APPLICATION

FOR ADMISSION
140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
www.feitian.edu

SECTION 1. FILING STATUS & PROGRAM SELECTION

Freshman International Student Re-applicant Resumed Education Transfer

Program selection: BFA Dance BM Performance (Instrument: ___________ ) Intended start term: 201__ Summer Fall Spring
Applicant status (choose all that apply):

SECTION 2. PERSONAL INFORMATION

How would you describe your background?

Asian

Black, African American

White Other ___________________________

LEGAL NAME: GIVEN NAME(S), SURNAME

CHINESE NAME

PREVIOUS NAME

DATE OF BIRTH (MM/DD/YYYY)

CITIZENSHIP

MARITAL STATUS

PREFERRED NAME

Gender:
SOCIAL SECURITY NUMBER

PRIMARY LANGUAGE SPOKEN AT HOME

OTHER LANGUAGE(S)

PHONE NUMBER

HOME ADDRESS: STREET, CITY, STATE/PROVINCE/TERRITORY, COUNTRY, ZIP/POSTAL CODE

Male Female

IMMIGRATION STATUS (i.e. US Citizenship, US Visa,

US Permanent Residence, US Dual Citizenship)

SECTION 3. FAMILY INFORMATION

PARENT/GUARDIAN 1
Relationship to Applicant:

FATHER MOTHER GUARDIAN

MS. MRS. MR. DR.

LEGAL NAME: GIVEN NAME(S), SURNAME

CHINESE NAME

EMPLOYER

OCCUPATION/TITLE

WORK PHONE NUMBER

E-MAIL ADDRESS (REQUIRED)

HOME PHONE NUMBER

CELLULAR NUMBER

HOME ADDRESS (IF DIFFERENT FROM APPLICANTS)

Marital Status (check one):

MARRIED DIVORCED SINGLE REMARRIED

Name of spouse (if applicable):

PARENT/GUARDIAN 2
Relationship to Applicant:

FATHER MOTHER GUARDIAN

MS. MRS. MR. DR.

FIRST NAME, MIDDLE NAME, LAST NAME

CHINESE NAME

EMPLOYER

OCCUPATION/TITLE

WORK PHONE NUMBER

E-MAIL ADDRESS (REQUIRED)

HOME PHONE NUMBER

CELLULAR NUMBER

HOME ADDRESS (IF DIFFERENT FROM APPLICANTS)

Marital Status (check one):

MARRIED DIVORCED SINGLE REMARRIED

Name of spouse (if applicable):

Page 1 of 18
Rev. 2016

APPLICATION FOR ADMISSION

140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
www.feitian.edu
SIBLINGS
GIVEN NAME(S), SURNAME

DATE OF BIRTH

CURRENT SCHOOL

GIVEN NAME(S), SURNAME

DATE OF BIRTH

CURRENT SCHOOL

GIVEN NAME(S), SURNAME

DATE OF BIRTH

CURRENT SCHOOL

SECTION 4. EDUCATIONAL BACKGROUND

SECONDARY SCHOOL (please attach an additional page if you have attended more than one secondary school)
Dates Attended:

SCHOOL NAME

(MM/YY)

/
(MM/YY)

SCHOOL ADDRESS: STREET, CITY, STATE/PROVINCE/TERRITORY, ZIP/POSTAL CODE, COUNTRY

TELEPHONE NUMBER

GUIDANCE COUNSELOR

School Type (check all that apply):

EMAIL ADDRESS

PUBLIC PRIVATE PAROCHIAL CHARTER BOARDING

POST-SECONDARY SCHOOL
SCHOOL NAME

MAJOR / DEGREE AWARDED

Dates Attended:

/
(MM/YY)

/
(MM/YY)

SECTION 5. TESTS AND HONORS

You must arrange for official transcripts and score reports to be sent from your secondary school and the appropriate testing agencies to the
Office of Admissions and Records at Fei Tian College.

Scholastic Assessment Test (SAT)

DATE

R/W

American College Test (ACT)

MATH

DATE COMPOSITE SCORE

COMPOSITE SCORE

ST

________ ________

________

1 TEST ________ ________

ND

________ ________

________

2 TEST ________ ________

1 TEST ________
2 TEST ________

SAT Subject Test (optional)

SUBJECT DATE

ST

ND

Advanced Placement Exams (AP) (optional)

SCORE

SUBJECT DATE

SCORE

________ ________ ________

________ ________ ________

________ ________ ________

________ ________ ________

________ ________ ________

Proof of English Proficiency*

TEST

DATE

________ ________ ________

SCORE

1 TEST ________ ________ ________

ST

ND

2 TEST ________ ________ ________

*Important note: Applicants whose primary language is not English are strongly encouraged to provide proof of English proficiency, unless: he/she
is a transfer applicant who has earned three semester credits of freshman English composition, at a regionally accredited US college or university,

Page 2 of 18
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APPLICATION FOR ADMISSION

140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
www.feitian.edu
and has a cumulative GPA of 2.50 or higher; or holds a bachelors degree from an accredited US college or university recognized by the US
Department of Education. English proficiency is preferably demonstrated through an official score on TOEFL (Test of English as a Foreign Language).
It may also be proven through performance on other tests and exams, such as IELTS, EIKEN, SAT Critical Reading, ACT English, New York Regents
English, and the AP English or History exam. Generally, FTC accepts TOEFL 75 IBT or 537 PBT (or its equivalents) as proof of English proficiency.
Please briefly list any academic distinctions, honors, or awards you have received since the ninth grade (or international equivalents).
Grade level or Post-graduation _________

Honor ____________________________________________________________

Grade level or Post-graduation _________

Honor ____________________________________________________________

SECTION 6. ACTIVITIES AND INTERESTS

Please list your school, community, performance, and work activities in their order of importance to you. To allow us to focus on the highlights of
your activities, please complete this section even if you plan to attach a rsum.
Grade
9 10 11 12

PG

Hours

Weeks

per week

per year

Position held / honors received

Do you plan to
participate at FTC?

