Application for Professional Programs

Congratulations on taking an exciting step toward advancing your education and career! It's fast and free to apply to Keuka College's bachelor's degree completion and graduate programs.

Student Information

Legal First Name

Preferred First Name (If Different)

Last Name

Gender

Birthdate

Social Security Number to Match with FAFSA (optional)

Student Contact Information

Country

Street

City

Region

Postal Code

Email Address

Mobile Number

I give permission for Keuka College to text me at this number

In what country is your primary citizenship?

Program Information

What Type of Degree Would You Like to Earn?

Bachelor's Degree Program

Master's Degree Program

Certificate Program

Where Would You Like to Take Classes?

When would you like to begin your program?

Supplemental Items: This graduate program may require additional supplemental items (e.g., résumé, essay, letters of recommendation). After applying, you'll get access to your Application Status Portal, where you check to see what's needed. Your admissions counselor will be in touch to help guide you through the process as well.

Professional Information

New York State Nursing License #

If you don't know your license number, you can click here to search for it on the state's website.

Current Employer

Current Job Title

Academic History

Please tell us about each high school and college/university you've attended — even if you transferred to another school and didn't graduate. You will need to submit transcripts from each of these institutions before we can review your application.

DeleteSchool # _ID_
Type of School School Name Major/Program of Study Degree Awarded When Was This Degree Conferred? When Was This Degree Conferred? School CEEB

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Disciplinary History

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in disciplinary action? A history of disciplinary action does not automatically disqualify you from admission to Keuka College.

Yes

Please provide truthful and detailed information, including approximate dates of each incident, the surrounding circumstances, and your reflections on what you have learned from each experience.

A criminal conviction, whether it is classified as a felony or misdemeanor, does not automatically disqualify you from admission to Keuka College. However, it is essential to be aware that such a conviction might prevent you from participating in field or clinical placements, internships, or a professional practicum at certain sites or in specific majors.

Additionally, certain professions may impose restrictions on obtaining professional licensure based on your criminal history.

Have you ever been convicted of a crime (felony or misdemeanor) in any state or country?

Yes

Please provide truthful and detailed information, including approximate dates of each incident, the surrounding circumstances, and your reflections on what you have learned from each experience. This will enable us to offer you appropriate advising regarding your program of choice.

Keuka College prohibits sex discrimination in any education program or activity that it operates. Individuals may report concerns or questions to the College’s Title IX Coordinator. The Title IX Policy Statement is located at keuka.edu/titleix.

Optional Demographic Information

The following optional information will not impact the College's admissions decision in any way.

Are you hispanic?

What is your race?

Sign and Submit

By submitting this application, I agree that all information is complete, factually correct and honestly presented. I understand that misrepresentation of facts on this application will be cause for refusal of admission, cancellation of admission, or suspension from the institution. By submitting this application, I agree to comply with the policies and regulations of Keuka College, and grant the College permission to use my photograph and name in College literature, on the College Web site, and for public relations purposes.

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