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2014 Supplement to the SUNY Application

All applicants for admission who submit the SUNY Application must also submit this supplement, including the essay. No further action will be taken on your application until we receive this form.

NOTE: You cannot save a partially completed application for later completion! You must complete and submit this form, including the essay, in one session. Do not submit multiple versions.

0. Freshman _____ Transfer ______
1. Name:
2.


3.
, ,
4.
______-______-________ (include area code)
5.
______-______-________ (include area code)
6.
7.
____ / ____ / __________ (mm/dd/yyyy)
8.
Required for US Citizens and Permanent Residents applying for financial aid via the FAFSA.
 Numbers ONLY, no spaces or dashes.
9. Fall: ___ or Spring: ___ of Year: ________ (yyyy)

10.
Yes: ___ No: ___
11.
NOTE: You must complete the Early Decision Agreement form and submit it, along with all required application materials, by December 1 to be considered under this plan. If admitted under Early Decision, you must commit to enroll at SUNY-ESF. For more information about the SUNY-ESF Early Decision plan, go to www.esf.edu/admissions/freshman/early.htm.
Yes: ___ No: ___
12. SUNY-ESF Major
NOTE: Please review the academic program information before you answer this question to make sure you are selecting majors of interest to you. The ‘fit’ between your goals and choice of major is a significant part of our review of your application. Therefore, your choice of major should match your response to the SUNY-ESF essay question at the end of this form. If you are not admitted to your first choice major, you may be considered for your second choice major.
_____________________________________    Second Choice: _____________________________________
13. Parent/Guardian 1 Information
Mother: ___ Father: ___ Unknown: ___
Name:
   Occupation: _____________________________     Extent of Education: __________________________
14. Parent/Guardian 2 Information
Mother: ___ Father: ___ Unknown: ___
Name:
   Occupation: _____________________________     Extent of Education: __________________________
15. If you do not reside with both parents, please indicate who you reside with.
   Relationship: _____________________________
16. List the names and relationships of family members who attended SUNY-ESF.
______________________ (e.g., father, grandmother, etc.)
______________________ (e.g., father, grandmother, etc.)
17. High School Information

Please let us know if you will be completing any College or University level courses for credit while in high school (check all that apply):


  |  
  |  
  |  
  |  

18. Honors

Briefly list any academic distinctions or honors you have received since the 9th grade or equivalent (e.g. National Merit, Honor Society):

Grade level or post-graduate (PG) Honor: Highest level of recognition:
9 10 11 12 PG
School ____, State/Regional ____, National ____, International ____
School ____, State/Regional ____, National ____, International ____
School ____, State/Regional ____, National ____, International ____
School ____, State/Regional ____, National ____, International ____

19. Extracurricular Activities

Please list your principal extracurricular, community or volunteer activities in their order of importance to you. Use the space available to provide details of your activities and accomplishments (especially in environmentally related activities) :

Grade level or post-graduate (PG) Approximate Time Spent When did you participate in these activities? Positions held, honors won, or letters earned: If applicable, do you plan to participate in college?
9 10 11 12 PG Hours per week Weeks per year School year Summer

20. Athletic Activities

List any athletic activities you participated in during high school or college:

Grade level or post-graduate (PG) Approximate Time Spent When did you participate in these activities? Positions held, honors won, or letters earned If applicable, do you plan to participate in college?
9 10 11 12 PG Hours per week Weeks per year School year Summer

21. Work Experience

List your paid work experience while attending high school or college, most recent first, and indicate the approximate hours per week for each position.

Employer:

Approximate Dates
(mm/yyyy-mm/yyyy):

School Year: Summer:
Specific nature of work: Hours per week:
Employer:

Approximate Dates
(mm/yyyy-mm/yyyy):

School Year: Summer:
Specific nature of work: Hours per week:
22.
23.

Transfer Students Only (Questions 25-28):

25.

26.

27.
College Name Location (City, State) Dates of attendance
mm/yyyy - mm/yyyy
Major Credits Earned
28.
Semester and Year Course No. Course Title Credit Hours College Name

Optional Information

The following questions are optional. Refusal to provide this information will not subject the applicant to any adverse treatment in the admission process. Any information provided will remain confidential.

29.

     
     
     
     

Yes: ___ No: ___

Certification - Required for all applicants

By submittingsigning this form, I hereby certify that the information given by me on this application is complete and accurate. I understand that any misrepresentation may be cause for denial of admission or permission to register at any time.

After you click the "Submit Form" button below, you should see a message indicating that this form has been successfully submitted. If you do not see this message, contact the Undergraduate Admissions office at esfinfo@esf.edu or 315-470-6600 with the error code or description of the problem.

If you want to print a copy of this form for your records, use the print function on your browser before you submit the form.

Signature: ____________________________________________________ Date: _________________ (mm/dd/yyyy)

Please click submit only once!
The form may process slowly. You will see a web message that tells you that your form has been successfully submitted (contact the Undergraduate Admissions office if you have problems: esfinfo@esf.edu or 315-470-6600).

    


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