OFFICE OF THE REGISTRAR

One Education Drive OFFICE USE ONLY:

Garden City, NY 11530-6793
Tel 516.572.7355
www.ncc.edu

VISITING STUDENT APPLICATION FOR ADMISSION

You MUST also submit the Visiting Student Home Institution Approval form at the time of registration

Term for which you are applying: ___ Summer 20____ ___ Fall 20____ Winter 20____ ___ Spring 20____

Read the information provided on our Visiting Student Program webpage.

To check available courses online, visit Class Schedule (www.ncc.edu/MyNCC) on the web.

HAVE YOU PREVIOUSLY APPLIED FOR ADMISSION TO AND/OR ATTENDED NCC? Yes No
Social Security Number - - .
(Enter your United States of America SSN. This number is confidential and, under federal law, it is protected and will not be disclosed to unauthorized parties. Disclosures
may be authorized for the purposes of state and federal financial aid, Hope Lifetime Learning tax credits, institutional assessment, academic transcripts, or accountability
research.)

Name: Last (Family) ________________ First Middle

Previous/Maiden Name: ______________________________________________________________________________________
Permanent Address:
House Number & Street
Apartment Number
City State Zip If other than the U.S.A., specify NATION
How long have you resided in Nassau County? Years How long have you resided in New York State? Years
Home telephone: (_________) _________ - ______________ Cellular Number: (_______) _______ - _______________
Gender: Male Female Date of Birth: _____/______/__________ (MM/DD/YYYY)
Citizenship Status (CHECK ONLY ONE):
Citizen of the United States of America: Yes
No (if no, Country of Citizenship _______________ and check your status below)
Legal permanent resident of the United States (Send a copy of your permanent resident card to the Office of Admissions)
Have a visa (please identify) A, B, E, F, G, H, K, L, M, N, O, P, R, S, T, U, V
Status Pending _________________________________________________________
Other (specify) _________________________________________________________
Ethnicity & Race (optional):
White (non-Hispanic) Black or African American (non-Hispanic) Hispanic/Latino Asian
Native Hawaiian or other Pacific Islander American Indian or Alaskan Native Two or more races
If you are Hispanic/Latino, is your background?
Dominican Mexican Puerto Rican Central American South American Other Hispanic/Latino
Your e-mail address: ____________________________________________________________ (please print clearly)
High School___________________________________________________ Graduation Date_______________
College/University __________________________________________________________________________

I understand that I must submit the Visiting Student Home Institution Approval form in order to enroll in courses at Nassau Community College as a visiting student. I declare that all statements
made in this application are, to the best of my knowledge, true and correct. I have read and understand the Visiting Student Program rules as defined on the reverse side of this application. My
failure to comply with the New York State law immunization and meningitis survey requirements within 30 days from the start of the semester will result in my disenrollment from classes without
refund of tuition and fees. In addition, with respect to tuition and fees, the College may refer all amounts in arrears to a collection agency or litigate to ensure payment, and I will be responsible for
payment of all attorney’s fees, reasonable collection costs and other charges necessary for collection of any amount not paid when due. Further, I understand that the College may have such
default information forwarded to credit reporting agencies. Nassau Community College is a comprehensive, full opportunity College, open to all qualified applicants without
regard to age, race, color, religion, marital status, national origin or disability.

Student Signature _____________________________________________ Date _______________________

Visiting Student Program: The Visiting Student application is to be completed by students attending another
college or university. Students are eligible for study at Nassau Community College for up to two (2) semesters,
while still maintaining matriculated status at their home institution. The home institution must grant permission and
list recommended courses to be taken at Nassau Community College. Visiting students must submit a completed
Visiting Student Application, the Visiting Student Home Institution Approval form signed by their home institution and
submit forms to the Office of the Registrar. Students cannot register without the home institution approval. Please
note that anyone can register a visiting student who may be away; however, a letter of authorization is needed if
anyone other than the student is going to drop or withdraw a student from a class.

Deadlines: The College reserves the right to close visiting student admission at any time. Mailed or faxed
applications must be RECEIVED by the dates listed below. When a deadline date falls on a weekend, the deadline is
the following Monday.
Summer Semester: Three (3) days prior to the start of any session
Fall Semester: August 15
Winter Semester: December 20
Spring Semester: January 15

Available courses: Go online to check the available classes by consulting the Class Schedule at www.ncc.edu/MyNCC
Prior to dates noted above application and form can be mail to the Registrar’s Office-Tower Building, 1 Education
Drive, Garden City, NY 11530 or fax to 516-572-9975. Course (s) registration will be process after our matriculated
students have had an opportunity to register for upcoming term (s).

