Marlboro College - Emerson College Transition Form

Welcome to the Marlboro College - Emerson College Transition Form!

This is the first step in exploring a transition to Emerson as part of the proposed alliance between our two institutions. This form will help us create individual academic advising packets, understand your specific financial aid packages, and to build the basis for a potential student record at Emerson. This is a form to indicate your interest in coming to Emerson; the transition will occur only if both the Marlboro Board of Trustees and the Emerson Board of Trustees vote to approve the alliance. Those votes are tentatively scheduled to occur in early May 2020. This form is the first step of the process for students and creates no binding agreements or contracts regarding transitioning to Emerson.

The Family Educational Rights and Privacy Act (FERPA) affords students certain rights with respect to their education records. This form will help ensure a smooth transition and the ability to discuss your records between official at our two institutions. As part of this form, we ask that you release all of our student record, including financial aid information and disciplinary history, from Marlboro College to Emerson College using the FERPA Waiver Form from the Marlboro Registrar's Office.

Personal Information

* Denotes a required question

First Name

Preferred First Name

Middle Name

Last Name

Birthdate

Legal Sex

Marlboro College Email Address

Personal (non-Marlboro College) Email Address

Preferred Phone Number (Include Country Code, if applicable)

Would you like to receive text messages about Emerson College?

Text messaging/SMS will only be used for transition updates and information pertaining to matriculating to Emerson College.

Please note standard text messaging/SMS rates will apply.

Please provide a phone number to receive text messages:

Parent/Family Member 1 information

Parent/Family Member 1 First Name:

Parent/Family Member 1 Last Name:

Parent/Family Member 1 Email:

Parent/Family Member 2 information

Parent/Family Member 2 First:

Parent/Family Member 2 Last Name:

Parent/Family Member 2 Email:

Address Information

Permanent Address

Country

Street

City

Region

Postal Code

Academic Information

Graduating High/Secondary School

Emerson Academic Interest

Please note:
An additional artistic review is required for Performing Arts programs and the Comedic Arts program

Living Arrangements Interest

Which living arrangement would you be most interested in at Emerson for Fall 2020?

Citizenship Information

Primary Citizenship

Residency Status

U.S. Permanent Resident

Dual Citizenship

Current Visa Type

Optional Demographic Information

The following information is optional and for statistical purposes only

Are you Hispanic or Latino?

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Do you identify as Gay, Lesbian, or Bisexual?

Do you identify as transgender?

What is your preferred gender identity?

Self-description of your gender identity:

FERPA Release

Please make sure that you completed your FERPA release form provided by the Marlboro Registrar's Office. Submitting both this interest form and the FERPA release form will ensure a speedy transfer of records from Marlboro to Emerson.

I acknowledge that a FERPA Waiver from the Registrar's Office and this form submission are required for a transfer of immediate student records from Marlboro College to Emerson College. Individual academic advising and my financial aid reviews cannot be completed without completing both this Emerson College form and the Marlboro College Registrar's Office FERPA Waiver.

Yes, I acknowledge both this Emerson form and the Marlboro FERPA Waiver are required for an individual reviews of my records

Confirmation

By signing below, you certify that all information submitted in this process--including this form, any supplemental information, and any other supporting materials--is your own work, factually true, and honestly presented. You acknowledge that any documents you submit become the property of Emerson College and will not be returned to you.

Should the alliance be approved, and should be you be accepted to Emerson, you understand that you may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree, should your certification be discovered to be false.

You understand that all offers of admission are conditional, pending (1) receipt of final transcripts showing work comparable in quality to that upon which the offer was based, (2) honorable dismissal from the school, and (3) final Board of Trustee votes of approval.

This form is an interest form and initial application to Emerson College and does not constitute an official offer of admission.

Yes, I understand this form is not an offer of admission and my completion of it is not an acceptance of an offer

Please type your full name: