Application Form

Thank you for your interest in Utica College.

Application fee (or waiver) applies

For the opportunity to receive an application fee waiver, complete a survey below:

Existing Application

If you have already started your application, please log in using your e-mail address and the password that was sent to you.
* indicates required field
Biographical Information
Gender *
Birthdate *
Are you a U.S. citizen? *
Is English your native language? *
Social Security Number
- -
Providing your U.S. Social Security Number allows the Admissions Office to process, track, and match your application credentials correctly and quickly. In addition, you are required (by the federal government) to provide your U.S. Social Security Number if you will be applying for federal financial aid. Utica College is dedicated to ensuring the confidentiality of students' records and application materials.
Contact Information
Home or cell phone number is required
Current Mailing Address
Please fill in this field only if you will be relocating in the near future.
Optional Information

Response to the following items is voluntary and the information will be kept confidential. Refusal to provide this information will not subject the applicant to any adverse treatment.

The following items are optional. No information you provide will be used in a discriminatory manner.
Have you served in the US Armed Forces?
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:
Academic Interests
Are you Phi Theta Kappa?
Have you applied to Utica College before? *
I wish to study *
This will be my second bachelor's degree
I am interested in applying to the Utica College Honors Program
I wish to be considered for the Higher Education Opportunity Program (HEOP) *
(Please note: HEOP is only for residents of New York State.)
Will you apply for financial aid? *
Are you currently in school? *
Are you a graduate of Utica College? *
Educational Data
Find School
List all colleges/universities at which you have taken courses for credit. Please have official transcripts sent as soon as possible. List most recent degrees first.
College 1
Find College
College 2
Find College

Add Another College/University

List all secondary schools attended, including summer programs.

School 1

School 2

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I choose to submit my test scores for consideration *
Have you taken or do you plan to take either the SAT or ACT?
Please note that while a standardized test is not required for general admission, submission of a score is required for students seeking admission to Physical Therapy, Occupational Therapy, Nursing, the Higher Education Opportunity Program (HEOP), the Collegiate Science and Technology Entry Program (C-STEP) or the joint health professions programs.
Marital Status *
Please list your parents and any guardian, brothers and sisters and, if applicable, your spouse and any children
Relative 1

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Alumni Relatives

Please indicate any family members who have attended Utica College (name, relationship, date of attendance)

Alumni Relative 1

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I reside with
Extracurricular and Personal Activities

Please list school activities, hobbies, or family and community activities in the order of their importance to you. Please check in the right column if you wish to pursue the activity at Utica College.

Activity 1

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Work Experience

Position 1

Position 2

Position 3

Position 4

Position 5

Position 6

Letter of Reference
Please provide a letter of reference from your employer. Your employer may e-mail the reference to John Rowe, Executive Director of Graduate Admissions at
How did you first hear of Utica College? *
Refer a Friend or Co-Worker
Personal Statement
Please write an essay about your personal and professional goals relating to the nursing environment. Include specific examples to demonstrate your understanding of your chosen profession.
Please write a personal statement to help us know you in a more personal way. You can write about anything you want us to know; however, here are some suggested topics: *
  • How well your academic record reflects your ability and motivation
  • A significant experience or achievement that has meaning to you
  • Your goals for the future and how Utica College can assist you in reaching them

Please note: Applicants for the physical therapy and occupational therapy programs should write a second essay about your personal and professional goals relating to the therapeutic environment. Include specific examples to demonstrate your understanding of your chosen profession.

Minimum 300 Words

0 Words
Disciplinary History
Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution? *
Have you ever been convicted of a misdemeanor, felony, or other crime? *

Contact Us

Office of Admissions

Office of Admissions

1600 Burrstone Road
Utica, NY 13502
(315) 792-3003 (fax)

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