*BAD*
115 South Street Middletown, NY 10940 (845)341-4190 fax (845)341-4194
1 Washington Center Newburgh, NY 12550 (845) 562-245 fax (845)220-4062
www.sunyorange.edu
2015-2016 Academic Year
BA Degree Questionnaire
You have stated on one or more application(s) that you currently have a
Bachelor Degree. Please complete the following questionnaire and return it to
the financial aid office.
First Name:__________________ Last Name:__________________________
Please check appropriate response.
I DO NOT have a Bachelor Degree.
I DO have a Bachelor Degree
from ___________________.
(school)
Electronic Certification Agreement. By providing your “electronic” student signature, student ID # below and
by selecting the “Accept" button, you consent that all of the information reported is complete and correct.
Accept Student Signature:__________________________________________Date: ___/ ___/ ______
WARNING: If you purposely give false or misleading information on the worksheet, you may be fined, be sentenced to jail, or both.
*1516*
