive will be determined from 

the Free Application for Federal Students Aid 

(FAFSA). We recommend applying as early as 

possible, that way you will receive notification 

of your aid eligibility in plenty of time to 

make your final decision. 

Scholarships 

Mercy College offers a large number of scholarship 

opportunities. Scholarships range 

from graduate assitantships, campus employment, 

to program specific awards. To learn 

more or apply for any of our scholarship programs 

please call 1-877-MERCY-GO. 

Payment Plan 

Mercy College offers a payment plan in cooperation 

with Tuition Management Systems 

(TMS). You don’t have to pay for college in two 

large payments. Charges for the academic 

year may be met in monthly payments interest 

free. To learn more about TMS visit www. 

afford.com or call 888-463-6994. 

To apply for financial aid: 

As soon after January 1 st as possible, file the FAFSA 

(available online at www.fafsa.gov). This will allow for 

your FAFSA application to be processed before the 

Mercy College February 15 th priority deadline. When 

filling out the FAFSA, include the Mercy College code: 

002772 

It’s as simple as that! Once we have your completed 

application and FAFSA, we will contact you regarding 

the completion of your financial aid forms, but it is your 

responsibility to make sure you have submitted the 

required forms. 

Remember, do not wait to be accepted to file for 

financial aid. For complete information about financial aid 

at Mercy College, call 1-877-MERCY-GO or visit our 

website at www.mercy.edu/admissions/financial-aid/. 

97 

Graduate Admissions Locations: 

Contact Us: 

Main Campus - Dobbs Ferry 

555 Broadway 

Dobbs Ferry, NY 10522 

Bronx Campus 

1200 Waters Place 

Bronx, NY 10461 

Manhattan Campus 

66 West 35th Street 

New York, NY 10001 

Yorktown Heights Campus 

2651 Strang Boulevard 

Yorktown Heights, NY 10598 

E-mail 

[email protected] 

Phone 

1-877-MERCY-GO 

Online 

www.mercy.edu

WWW.MERCY.EDU | 877-MERCY-GO 

MAIN CAMPUS - DOBBS FERRY | BRONX | MANHATTAN | WHITE PLAINS | YORKTOWN HEIGHTS

Graduate Application - Mercy College

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