NEW VISIONS: HEALTH CAREERS
• High school senior
• 3 years Regents Math and Science
• A demonstrated interest in the health field
• High level of academic success and plans for college
• Maturity and ability to work both independently and in teams
• Positive attendance patterns
• Good communication skills, i.e., writing, speaking, listening
1. Complete this application including brief responses to the questions on page 2. All writing for this
application will be evaluated for grammar, content, creativity and sincerity.
2. Submit a transcript of high school courses, including grades for classes currently in progress, and
SAT or PSAT scores.
3. Secure one letter of recommendation from a high school academic teacher.
4. Secure one letter of recommendation from your high school counselor.
5. Select and submit a COPY of a previously graded writing assignment that was prepared for the high
school class of your choosing (it must include teacher comments, grade and rubric if possible.)
6. Review this application with your counselor, have him/her complete and sign page 3.
Submit completed application and required paperwork via fax: 518-862-4818 or email to:
diane.ogren@neric.org
*Please submit all forms, including recommendation letters, at the same time so that all of your required paperwork stays
together.
STUDENT APPLICATION FORM
Student Name:_______________________________________________________________________
Date of Birth:_________________________ E
mail (other than school email)
_________________________
Address:______________________________ City: _________________Zip:______________________
Home Phone: _______________________________ Cell Phone: ________________________
Parent/Guardian Name: _____________________________
Email/Cell Phone: ___________________
Qualifications
for New Visions include the following:
