Please note: * denotes required field
Permanent Address (if different from Current Address)
Telephone Contact Information
Please Note: ** At least one phone number is required
Answers to these questions are solicited voluntarily, and will not be used in evaluating candidates for admission. We appreciate your cooperation in providing this information
Please note: Although the social security number and date of birth information marked with *** are optional, not entering this information may delay financial aid processing or receipt of necessary tax documents.
I certify that the information on this application and any materials I provide pertaining to my admission and/or financial aid is, to the best of my knowledge, complete, accurate and true. I authorize New York Chiropractic College and each college or school I have attended to release and share information and records in accordance with the Family Educational Rights and Privacy Act (FERPA), including the release of applicable information to partner organizations, including information of Service Members to the appropriate United States Armed Forces branch to ensure Federal Tuition Assistance funding is not interrupted. I agree to submit other materials required for this admissions application. I release New York Chiropractic College and anyone they contact with reference to the application from any and all liabilities from use of such information. I also agree that I must abide by all rules, regulations and policies of New York Chiropractic College as described in, but not limited to, the New York Chiropractic Catalog and Student Guide. I agree that if, in the judgment of New York Chiropractic College, any misrepresentation or omission has been made in this application or related materials, such misrepresentation or omission shall be sufficient cause for rejection prior to admission, and dismissal if I am admitted as a student. In submitting my application, I understand that I will receive phone calls, text messages and email about attending New York Chiropractic College. I may opt out of these communications at any time.
I have read and agree to the above statements.