24 College Credit High School Equivalency Pathway Application
The University of the State of New York
THE STATE EDUCATION DEPARTMENT
High School Equivalency (HSE) Office
89 Washington Avenue, EBA 460
Albany, New York 12234
hse@nysed.gov
PLEASE PRINT CLEARLY IN BLUE OR BLACK INK
Section A. For Applicant Use Only
Applicant’s Name Last Name First Name Middle Initial Suffix
Name at time of College Credits Earned (if different from above):
Mailing Address (Street/P.O. Box)
Date of Birth
Month Day Year
(______) ______________
______
Name of College where Credits were Earned:
Additional College(s) where Credits were Earned:
• Applicants must have been enrolled in a degree or certificate granting program and completed 24 credits, as
designated, at a college located within the United States or accredited by a U.S.A. higher education institution.
• Applicants must have reached maximum compulsory school attendance age (MCSAA) prior to being awarded a High
School Equivalency diploma. A student reaches MCSAA if they turn age 16 on or before June 30
th
of the school year in
which they can legally drop-out of high school. Please note that school districts may opt to designate age 17 as the
MCSAA, pursuant to NYS Education Law Section 3205(3).
• I certify that I have been a New York State resident for a minimum of 30 days, and do not currently possess a high school
diploma or High School Equivalency diploma.
• I certify that I have successfully completed 24 or more credit hours in accordance with credit distribution requirements
on page 2 of the application.
I understand that I will not be awarded a New York State High School Equivalency Diploma based on 24 College Credits unless I
meet the eligibility and program requirements. For more information, please see:
http://www.acces.nysed.gov/aepp/college-
credit-and-out-state-testing
_________________________________________________________ _____________________
Applicant Signature Date
Section B. Completed by the Registrar (Most recent, if more than one college.)
Name of Institution
City and State of Institution Registrar Phone Number
Registrar’s Name Registrar Email
Registrar’s Signature Date
The certifying College must return this form with the applicant’s corresponding
official transcript(s) to The High School Equivalency (HSE) Office,
89 Washington Avenue, EBA 460, Albany, New York 12234
$10 Money Order for
Processing. Do not
Institution's
Seal or
Stamp
