NEW YORK BACHELOR OF ARTS APPLICATION 1

FILM ACADEMY PAGE 1 OF 4

Student’s Name
LAST (FAMILY) FIRST MIDDLE

Birth Date / / Email Address

Month / Day / Year

Today’s Date

IMPORTANT: PLEASE INDICATE START DATE & PROGRAM

JAN 2018 JAN 2019 JAN 2020

MEDIA STUDIES
SEP 2018 SEP 2019 SEP 2020

ADMISSION CHECKLIST PAYMENT

The application fee is non-refundable. You
All Applicants must complete and submit the following documents to may pay by check, money order, wire transfer
the office of admissions for consideration. or credit card.
U.S. Residents: $65.00 USD;
International Students: $65.00 USD
Admission Fee
If you already applied online and paid
Complete Section 1, 2, 3, and 4: Application for Admission the application fee of $65, please note
when payment and online application
Complete Section A: Transcript Request Form was submitted:

Complete Section B: Creative Supplements / /

Month / Day / Year
Narrative Statement

Creative Portfolio Payment by

Check / Money Order / Credit Card
Complete Section C: Letter of Recommendation Form Attach the check or money order to this form
(skip if paying by credit card)
Supporting Documents (May be sent separately):
Check No.:
SAT or ACT Scores (DI code: 6513) Amount: $
(Optional for international students)
Please make your check or money order, in
TOEFL Score for International Students U.S. dollars, payable to: The New York Film
(Code: 6857) Academy, LTD.
Please contact our Bursar’s office at
[email protected] for any questions.
Send your completed application for admission to:
New York Film Academy Details regarding payment schedule will be sent
Office of Admissions with acceptance notification. For a copy of the NYFA
3300 Riverside Dr., rules and regulations, and the refund policy, please
Burbank, CA 91505 contact the admissions office.
The New York Film Academy reserves the right to
dismiss students from programs for poor conduct,
poor attendance, lack of preparation, if they present
a threat to themselves or others, or if they cause a
disruption of any kind.

NEW YORK FILM ACADEMY • COLLEGE OF VISUAL AND PERFORMING ARTS • WWW.NYFA.EDU
NEW YORK BACHELOR OF ARTS APPLICATION 2
FILM ACADEMY PAGE 2 OF 4

1. Student’s Name*
LAST (FAMILY) FIRST MIDDLE

2. Maiden/other name(s) you use Birth Date / /

Month / Day / Year

3. Email Address Social Security Number

(All US applicants must provide)
4. Current Mailing Address - Please be sure this is as complete as possible

STREET ADDRESS

CITY STATE OR PROVINCE ZIP/POSTAL CODE COUNTRY

5. Telephone Number Secondary Number

6. Birthplace
CITY STATE OR PROVINCE COUNTRY

7. Gender: Male Female

8. Marital Status: Married Single

9. Have you served in the United States Military? No Yes

10. I request assistance with housing.

11. Check the box that best describes your citizenship/residency.

I am a citizen of the United States. (If you check this box, skip to question 15)

I am a permanent resident of United States and a citizen of

COUNTRY
I am an international student and a citizen of
COUNTRY

INTERNATIONAL STUDENTS ONLY

12. Do you plan to apply for the F-1 student visa to enter the US? Yes No
Are you in the US as an F-1 student and plan to transfer your I-20 to NYFA? Yes No
Will you be in the US in another immigration status other than F-1 student and do not require an I-20 Certificate? Yes No

13. Permanent or foreign mailing address (if different from current). International students must provide an overseas address

14. What is your native spoken language

CONTACT THE INTERNATIONAL OFFICE AT [email protected] WITH ANY QUESTIONS. APPLICATIONS FOR
ADMISSION WILL BE DECIDED WITHOUT REGARD TO IMMIGRATION STATUS.

* International students must apply using full name as it appears on your passport.

NEW YORK FILM ACADEMY • COLLEGE OF VISUAL AND PERFORMING ARTS • WWW.NYFA.EDU
NEW YORK BACHELOR OF ARTS APPLICATION 3
FILM ACADEMY PAGE 3 OF 4

Student’s Name
LAST (FAMILY) FIRST MIDDLE

16. High School Level - School History

Your school’s Name of School at which you earned High City, state or province, Dates attended Date of conferred
CEEB Code* School diploma or foreign equivalency and country, if not US (mo/yr) From - To diploma (mo/yr)

Your school’s Name of School at which you earned High City, state or province, Dates attended Date of conferred
CEEB Code* School diploma or foreign equivalency and country, if not US (mo/yr) From - To diploma (mo/yr)

