SUNY Adirondack College Academy Application

Thank you for your interest in taking courses at SUNY Adirondack through our College Academy! We are thrilled by the possibility of you joining our campus community. Please read the information below prior to submitting your application.

Taking college-level courses while in high school is a wonderful way to challenge yourself, prepare for college and explore your interests. Thank you for advancing your education with us.

There are three different College Academy programs for students to choose from. Please read each description to confirm you select the correct program.

College in the High School (CHS):
SUNY Adirondack has created CHS by partnering with area school districts and high school teachers to offer courses for college credit right at the high school. This program offers students the opportunity to earn college credits that also satisfy high school graduation requirements. Students are considered "concurrently enrolled," earning dual credit for college and high school. Contact us: chs@sunyacc.edu.

ECCA/PTECH:
Students must first apply to the program via the student and counselor applications before filling out this form. Once you receive acceptance into the program, you will be directed to complete this form to finalize your SUNY Adirondack access.

SUNY Adirondack has partnered with area school districts, local industries, and WSWHE BOCES to develop ECCA and PTECH. ECCA is a two-year program (junior and senior years), whereas PTECH is a six-year program (only available to incoming ninth graders). These unique programs give students the experiences, practical skills, qualifications, and credentials they need to secure rewarding careers in technology-based industries. Contact us: adkecca@sunyacc.edu.

Campus Academy:
SUNY Adirondack designed Campus Academy for high school and homeschooled students (juniors and seniors in high school or homeschooled students at an equivalent level) who wish to enroll in college courses (standard tuition and fees apply) on our Queensbury or Saratoga Campuses or online. Juniors and seniors in high school who are pursuing the New York State High School Equivalency (HSE) diploma are also eligible for this program. Contact us: academy@sunyacc.edu.

*Required

Student Information

First Name*

Middle Name

Last Name*

Preferred First Name

If you wish to formally request to use your preferred name as your chosen name for internal campus identification and communication, you may do so with the chosen first name request form https://www.sunyacc.edu/admissions/registrars-office.

Birthdate*
(Select Month/Day/Year)

Permanent Mailing Address*

Country

Street

City

Region

Postal Code

Personal Email Address*

Personal Phone Number*

Have you previously taken SUNY Adirondack courses for credit (on campus or at your high school)? Do not select yes if you have only taken Summer Enrichment courses through Continuing Education*

Yes

No

Please enter your nine-digit Banner ID number here

I don't know my Banner ID number.

Has your mailing address changed from the last time you were enrolled?*

Yes

No

Permanent Address Update

Please enter your updated address below:

Country

Street

City

Region

Postal Code

Legal Sex/Gender

Legal Sex (Sex assigned at birth)*

Female

Male

X or Another Legal Sex

My Gender

Pronouns

Add another pronoun set

He/Him

She/Her

They/Them

My Pronouns

Citizenship Information

Citizenship*

U.S. Permanent Resident*

Yes

No

Social Security Number*

Are you Hispanic or Latino?*

Yes

No

Program Information

At the start of the 2024-2025 School year, what grade will you be in? *

College Academy Programs

Please read each program description carefully so you choose the correct program.

College in the High School (CHS):
SUNY Adirondack has created CHS by partnering with area school districts and high school teachers to offer courses for college credit right at the high school. This program offers students the opportunity to earn college credits that also satisfy high school graduation requirements. Students are considered "concurrently enrolled," earning dual credit for college and high school.

ECCA/PTECH:
SUNY Adirondack has partnered with area school districts, local industries, and WSWHE BOCES to develop ECCA and PTECH. ECCA is a two-year program (junior and senior years), whereas PTECH is a six-year program (only available to incoming ninth graders). These unique programs give students the experiences, practical skills, qualifications, and credentials they need to secure rewarding careers in technology-based industries.

Campus Academy:
SUNY Adirondack designed Campus Academy for high school and homeschooled students (juniors and seniors in high school or homeschooled students at an equivalent level) who wish to enroll in college courses (standard tuition and fees apply) on our Queensbury or Saratoga Campuses or online. Juniors and seniors in high school who are pursuing the New York State High School Equivalency (HSE) diploma are also eligible for this program.

To which program(s) are you applying?*

Campus Academy

Semester you are registering for: *

Guardian/Caregiver Information

Please note, an email will be sent to your parent/guardian/caregiver to acknowledge your registration in the selected courses. They must complete this acknowledgment to finalize your registration with the College.

Guardian/Caregiver First Name*

Guardian/Caregiver Last Name*

Guardian/Caregiver Email Address*

Email accuracy is very important. Please check to make sure you have provided the correct parent/guardian/caregiver email.

Guardian/Caregiver Phone Number*

Emergency Contact Information

This can be the same or different than the person listed previously.

Contact First Name*

Contact Last Name*

Contact Phone Number*

Relationship to Student*

Education Information (International)

Name of School Attending*

Date you will complete secondary school*

Please select which English Proficiency exam results you are submitting*

Please enter your exam score:*

Date of Exam:*

Education Information

If you are a home-schooled student, please type home-schooled in the High School Information section. If you are enrolled in BOCES New Visions, please select your high school (not BOCES) in the High School Information section.

High School Information*

Anticipated Graduation Date*

Course Selection

High School (this should match the school listed above) *

College in the High School Financial Acknowledgement

Students are required to acknowledge and agree to a Financial Responsibility Agreement prior to each semester of registration. The Agreement is as follows:

By registering for classes at SUNY Adirondack, I acknowledge and agree that I am financially responsible for all charges related to my registration, books and housing.

