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Non-Matriculated Application
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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)
Birthdate *
(Select Month/Day/Year)
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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18
19
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23
24
25
26
27
28
29
30
31
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Permanent Mailing Address *
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
)? *
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
Select start term
Summer 2023
Social Security Number (omit dashes and spaces)
Have you taken classes (credit or non-credit) at SUNY Adirondack?
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) *
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?
Select current year in high school
9th Grade
10th Grade
11th Grade
12th Grade
Have you taken SUNY Adirondack courses either on campus or at your 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?
Has your mailing address changed from the last time you were enrolled?
Yes
No
Permanent Address Update
Please enter your updated address below:
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.
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)
Legal Sex (Sex assigned at birth)
Male
Female
Gender
Gender
Male
Female
Nonbinary
Add another gender
My Gender
Pronouns
Pronouns
He/Him
She/Her
They/Them
Add another pronoun set
My Pronouns
Citizenship Information
Citizenship
Please select citizenship from list
United States
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
U.S. Permanent Resident
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?
Are you Hispanic or Latino?
Yes
No/Prefer not to answer
Please check all that apply:
Please check all that apply:
Central American
Cuban
Dominican
Mexican
Other
Puerto Rican
South Amercian
Unreported
Please check
one or more
of the following groups in which you consider yourself to be a member:
Please check
one or more
of the following groups in which you consider yourself to be a member:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific
White
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
school ceeb
Graduation Year
College Information
school ceeb
Have you ever been dismissed and/or suspended from a college for
disciplinary (non-academic) reasons
?
Have you ever been dismissed and/or suspended from a college for
disciplinary (non-academic) reasons
?
Yes
No
Argyle CEEB
Ballston Spa CEEB
Bolton CEEB
Cambridge CEEB
Colonie CEEB
Corinth CEEB
Galway CEEB
Glens Falls CEEB
Greenwich CEEB
Hadley Luzerne CEEB
Hartford CEEB
Hudson Falls CEEB
Lake George CEEB
Queensbury CEEB
Saratoga CEEB
Schuylerville CEEB
SGFHS CEEB
Warrensburg CEEB
Whitehall CEEB
Johnsburg CEEB
BOCES
Course Selection
High School
Select high school
Argyle Central School
Bolton Central School
Ballston Spa High School
BOCES
Cambridge Central School
Corinth High School
Colonie High School
Galway High School
Glens Falls High School
Greenwich Central High School
Hartford Central School
Hadley-Luzerne Central School
Hudson Falls Central Senior High School
Johnsburg Central School
Lake George Central School
Queensbury High School
Saratoga Springs High School
Schuylerville Central School
South Glens Falls Central High School
Warrensburg Central School
Whitehall Central 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 Statemen
t: 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.
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