__________ _________ __________________________________________

Activity _____________________________________________________________________________________________________

__________ _________ __________________________________________

Activity _____________________________________________________________________________________________________

__________ _________ __________________________________________

Activity _____________________________________________________________________________________________________

__________ _________ __________________________________________

Activity _____________________________________________________________________________________________________
Please briefly elaborate on one of your extracurricular or work activities in the space below or on an attached sheet (150 words or fewer).

_____________________________________________________________________________________________________________

SECTION 7. INTEREST IN FEI TIAN

Please tell us what you find most appealing about Fei Tian College and why.

_____________________________________________________________________________________________________________
Please tell us what attracts you specifically to the study of classical Chinese dance or classical music.

_____________________________________________________________________________________________________________
To what other schools have you applied? _____________________________________________________________________________

Page 3 of 18
Rev. 2016

APPLICATION FOR ADMISSION

140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
www.feitian.edu
Have you visited the FTC campus? No Yes
Have you conferred with any FTC representative about the admissions process? No Yes (FTC representative: __________________________)
Please list any relatives who are attending or have graduated from a Fei Tian system school:
RELATIONSHIP TO APPLICANT

RELATIVES NAME
RELATIVES NAME

RELATIONSHIP TO APPLICANT

PROGRAM / DEGREE AWARDED / DATES OF ATTENDANCE

PROGRAM / DEGREE AWARDED / DATES OF ATTENDANCE

Is either of your parents an employee of the Fei Tian school system? No Yes (Name / Position: _____________________________________)
How has your interest in FTC developed? Campus visit Website Conferral with FTC personnel, students Other: ___________________

SECTION 8. ESSAY
Please choose one of the following essay topics to construct a 1-2 page original essay. Please submit your essay by attaching it as a separate
document to this application.
A.

Tell us about a particular person or event who/which strongly affected your decision to pursue a career in the arts.

B.

What value do you believe your art form has for the society at large?

C.

If you are a current or formerly enrolled Fei Tian Academy of the Arts student: Please explain your motivation for continuing or resuming your
studies at Fei Tian College. Students may choose to address academic, artistic, or professional goals that they believe could be accomplished
by continuing to study in the Fei Tian community.

D.

If you are a bachelors degree transfer student: The decision to transfer is a significant and often difficult one to make. Please explain when
the idea of transferring first occurred to you and how that idea developed.

E.

Evaluate a significant experience, achievement, risk you have taken, or ethical dilemma you have faced and its impact on you.

F.

Discuss some issues of personal, local, national, or international concern and their importance to your decision to pursue a career in the arts.

G.

Describe a character in fiction, a historical figure, or a creative work that has influenced your artistic goals in life.

H.

Other topic of your choice that relates to your wish to attend Fei Tian College.

SECTION 9. ADDITIONAL INFORMATION

If there is any additional information you would like to provide regarding your application including special circumstances or additional
qualifications, please do so in the space below or attach an additional page.

_____________________________________________________________________________________________________________

SECTION 10. ARTISTIC SUPPLEMENT

If you are applying to the Bachelor of Fine Arts in Classical Chinese Dance program, please complete Section 10A.
If you are applying to the Bachelor of Music in Performance program, please complete Section 10B.

SECTION 11: INSTRUCTOR EVALUATIONS

If you are applying to the Bachelor of Fine Arts in Classical Chinese Dance program, please see Section 11A and Section 11C.
If you are applying to the Bachelor of Music in Performance program, please see Section 11B and Section 11C.

Page 4 of 18
Rev. 2016

APPLICATION FOR ADMISSION

140 Galley Hill Road, NY 12729, USA
Tel: (845) 672-0550 Fax: (845) 977-0481
www.feitian.edu

SECTION 12. DISCIPLINARY HISTORY

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from ninth grade (or the
international equivalent) forward, whether related to academic or behavioral misconduct that resulted in your probation, suspension, removal,
dismissal, or expulsion from the institution? Yes No
Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? Yes No
[Note that you are not required to answer yes to this question or to provide an explanation if the criminal adjudication or conviction has been
expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept condential.]
If you answered yes to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident,
explains the circumstances and reects on what you learned from the experience.

SECTION 13. ACKNOWLEDGEMENT & SIGNATURE

How will you be paying for the application fee? Credit Card Check Cash Bank Transfer Waived
I certify to the best of my ability that all information submitted in the admission process - including the application, essay, supplements, and any
other supporting materials - is my own work, factually true, and honestly presented, and that these documents will become the property of the
institutions to which I am applying and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions,
including admission revocation, expulsion, or revocation of course credit, grades, and degree should the information I have certied be false.
I acknowledge that I have reviewed the application instructions for Fei Tian College. I understand that all offers of admission are conditional,
pending receipt of nal transcripts showing work comparable in quality to that upon which the offer was based, as well as honorable dismissal from
the school.

X
Name of Applicant

X
Name of Parent/Guardian

Date:

Applicants Signature

Parents/Guardians Signature (if applicant is under 18)

Date:

(MM/DD/YYYY)

(MM/DD/YYYY)

NOTICE OF NON-DISCRIMINATION
Fei Tian College admits students of any race, color, national origin, and ethnic origin to all the rights, privileges, programs, and activities generally
accorded or made available to students at the school. It does not discriminate on the basis of race, color, national origin, and ethnic origin in
administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school-administered programs.

Page 18 of 18
Rev. 2016