I understand that if financial payment and/or arrangements have not been made by the due date, the College reserves the right to remove me as a student for non-payment, deny me access to my registered classes, and/or place a "hold" on my student records restricting me from registering, graduating, and/or obtaining a transcript until the account is paid in full. I am responsible for all late charges incurred.

Failure to attend classes does not absolve me from financial liability. In all cases it is my responsibility to drop classes by the published drop/add date(s) and I accept financial liability for these classes in accordance with the SUNY Adirondack Bill Adjustment/Liability Schedule. SUNY Adirondack may call (personally or automated) or text any phone number that I have provided to the College and leave a message regarding any outstanding account I have. I understand that, if the College texts me, I will be able to opt out. The College may use a collection agency or take legal action for any account balance due and I will be responsible for all charges owed which may include collection and/or litigation costs or attorney fees.

I understand that the College will (1) electronically post my 1098-T form (Tuition Statement) to my Banner account so I can download the form for tax purposes and (2) mail a paper copy of my 1098-T to my primary address on file. I understand that I am responsible for providing the College with updated contact information either through Banner or in person at the Registrar's Office in Warren Hall or at SUNY Adirondack Saratoga.

Federal and State Financial Aid Acknowledgement and Permission Statement: I understand that financial aid (state and federal) is only available to matriculated students. A matriculated student is a student who has been accepted to the College and is pursuing a SUNY Adirondack degree. If I am a matriculated student who is eligible for financial aid and my financial aid is reduced or canceled for any reason, I am responsible for all charges on my account. I give SUNY Adirondack permission to use any federal student aid (Pell Grant, SEOG, Direct Loan) to pay any current charges that I incur for educational related activities and any other charges (institutional and non-institutional) related to my attendance. I understand that at any time I may contact the Student Accounts (Bursar) Office to revoke this permission regarding the use of my federal student aid.

More information is available in the College Catalog here: http://catalog.sunyacc.edu/content/financial-responsibility and http://catalog.sunyacc.edu/financialaid/billrefund.

I also understand that should I withdraw from a course, I resign the following funds:

Drop before the end of the first week of term: 25 percent tuition/100 percent fees
Withdrawal before the end of the second week of term: 50 percent tuition/100 percent fees
Withdrawal before the end of the third week of term: 75 percent tuition/100 percent fees
Withdrawal after the end of the third week of term: 100 percent tuition/100 percent fees
*Please note there are no fees for College in the High School Courses

Statement of Financial Responsibility

Students are required to acknowledge and agree to a Financial Responsibility Agreement prior to each semester of registration. The Agreement is as follows:

By registering for classes at SUNY Adirondack, I acknowledge and agree that I am financially responsible for all charges related to my registration, books and housing.

I understand that if financial payment and/or arrangements have not been made by the due date, the College reserves the right to remove me as a student for non-payment, deny me access to my registered classes, and/or place a "hold" on my student records restricting me from registering, graduating, and/or obtaining a transcript until the account is paid in full. I am responsible for all late charges incurred.

Failure to attend classes does not absolve me from financial liability. In all cases it is my responsibility to drop classes by the published drop/add date(s) and I accept financial liability for these classes in accordance with the SUNY Adirondack Bill Adjustment/Liability Schedule. SUNY Adirondack may call (personally or automated) or text any phone number that I have provided to the College and leave a message regarding any outstanding account I have. I understand that, if the College texts me, I will be able to opt out. The College may use a collection agency or take legal action for any account balance due and I will be responsible for all charges owed which may include collection and/or litigation costs or attorney fees.

I understand that the College will (1) electronically post my 1098-T form (Tuition Statement) to my Banner account so I can download the form for tax purposes and (2) mail a paper copy of my 1098-T to my primary address on file. I understand that I am responsible for providing the College with updated contact information either through Banner or in person at the Registrar's Office in Warren Hall or at SUNY Adirondack Saratoga.

Federal and State Financial Aid Acknowledgement and Permission Statement: I understand that financial aid (state and federal) is only available to matriculated students. A matriculated student is a student who has been accepted to the College and is pursuing a SUNY Adirondack degree. If I am a matriculated student who is eligible for financial aid and my financial aid is reduced or canceled for any reason, I am responsible for all charges on my account. I give SUNY Adirondack permission to use any federal student aid (Pell Grant, SEOG, Direct Loan) to pay any current charges that I incur for educational related activities and any other charges (institutional and non-institutional) related to my attendance. I understand that at any time I may contact the Student Accounts (Bursar) Office to revoke this permission regarding the use of my federal student aid.

More information is available in the College Catalog here: http://catalog.sunyacc.edu/content/financial-responsibility and http://catalog.sunyacc.edu/financialaid/billrefund.

I also understand that should I withdraw from a course, I resign the following funds:

Drop before the end of the first week of term: 25 percent tuition/100 percent fees
Withdrawal before the end of the second week of term: 50 percent tuition/100 percent fees
Withdrawal before the end of the third week of term: 75 percent tuition/100 percent fees
Withdrawal after the end of the third week of term: 100 percent tuition/100 percent fees

Registration Verification

By submitting this application, I am in agreement with and/or acknowledge the Statement of Financial Responsibility above. I certify that the information provided on this registration form is correct and that I have read all instructions and statements on this form and understand the implications and requirements for registration at SUNY Adirondack. As noted previously, Non-Matriculated students are not eligible for federal or state Financial Aid. Acceptance and acknowledgement of this Financial Responsibility Agreement is required in order to process registration.