4+1 Internal Graduate Application

If you have any questions please reach out to Chelsea Saucier chelsea.saucier@nichols.edu Asst. Director of Enrollment and Student Success.

Basic Information

First Name

Middle Name

Last Name

Birthdate

College Email Address

Primary Phone

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address is different than Permanent Address

Mailing Address

Country

Street

City

Region

Postal Code

Enrollment Information

What year are you currently in for your UG degree?

Freshman

Junior

Senior

Sophmore

Academic Program

Are you applying for a GA position?

Employment Information

Employer

Job Title

Additional Information

Military Affiliation

Citizenship Status

Are you Hispanic or Latino? Optional

How would you describe your race? Optional; select all that apply

Application Acknowledgement Certification

I attest that I am hereby applying for admissions to Nichols College. I agree to abide by its regulations. I certify that the foregoing information is true and complete to the best of my knowledge and fully realize that omission or falsification of information will be considered sufficient reason for rejection of this application or for dismissal.

Signature