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Freshmen Admissions Response Form - Spring 2015
To accept Queensborough Community College’s (QCC) offer of admission, please sign and return this Admissions
Response Form along with your $100.00 commitment deposit to the QCC Admissions Office as soon as possible
but no later than December 1st 2014. Your commitment deposit is non-refundable and non-transferable, and is
applied toward your tuition when you enroll at QCC (It is not an additional fee.) When you submit your Admissions
Response Form and commitment deposit you:
 Indicate your intention to enroll at QCC
 Allow QCC to schedule you for important advisement and registration appointments.
Waiver of Deposit:


Students who have an Estimated Family Contribution (EFC) of 3000 or less are waived from paying the $100.00
deposit. Please submit an electronic print-out of your Student Aid Report (SAR) for the 2014-2015 FASFA along with
this Admissions Response Form. To access your SAR, go to the FAFSA website, http://www.fafsa.ed.gov The sooner
you file your FAFSA, the faster you will find out if you are waived.
Military/Eligible Dependents/Veterans are also waived from paying the $100.00 deposit.
Please submit one of the following as proof of your eligible status:

A copy of your DD 214 OR

A copy of your Military ID.
For additional information, please visit http://cuny.edu/veterans
You may also contact the office at (718) 281-5767 or email [email protected]
Immunizations:
We would like to remind you to submit your immunization records to Office of Health Services located in the
Medical Arts Building MC-02. You will not be able to register if you have not submitted your proof of
immunizations. You may contact the office at (718) 631-6375 or fax your form to (718) 631-6330.
*After December 1st:
Admitted students should submit the admissions response form and commitment deposit within 2 weeks indicated on your
admissions letter.
How to Pay my Deposit:
• By Mail: Mail this form along with your payment (check or money order only, NO CASH) to:
Queensborough Community College, Office of Admissions, Administration Building, Room 210
222-05 56th Ave, Bayside, New York 11364
• In Person: Bring check, cash, or money order to the Office of Admissions, Administration Building, Room 210 during regular
business hours.
Admissions Response
Please check the appropriate box:
[
[
[
] Yes, I look forward to joining the Freshmen Class for Spring 2015
] No, I would like to defer my admission until _______Fall 2015 ________Spring 2016
] No, I do not plan to attend Queensborough Community College.
*Please confirm your program of study: _________________________________________
__________________________________
(Please print full name)
___________________
(Signature)
__________________________________
(Last 4 digits of SS# / ID#)
______________
(Date of Birth)
(______)________________
(Phone #)
_______________________
(Date)
Queensborough Community College  222-05 56th Avenue.  Bayside, NY 11364  718-281-5000  www.qcc.cuny.edu