Free Application for Admission - SUNY Schenectady

SUNY Schenectady County Community College Office of Admissions 78 Washington Avenue ? Schenectady, NY 12305 518-381-1366 ? admissions@sunysccc.edu

Free Application for Admission

If you have not yet applied to SUNY Schenectady, you may use this form. Once we receive your high school transcript or GED/TASC scores, we will review your file for acceptance. There is no fee for this application form. Please print.

Personal Information

Name

Last

First

Middle Initial

Preferred Name

Address Address Primary Phone (

Number & Street

City

)

State

Zip

Secondary Phone (

Apt. No.

County

)

E-mail

E-mail of Parent, Guardian, or Support Person, if applicable

Date of Birth

/

/

Month

Date

Year

What is your native language?

Sex: m Female m Male

Gender: m Female m Male m X

Are you a current or former member of the U.S. Armed Forces? m Active Duty U.S. Military m Currently serving in the Active Reserve or National Guard m Veteran m No Military or Veteran Status

Are you the dependent of a military service member (spouse or child)? m I am the child of a U.S. Veteran m I am the child of an active duty service member m I am the spouse of an active duty service member m I am the spouse of a U.S. Veteran m None

What is the highest level of education obtained by Parent 1? m Less than a high school diploma m High School diploma or equivalent m Some college, no degree m Associate Degree m Bachelors Degree or higher

What is the highest level of education obtained by Parent 2? m Less than a high school diploma m High School diploma or equivalent m Some college, no degree m Associate Degree m Bachelors Degree or higher

Citizenship

Primary Citizenship

Are you a U.S. Permanent Resident m Yes m No

If you are not a U.S. citizen or permanent resident, and would like to obtain an F-1 Visa, you must provide additional documentation. Please call the Admissions Office at 518-381-1366 to obtain an information packet.

High School Information

Do you have a high school diploma or GED?

m Graduated from High School

m Homeschooled

m Withdrew

m Will Graduate from High School

m Completed High School Equivalency (GED/TASC) m Other

High School Name

Address Date of Graduation

City

State

Zip

Diploma Type

Date of Receipt of GED/TASC

It is the student's responsibility to arrange for an official high school transcript or GED/TASC to be sent to the Admissions Office. Please have all transcripts mailed to: Office of Admissions, SUNY Schenectady County Community College, 78 Washington Avenue, Schenectady, NY 12305

Enrollment Information

Intended SUNY Schenectady entry date: Year: 20

m September m January m May

Status: m Full-time m Part-time

Student Type: m First Year Student (have not previously attended college) m Transfer Student (have previously attended college)

Please indicate the college(s) you have previously attended.

Previous College

State

Dates attended

to

Previous College

State

Dates attended

to

If you wish to transfer credit(s) for coursework at a previous college, please contact the Registrar's Office at the college(s) above and forward and official transcript(s) to: SUNY Schenectady County Community College, Office of Admissions, 78 Washington Avenue, Schenectady, NY 12305 If you are not interested in having your college transcripts evaluated, check here m

Do you have academic records under another name? m Yes m No

If yes, please indicate name here:

Last

First

m I intend on applying to Belanger School of Nursing (or other nursing school)

Middle Initial

What are your educational goals while attending SUNY Schenectady? m Transfer to a SUNY school after earning a degree m Transfer to a non-SUNY school after earning a degree m Transfer to a SUNY school without earning a degree m Earn a degree or certificate for employment m Learn and update skills m Personal enrichment/enjoyment m Uncertain

Questions? Contact the Office of Admissions at 518-381-1366

Academic Interest

Choose from the list of Academic Programs below and enter the program code here:

Once we receive the necessary documents, we can review your file for acceptance into the academic area you have chosen. This application cannot be processed unless you choose a program. Music students: Choose your program of interest. However, you will be placed in the Music Certificate Program until you have

successfully completed an audition.

Are you interested in completing this degree online? m Yes, fully online if available. m Yes, partially online if available. m No, I do want to take online classes.

Please be advised that a prior felony conviction may impede the ability of a student to complete the requirements of certain academic programs and to meet licensure for certain professions. If you have questions, please reach out to the Office of Admissions at 518-381-1366 or email admissions@sunysccc.edu.

