SUNY Adirondack Non-Matriculated Application

Thank you for your interest in taking courses at SUNY Adirondack (we formally call this applying as a non-matriculated student). We're thrilled at the possibility of you joining our community.

HIGH SCHOOL STUDENTS, please use this application: https://connect.sunyacc.edu/register/collegeacademy

Before proceeding, please read the information below prior to submitting your application.

We look forward to learning more about you!

Non-matriculated Student Policy: Non-matriculated students are not eligible to receive financial aid (i.e., Pell, TAP, Loans, etc.). Non-Matriculated Students receive grades and GPA calculations but do not receive an academic standing or academic honors.

Non-matriculated students can earn a maximum of 36 credit hours at SUNY Adirondack prior to matriculation. Students nearing the 36 credit hour limit should contact College Access to learn more about matriculation. Information about matriculation is available in the College Catalog.

First Name

* Required

Student Information

Last Name

Middle Name

Preferred First Name

Permanent Mailing Address *

Country

Street

City

Region

Postal Code

Birthdate *
(Select Month/Day/Year)

Personal Email Address

Mobile Phone Number

Please select your student type:
Continuing (took courses at SUNY ADK in a previous semester)
First Time (high school graduate that has never attended college before)
Returning (took courses at SUNY ADK more than 1 semester ago)
Transfer (attended college previously or currently attending a non-SUNY college)

First Time

Continuing

Returning

Transfer

Non-Matriculated Registration Term

Have you taken classes (credit or non-credit) at SUNY Adirondack?

Yes

No

Social Security Number

I don't know my SSN. I acknowledge that a hold will be placed on my account preventing registration until I provide my SSN.

Please contact registrar@sunyacc.edu for more information regarding SSN verification.

Gender

Male

Female

Nonbinary

Add another gender

My Gender

Pronouns

He/Him

She/Her

They/Them

Add another pronoun set

My Pronouns

Please enter your Banner ID number here

I don't know my Banner ID number. Please have a member of the Registrar's Office reach out to me.

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

Biological Information

Legal Sex (Sex assigned at birth)*

Female

Male

X or Another Legal Sex

Citizenship Information

Citizenship

U.S. Permanent Resident

Yes

No

Are you Hispanic or Latino?

Yes

No/Prefer not to answer

Cross Registered Section

Home Campus Student ID

Home Campus Major

SUNY students must complete the Cross Registration form: https://suny.edu/crossregister/index.xhtml. Requests will be processed once all necessary approvals have been made by the home and host campuses.

I acknowledge my requests will be processed once all necessary approvals have been made by the home and host campuses.

Emergency Contact Information

Contact First Name

Contact Last Name

Contact Phone Number

Relationship to student

Education Information

High School Information

Graduation Date *

College Information

Have you ever been dismissed and/or suspended from a college for disciplinary (non-academic) reasons?

Yes

No

Course Selection

Please enter CRN, subject, course, and section number for each course you are seeking registration.

Material Uploads

Upload College Transcript (copy)

Upload High School Transcript (Copy)

Upload VISA (copy)

Statement of Financial Responsibility

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 and/or receiving my diploma 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.

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.