*College Board codes are needed when you send score reports to college. To find your CEEB code, please visit: https://www1.wnec.edu/admissions/ceeb/index.cfm

17. Post-Secondary Level - (IF APPLICABLE) List ALL colleges and universities attended, in chronological order.
International Students should include any ESL programs, if applicable.
1)
NAME OF COLLEGE OR UNIVERSITY SCHOOL CODE

CITY STATE OR PROVINCE

COUNTRY DEGREE RECEIVED (OR EXPECTED)

START (Month/Year) END (Month/Year) MAJOR

2)
NAME OF COLLEGE OR UNIVERSITY SCHOOL CODE

CITY STATE OR PROVINCE

COUNTRY DEGREE RECEIVED (OR EXPECTED)

START (Month/Year) END (Month/Year) MAJOR

I have attended additional schools. (attach on separate sheet if necessary)

I am a former student of New York Film Academy.

18. Have you ever been subject to serious disciplinary action or been dismissed from school? Yes No

19. Have you ever been convicted of a felony? Yes No

20. Parent/Guardian Contact Info

LAST (FAMILY) NAME FIRST NAME RELATIONSHIP

EMAIL ADDRESS PHONE NUMBERS

21. Secondary Emergency Contact Info

LAST (FAMILY) NAME FIRST NAME RELATIONSHIP

EMAIL ADDRESS PHONE NUMBERS

NEW YORK FILM ACADEMY • College of visual and performing arts • www.nyfa.edu
NEW YORK BACHELOR OF ARTS APPLICATION 4
FILM ACADEMY PAGE 4 OF 4

Student’s Name
LAST (FAMILY) FIRST MIDDLE

21. Is there any health problem that NYFA should know about? No Yes (Have your physician contact us)

HEALTH INSURANCE COMPANY GROUP/POLICY #

Proof of health insurance coverage is required at registration. Please contact us for more information if you need help acquiring a policy.

22. List names of two persons who will serve as reference:

NAME TITLE

ADDRESS

NAME TITLE

ADDRESS

HOW DID YOU LEARN ABOUT THE NEW YORK FILM ACADEMY?
Web c Google c rollingstone.com c vimeo.com c Search for School c Yahoo c Ask c msn c bing c Other
Social Media c Facebook c Twitter c Google+ c Blog c Other

Ad c Telephone Booth c Subway c Bus c Mall c Magazine c TV Spot c NYFA Café c Other
c Friend c NYFA Student c Teacher, Agent, or Counselor c Fair c College c Brochure c Other

ARE YOU HISPANIC/LATINO?

Yes, Hispanic or Latino (including Spain) No, not Hispanic or Latino

HOW WOULD YOU DESCRIBE YOURSELF?

American Indian or Alaska Native Asian Black or African American
Native Hawaiian or Other Pacific Islander White Other

Applicant Signature
I certify that the information I have provided on this application is complete and accurate to the best of my knowledge. I understand that all
documents that I send to The New York Film Academy become the property of The New York Film Academy and will not be returned to me
or duplicated for any purpose. I agree that, if I am admitted to The New York Film Academy, my admission is contingent upon verification of
official records from the institutions I have attended and upon satisfactory completion of all course work prior to enrolling at The New York
Film Academy.

All dates, locations, schedule, curriculum, and tuition are subject to change. The New York Film Academy reserves the right to use a student’s
name, likeness, and creative works in brochures, advertising, the web, and in any other promotional materials or for educational purposes.

Students may request that previous studies and course work be considered for transfer credit, an award of credit by the New York Film
Academy Los Angeles or the New York Film Academy South Beach. To qualify, students must meet all admissions criteria, standards of
course work, attendance, and the course of study must have been deemed equivalent to an approved course at the New York Film Academy.

The New York Film Academy reserves the right to dismiss students from programs for poor conduct, poor attendance, lack of preparation, if
they present a threat to themselves or others, or if they cause a disruption of any kind.

SIGNATURE DATE (Month /Day /Year)

NEW YORK FILM ACADEMY • COLLEGE OF VISUAL AND PERFORMING ARTS • WWW.NYFA.EDU
NEW YORK BACHELOR OF ARTS APPLICATION A
FILM ACADEMY TRANSCRIPT REQUEST FORM

Student’s Name
LAST (FAMILY) FIRST MIDDLE

I am applying to NYFA for: JAN 2018 JAN 2019 JAN 2020

SEP 2018 SEP 2019 SEP 2020

STUDENTS
Fill out this form completely and ask the registrar of the school where you earned your diploma (or last attended) to attach the form
to your official transcript and send it to:

New York Film Academy

Office of Admissions
3300 Riverside Dr.,
Burbank, CA 91505

We suggest that you make a copy of this page in case you need to submit multiple transcripts.

