*NAT*
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 Not Attending Form
Return ONLY IF you are not planning on attending SUNY Orange.
Complete the section below and return it to the Financial Aid Office as soon as possible so we may
update our records.
I, ____________________________ _______________________, am not planning on
First Name Last Name
attending SUNY Orange for the 2015-2016 academic year (June 2015- May 2016).
I understand that:
Check
If my enrollment plans change, I must contact the Financial Aid Office to re-activate my
Financial Aid Application.
If I am registered for classes, it is the student’s responsibility to withdraw from classes in
the Records and Registration Office BEFORE the semester begins.
This form is for Financial Aid Purposes Only. It is the students' responsibility to notify
the Office of Admission and/or Records and Registration of any change in enrollment
(i.e. withdraw from classes, change admission status.)
Electronic Certification Agreement. By providing your “electronic” student signature, student ID #
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.
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