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.

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.

High School students taking classes through the Early College Career Academy (ECCA) or PTECH programs are classified as non-matriculated students. All High School students participating in ECCA/PTECH, College in the High School, or Campus Academy should select High School as their student type.

* 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

Mobile Phone Number

Are you a first time, transfer, cross-registered or high school student (ECCA/PTECH, College in the High School)? *

Cross-Registered

First Time

Transfer

Non-Matriculated Start term

Social Security Number (omit dashes and spaces)

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

Yes

No

Are you taking classes as a College in the High School or an ECCA/PTECH student through WWSHE BOCES? (Please check all that apply) *

Campus Academy- Students enrolling in a course at either our Queensbury or Saratoga location

College in High School

Early College Career Academy / PTECH

At the start of the Fall school year, what will be your current year in high school?

Have you taken SUNY Adirondack courses either on campus or at your high school?

Yes

No

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

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.

General Non-Matriculated Student Information

Thank you for your interest in taking courses with us at SUNY Adirondack. If you have any questions, please do not hesitate to reach out by email at registrar@sunyacc.edu or by phone at 518.743.2279.

High School Student General Information

A Strong Beginning

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.

If you have any questions about High School or Campus Academy, please email academy@sunyacc.edu.
If you have any questions about ECCA or PTECH, please email adkecca@sunyacc.edu.

Legal Sex (Sex assigned at birth)

Male

Female

Gender

Male

Female

Nonbinary

Add another gender

My Gender

Pronouns

He/Him

She/Her

They/Them

Add another pronoun set

My Pronouns

Citizenship Information

Citizenship

U.S. Permanent Resident

Yes

No

Social Security Number (omit dashes and spaces)

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.

Are you Hispanic or Latino?

Yes

No/Prefer not to answer

Please check one or more of the following groups in which you consider yourself to be a member:

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

Guardian/Caregiver Phone Number

Emergency Contact Information

Contact First Name

Contact Last Name

Contact Phone Number

Relationship to student

Education Information

High School Information

Graduation Year

College Information

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

Yes

No

Course Selection

High School

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

Material Uploads

Upload College Transcript (copy)

Upload VISA (copy)

College in the High School Financial Acknowledgment

By registering for classes at SUNY Adirondack, I acknowledge and agree that I am financially responsible for all charges related to my registration 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 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 (http://www.sunyacc.edu/refund-policy). 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 the Wilton Center.

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 High School Academy Courses

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 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.

COVID-19 Immunization Attestation

I will submit all mandatory COVID 19 immunization records (or have an approved exemption) prior to physically being on campus at the start of the academic term. I understand that failure to submit documentation means I will not have any physical presence on campus (Queensbury, Saratoga, and the Culinary Arts Center) nor reasonably anticipate using on-campus services for the entirety of the academic term (s). No physical presence includes access to the Library, Fitness Center, Tutoring Centers, Administrative offices, Faculty offices, campus housing, etc.

If my registration status requires me to submit vaccination records to the Registrar’s Office, this will be done by the start of the academic term that I am enrolled in.

SUNY Policy 3100 Required COVID 19 Information

WHAT IS COVID-19?

COVID-19 is a disease caused by a virus called SARS-CoV-2. Most people with COVID-19 have mild symptoms, but some people can become severely ill. Although most people with COVID-19 get better within weeks of illness, some people experience post-COVID conditions. Post-COVID conditions are a wide range of new, returning, or ongoing health problems people can experience more than four weeks after first being infected with the virus that causes COVID-19. Older people and those who have certain underlying medical conditions are more likely to get severely ill from COVID-19.

WHAT ARE THE SYMPTOMS?
People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. Anyone can have mild to severe symptoms. People with these symptoms may have COVID-19: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea. This list does not include all possible symptoms. Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness.

HOW CAN I PROTECT MYSELF (OR MY CHILD) AND OTHERS AGAINST COVID-19?

Get vaccinated.
Wear a mask.
Wash your hands often.
Cover coughs and sneezes.
Monitor your health daily.
Stay 6 feet away from others.

Further details and information can be found via the Centers for Disease Control and Prevention (CDC): https://www.cdc.gov/coronavirus/2019-ncov/index.html

HOW CAN I GET VACCINATED?

COVID vaccines are available at many pharmacies and retail stores. Go to https://www.vaccines.gov/search/ to find where to get a vaccine near you.

BENEFITS AND RISKS OF COVID-19 VACCINATIONS?
Details and information can be found via the Centers for Disease Control and Prevention (CDC).
Benefits of being vaccinated: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/vaccine-benefits.html
Possible side effects: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect/after.html
Allergic reactions: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/allergic-reaction.html

I have read, or have had explained to me, the information regarding the COVID‐19 disease and associated vaccination.

Registration Verification

By submitting this application, I am in agreement with and/or acknowledge the Statement of Financial Responsibility, COVID-19 Immunization Attestation, and the SUNY Policy 3100 Required COVID 19 Information 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.

Non-Matriculated Application

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