Please submit a transcript for all work you have completed. If you did not earn a degree at a particular college, you must still submit
a transcript of whatever coursework you did complete. A high school diploma or higher is required for consideration for acceptance
into the Bachelor of Arts Program. If you attended school outside of United States, your degree(s) must be equivalent to a U.S. high
school diploma.

INFORMATION OF SCHOOL SENDING TRANSCRIPTS

Name of School sending transcripts CEEB Code*

*College Board codes are needed when you send score reports to college. To find your CEEB code, please visit: https://www1.wnec.edu/admissions/ceeb/index.cfm

Address of School sending transcripts

STREET ADDRESS CITY

STATE COUNTRY, IF NOT U.S. ZIP CODE

APPLICANT SIGNATURE DATE (Month /Day /Year)

NEW YORK FILM ACADEMY • COLLEGE OF VISUAL AND PERFORMING ARTS • WWW.NYFA.EDU
NEW YORK BACHELOR OF ARTS APPLICATION B
FILM ACADEMY NARRATIVE STATEMENT & CREATIVE PORTFOLIO

Student’s Name
LAST (FAMILY) FIRST MIDDLE

a. narrative statement
The narrative statement shall be a mature and self-reflective essay (Maximum of 3 typed pages) detailing the applicant’s reasons
for pursuing a degree in the motion picture arts. The essay should take into account the individual’s history, formative creative
experiences, contemporary influences and inspirations, and personal artistic dreams.

B. Creative portfolio
The creative portfolio is a contributing factor for admission to the Bachelor of Arts program. However, the New York Film Academy
does not assume applicants have prior experience or examples of film work. The admissions committee understands that many
applicants have a wide range of creative interests, and welcomes examples of creative writing or other art forms(please see details
below). For many applicants, the narrative statement and letters of recommendation, reveal the most about an applicant’s potential
for success in the program.

Applicants must submit one or two examples of original work that best demonstrate their talent and ability as creative individuals. All
film/video submissions must be submitted on DVD or hyperlink where the submission can be viewed, regardless of image capture
format (20 minutes maximum). Applicants may also submit supporting materials such as slides or photographs (10 maximum).

Creative samples are accepted in various stages of development, or as completed work. Examples of work can range from
drawings, conceptual illustrations, storyboards, designs, photographs, three dimensional models, or digitally generated images.
Students may choose to submit a typed screenplay or short story (10 page maximum).

While the supporting materials are the primary determining factor for admission, The New York Film Academy understands
that many applicants have attained applicable skills from various professional experiences in publishing, entertainment, media
production, etc. With these applicants, the Admissions Committee will take into special account the narrative statement and résumé
when determining an applicant’s potential for success in the program.

1. Submission Type: c Film/ Video c Slide/ Photos c Screenplay/Story c Audition c Other

Title

Description

If Film / Video Submission, Type: c DVD c Hyperlink: Running Time:

2. Submission Type: c Film/ Video c Slide/ Photos c Screenplay/Story c Audition c Other

Title

Description

If Film / Video Submission, Type: c DVD c Hyperlink: Running Time:

NEW YORK FILM ACADEMY • College of visual and performing arts • www.nyfa.edu
NEW YORK BACHELOR OF ARTS APPLICATION C
FILM ACADEMY LETTER OF RECOMMENDATION FORM

Student’s Name
LAST (FAMILY) FIRST MIDDLE

new yorK film aCademy - letter of reCommendation form

to applicant:
Applicants to the NEW YORK FILM ACADEMY BA program must submit a minimum of 2 letters of recommendation verifying the
applicant’s ability to undertake college-level study in the field successfully. Letters must be submitted directly to the admissions
department from the individual writing on the applicants behalf. Letters received by the admissions department must be sealed and
stamped. Provide a copy of this form to each individual writing you a letter of recommendation.

to recommender:
Please attach this form to your letter of recommendation. Attaching this form to recommendations will help to ensure that your letters are
matched up with the appropriate application. Letters received by the admissions department must be sealed, stamped and sent directly
from the recommender.

RECOMMENDER NAME

OCCUPATION

TITLE

RELATION TO APPLICANT

please address your letter of recommendation as follows:

new york film academy

office of admissions
3300 riverside dr.,
Burbank, Ca 91505

NEW YORK FILM ACADEMY • College of visual and performing arts • www.nyfa.edu