Fillable Form 1.: (State University of New York College of Environmental Science and Forestry)

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Form 1.: (State University of New York College of Environmental Science and Forestry)

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U.S.A. forms for State University of New York College of Environmental Science and Forestry

BROWSE STATE UNIVERSITY OF NEW YORK COLLEGE OF ENVIRONMENTAL SCIENCE AND FORESTRY FORMS

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October 2017
VISITING STUDENT REGISTRATION FORM:
Please complete a separate form for each semester
There are limits to the number of courses/credit hours taken as a visiting student that may be applied to a degree program. If you anticipate applying
coursework to an ESF undergraduate or graduate degree, you should discuss course selections and intentions with Dr. Charles Spuches, Dean,
Open
Academy at cspuches@esf.edu or 315-470-6810.
Syracuse University students (including University College students): Only Summer semester SU
students (both matriculated and visiting) and academic
year visiting students should use this form. Fall and Spring semester matriculated SU students must register for ESF courses through SU.
1.
Name __________________________________________ _
________________________________ _________
3.
Birth Date ___________________
4.
Gender
5.
Ar
e you a UUP member?
6
.
Are you employed full time?
If yes, company name _______________________________________________________________________
7.
Country of citizenship _____
__
_______________________________
8.
Legal resident of NYS for t
he past year?
10.
11.
13.
Are you registered for - or do you intend to
register for Summer Session classes at another SUNY institution?
14.
15.
How did you learn about ESF courses?
16. Please indicate your race (select one or more):
By typing my name below, I certify that all information provided is correct and complete. I understand that any misrepresentation may
result i
n academic dismissal. I also understand that non-degree status does not constitute admission to a degree program. I have read the
Visiting Student Guide and agree to SUNY-ESF’s registration, financial and Code of Student Conduct (www.esf.edu/students/
handbook ) requirements, and understand it is my responsibility to pay close attention to financial deadlines. I affirm that I meet
prerequisite requirements or have obtained permission of the instructor.
Typed Signature: ______________________________________________________
Return
form to:
Barbara Newman, 227 Gateway Center, SUNY-ESF, 1 Forestry Drive, Syracuse, NY 13210
Email: banewman@esf.edu Phone: 315-470-4898 Fax: 315-470-6890
You will be notified by email regarding your enrollment in these courses. Thank you.
Maymester
Semester
If Summer, please
check all that apply:
Last/Family Name
2. Do you have a former last name?
Social Security No. ________________
If yes, please state ________________________________________________
______
___
If outside of the US, what type of visa do you have? ___________________
If no, what is your state or country of permanent residence?________________________________
9.
Mailing address _____________________________________________________ City ____________________ State ____ County ______________
Zip ________ Phone ___________________ Email address(REQUIRED)____________________________________________________________
Emergency contact ______
_____________________________________ Relationship ________________________ Phone ____________________
Have you attended ESF previously? If yes, when (years)? ____________________ If yes, what is your SUID (if available)?_______________
If no, name last college/university attended ______________________________________________________ When?__________________________
12.
Are you currently matriculated (enrolled) at a college/university other than ESF?
If yes, specify college/university ______________________________ Degree sought _______ Major ______________________________________
Do you hold a degree from any college/university?
If yes, specify college/university of highest degree ______________________________ Degree _____ Major________________________________
17.
Have you ever been dismissed and/or suspended from a college or university for disciplinary reasons?
First/Given Name
Middle Initial
(Even if you have never attended a college or university, a response is required. If the answer to 17 is “yes”, please attach a
letter of explanation.)
Session 2
Course No.
(e.g., EFB 200)
Section
(e.g., 01)
Course Name
Instructor
Credit Option
Other_____________________________
White
Are you Hispanic/Latino?
Asian/Pacific Islander
Native American
Black
Credit
Hours
Year__________
Session 1
Combined Session
Uniquely Scheduled
OpenSUNY
ESF Summer Schedule My Advisor
Date:_______________________
Select Semester
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select One
Select One
Select One
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Completed 27 August 2020

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