Fillable Early Scholars Honors Academy Application 3 (Adirondack Community College)

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Early Scholars Honors Academy Application 3 (Adirondack Community College)

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Office of Extended Programs
696 US Route 9, Wilton, NY 12831
CALL: 518.584.3959 | FAX: 518.584.0896 | EMAIL: academy@sunyacc.edu
Early Scholars Honors Academy Application Instructions:
You may either print and fill this application out by hand or download it and fill it in on your
computer.
To fill it out on your computer:
1. Begin by saving a copy of this application to your computer. We suggest using your last
name as part of the file name to differentiate your application from the blank template. Be
sure to save the file in a location (folder) on your computer that will be easy to find.
2. Close your web browser prior to filling in the application.
3. Open the saved file to begin completing the application. It is recommended that you
enter your school and name, save the document and reopen it to ensure that the version
of the program you are using is functioning correctly.
4. Complete the application by typing your information in the fields. Certain areas of the form
contain check boxes or buttons;
simply click your mouse in the box/button you wish to choose. Remember to SAVE often.
Completed Forms should be sent to:
Upload to our secure website at www.sunyacc.edu/collegeacademy (PREFERRED)
SUNY Adirondack, Office of Extended Programs, 696 US Route 9, Bay Road, Wilton, NY
12831
Fax: 518-584-0896
*During the COVID-19 Crisis, please upload the application, if you are unable to do so, please
email academy@sunyacc.edu for more information to submit your application.
Deadline: Application due by 4:00PM July 10, 2020
Please make sure all items on the checklist are submitted together. Only completed
application packets will be reviewed.
Notification of acceptance will be sent by July 31
st
via email provided.
Office of Extended Programs
696 US Route 9, Wilton, NY 12831
CALL: 518.584.3959 | FAX: 518.584.0896 | EMAIL: academy@sunyacc.edu
Early Scholars Honors Academy Application
Application Checklist:
College Academy Application
Counselor Recommendation
Faculty Recommendation
High School Transcript/ Quarterly Report
Personal Letter of Interest and Essay
Student Name (Please print):
______________________________________________________________________________
First Middle Last
Date of Birth (mm/dd/yy): __________________________ Sex: ❑ Male ❑ Female
Permanent Address:
______________________________________________________________________________
Street City State Zip
New York State residents, must submit a Certificate of Residency to the Student Accounts office
within 60 days of the beginning of the semester.
Cell Phone (including area code): ________________Other Phone:_______________________
Email Address: ________________________________________________________________
We will be sending follow up communications to this address. Please provide a personal email
you check regularly.
Education Information
Name of High School: _____________________Anticipated Date of Graduation: ___________
My signature below indicates that if accepted I will enroll in both the fall and spring
semesters, attempt a minimum of 12 credits, and participate in the Honors Research Project
in collaboration with Phi Theta Kappa.
Student Signature: ______________________________________Date: ___________________
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Early Scholars Honors Academy Application 3 (Adirondack Community College)

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Completed 20 September 2020

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