Transfer Degree Programs Aviation Science (Pilot Option)............ 98 Aviation Science (Non-Pilot Option)... 98A Biotechnology.......................................... 06 Business Administration....................... 55 Computer Science................................... 79 Criminal Justice...................................... 09 Human Services...................................... 83 Liberal Arts: Humanities and

Social Sciences..................................... 85 Communication Concentration....... 85C English Concentration....................... 85E History Concentration....................... 85A Psychology Concentration................. 85P Sociology Concentration................... 85S Mathematics and Science ...................... 78 Nanoscale Science Concentration.... 78N Nutrition................................................... 71 Performing Arts: Music......................... 87 Programming for Game Design........... 104 Science...................................................... 96 Biology Concentration....................... 96B Teacher Education Transfer.................. 84

Career Degree Programs

Accounting............................................... 10 Air Traffic Control.................................. 86 Biological Technician............................. 05 Business Administration....................... 20 Chemical Dependency Counseling...... 58 Computer Information Systems........... 34 Computer Networking Systems and

Cyber Security..................................... 69 Craft Beer Brewing................................. 74 Craft Spirit Distillation.......................... 04 Criminal Justice...................................... 35 Culinary Arts........................................... 33 Early Childhood...................................... 37 Hospitality and Tourism

Management........................................ 77 Hotel and Restaurant Management..... 30

Beverage Management Concentration...................................... 30B Human Services...................................... 50 Music Audio Technology....................... 16A Nanoscale Materials Technology.......... 66 Paralegal................................................... 38 Supply Chain Management................... 73

Certificate Programs

Assistant Chef.......................................... 31 Bank Financial Security and Money

Laundering Prevention...................... 21A Chemical Dependency Counseling...... 99 Community Health Worker.................. 101 Computer Repair and Networking...... 68 Craft Beer Brewing................................. 07 Craft Spirit Distillation.......................... 04A Digital Music and Beat Production...... 92A Direct Support Professional.................. 103 Early Childhood...................................... 12 Entrepreneurship.................................... 11 Health Studies......................................... 61

(for students who wish to apply to Belanger School of Nursing or other health programs) Hospitality and Tourism........................ 72 Mechatronics........................................... 97 Medical Coding and Billing.................. 76 (may be started in the fall semester only) Mobile Food Service............................... 105 Music ........................................................ 92 Teaching Assistant.................................. 63

Microcredentials

Baking and Confections.......................MC4 Behavioral Health..................................MC3 Child Development................................MC1 Global Business and Transportation

Management......................................MC2

Questions? Contact the Office of Admissions at 518-381-1366

Mandated Question

Applicants are required to answer the following question. If you answer "yes," additional information may be required prior to enrollment.

Have you ever been expelled and/or dismissed from another college or university for disciplinary reasons? m Yes m No Note: Answer "No" to this question if you were dismissed for issues related to your grades or academic performance.

Additional Information

Please indicate your racial category*

1. m White

2. m Black or African-American

3. m Asian

5. m American Indian or Alaska Native

6. m Unknown

4. m Native Hawaiian or other Pacific Islander

Please indicate your ethnic group*

1. m Non-Hispanic

2. m Cuban

6. m Other Hispanic 7. m Unknown

3. m Dominican

4. m Mexican

5. m Puerto Rican

Do you have a disability that requires services and/or accommodations? m Yes* m No If yes, contact ADA Transition Services for information at 518-381-1345.

* Self-disclosure of disability, racial and ethnic information is solely voluntary. This information will be kept confidential and will not be used in a discriminatory fashion. Refusal to provide this information will not subject the applicant to any adverse or discriminatory treatment.

EOP Information: To learn more information about the Educational Opportunity Program (EOP) and to see if you qualify, please visit the College's website.

Are you interested in student housing? m Yes m No

How did you learn about SUNY Schenectady?

m Friend

m Facebook/Twitter

m Family member

m Internet search

m Guidance Counselor

m Newspaper

m High school teacher

m TV ad

m Former student

m Website

m Employer

m Letter/postcard sent to my home

m Email from the College

m Internet ad

m Text message from the College

m Billboard

m Event (at school or College)

m Other

Signature

I understand that this application cannot be processed if it has not been completed according to instructions and that any deliberate falsification or omission of data from any part of this application may result in denial of admission, dismissal, or other disciplinary action.

Student Signature

Date

SUNY Schenectady County Community College does not discriminate on the basis of age, race, creed, color, sex, sexual orientation, national origin, disability, veteran status, religion, or marital status in admissions, employment or in any aspect of the business of the College.

Questions? Contact the Office of Admissions at 518-381-1366

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