Immunization Requirements: New York State Public Health law requires that all students attending college in the
state who were born on or after January 1, 1957 and who are enrolled for 6 or more chargeable contact hours file
with the College proof of immunization against measles, mumps, and rubella. ALL students regardless of age who
are enrolled for six or more credit hours must fill out the meningitis survey which is available online and through the
Health Center. Failure to comply with this law within 30 days from the start of the semester will result in a student’s
disenrollment from classes, without refund of tuition and fees. Additional information regarding this regulation will be
mailed to all admitted students.
Immunization Link: http://www.ncc.edu/StudentLife/StudentSupportServices/OfficeOfHealthServices/ImmunizationRequirement.htm

Center for Students with Disabilities (CSD): A variety of services are available to those who have a documented
physical, psychological, hearing, visual or learning disability. For more information, contact the CSD website or call
at 516-572-7241, TTY 516-572-7617.
CSD Link: http://www.ncc.edu/Academics/AcademicAdvisement/CenterForStudentsWithDisabilities/
Financial Aid: If applying for financial aid, you must complete the Free Application for Federal Student Aid (FAFSA)
and submit all necessary documents as required by federal and state regulations at your home school, in order to
fully process your financial aid application. Complete the financial aid consortium agreement with your home school
and bring the necessary forms to our Financial Aid Office located on the 3rd floor of the Tower Building.
Financial Aid Link: http://www.ncc.edu/Admissions/FinancialAid/
Residency Requirements: To be eligible for the resident tuition rate, a student must have one year’s legal
residency in New York State and six months in the County of Nassau. The legal residency of unmarried students
under 21 is deemed to be that of their parents. To check on what documents may be provided to proof residency see
our Residency Requirements webpage.
New York State students from counties other than Nassau may have the non-residency tuition rate waived by
submitting a Certificate of Residency from their home county fiscal office prior to payment of tuition and fees. The
submission of a valid Certificate of Residency qualifies students who reside in counties other than Nassau for the
Nassau County resident tuition rate.
Applications for a Certificate of Residency are available in the Bursar’s Office, Tower Lower Level and Student
Financial Affairs, Tower 5th floor. For students commencing study in the fall semester, the certificate will cover a full
year, including fall and spring semesters and summer sessions. Certificates of Residency must be renewed each
year. Individuals on student visas cannot qualify for a Certificate of Residency.
Residency Link: http://www.ncc.edu/NR/rdonlyres/1B0BA2E6-449B-4F33-99EC-1198073D911C/0/RESIDENCYREQUIREMENTS.pdf
 OFFICE OF THE REGISTRAR
One Education Drive OFFICE USE ONLY:
Garden City, NY 11530-6793
Tel 516.572.7355
www.ncc.edu

VISITING STUDENT HOME INSTITUTION APPROVAL

STUDENT INFORMATION:

1. Student’s Name: Last ________________ First Middle ____________

2. NCC-ID (if known): N .

Or, Social Security Number (if NCC-Id is not known): - - .
3. Date of Birth: _____/______/__________ (MM/DD/YYYY)

HOME INSTITUTION INFORMATION:

1. Institution’s Name

2. Approving Official’s Name

3. Official’s Title

4. E-mail address: ____________________________________________________________ (please print clearly)

5. Semester(s) for which you are approving course(s):

___ Summer (June) 20____ ___ Fall (September) 20____ ___ Winterim (December) 20____ ___ Spring (January) 20____

Institutional Official: List all courses approved to be taken at Nassau Community College. Your signature
below certifies that this student is in good standing at your institution and meets all pre-requisites for these
courses.

First Semester Second Semester

CRN* Subject and Course Number Credits CRN* Subject and Course Number Credits
1. 1.
2. 2.
3. 3.
4. 4.

Signature of Institutional Official Date ____________

* VIEW AVAILABLE COURSES ONLINE, visit Class Schedule (www.ncc.edu/MyNCC) on the web.
Read the information provided on our Visiting Student Program webpage.