Fillable INTERNATIONAL UNDERGRADUATE APPLICATION (State University of New York at Plattsburgh)

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INTERNATIONAL UNDERGRADUATE APPLICATION (State University of New York at Plattsburgh)

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BROWSE STATE UNIVERSITY OF NEW YORK AT PLATTSBURGH FORMS

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INTERNATIONAL UNDERGRADUATE APPLICATION
This application form is only for international students. An international student is NOT a U.S. citizen and NOT a
U.S. permanent resident (green card holder). U.S. citizens and permanent residents should apply online at
www.suny.edu/student.
To avoid any complications or delays with the enrollment process, please complete this application with
information that matches your educational records and personal passport. Please fill out the form, click "File--
>Save As", select a location on your computer and save it. We prefer that you e-mail the completed form to
geo@plattsburgh.edu as an attachment. If you would rather use postal mail, use the following address:
Global Education Office
SUNY Plattsburgh
209 Kehoe Building
101 Broad Street
Plattsburgh, NY 12901 U.S.A
The application processing fee cost is available on our website and it is not refundable for any reason. The fee
can be paid by using the following means:
1. Mail the GEO office a bank draft, check, or money order payable to "SUNY Plattsburgh" OR
2. Complete the credit card information at
https://banner.plattsburgh.edu/pls/prod/international.application_fee
APPLICATIONS RECEIVED WITHOUT THE APPLICATION FEE CANNOT BE PROCESSED.
STUDENT VISA INFORMATION
Family (last) name
First (given) name Middle name (if any)
Gender (required)
City of birth
Country of citizenship
1.
2.
4.
3.
5.
6.
Country of legal permanent residence (i.e. country
where you have legal status that you call home)
9.
Country of birth
7.
8.
Permanent address (required)
Must be outside of the U.S. Type exactly as it should
appear in English on an envelope.
10.
Current mailing address (most important)
We cannot send you any official correspondence
unless we have a complete mailing address including
a postal code (if applicable). Type the address exactly
as it should appear in English on an envelope.
11.
Date Year
Date of birth
Month
Do you currently hold any immigration status in the United States?
Yes No
If yes, please indicate your visa type:
Have you ever been convicted of a felony (a crime for which more than one year in prison may
be imposed)?
NoYes
Have you ever been dismissed from a college or university for disciplinary reasons?
NoYes
APPLICATION REQUIREMENTS
Will this be your first time enrolling at a college or university, or have you
been enrolled (or are you currently enrolled) in a college or university?
When do you expect to begin your studies at SUNY Plattsburgh?
What will be your major at SUNY Plattsburgh?
How long do you intend to study at SUNY Plattsburgh?
Is English your native language (the language spoken in your home)?
Yes No
If not, what is your native language?
What was the language of instruction in your high school?
E-mail address (required)
14.
15.
16
17.
18.
19.
20.
21.
22.
23.
24.
25.
Country Code
Home phone number (required)
City Code Number
NumberCity CodeCountry Code
Other phone number
12.
13.
Which test of English proficiency have you taken or will take (TOEFL,
IELTS)? Select the one on which you received the best results.
26.
Date you took or will take an English proficiency test
27.
Total score on English proficiency test
28.
Date you took or will take the SAT I (if applicable):
29.
Writing scoreMath scoreCritical reading score
30.
Date you took or will take the ACT (if applicable):
31.
Total score on ACT
32.
Instead of sending an official paper report, you may enter your online profile login information at this secure site
https://banner.plattsburgh.edu/pls/prod/international.english. Our staff will verify your scores and include
them in your file. If you have scored 450 or higher on the critical reading section of the SAT, your SAT scores will
satisfy the English Proficiency requirement. If you are interested in merit scholarships, you are strongly
encouraged submit SAT/ACT scores. If you prefer sending a paper report, the SUNY Plattsburgh school code
for the TOEFL and SAT is 2544,and for the ACT is 2944.
EDUCATIONAL DATA
Please list all secondary schools and universities you have attended in the appropriate section below.
Is anyone other than your parents assisting you with the application process?
NoYes
If yes, please indicate the advisor's name and title (example: Mr. Smith, School Counselor at my high school)
Advisor's e-mail address
36.
37.
38.
39.
Date started Write the month and year you began your studies at the school you list. (example: September, 2016)
Date ended Write the month and year you ended your studies at the school you list. (example: May, 2016)
Name of school Write the type of school you attended during each academic year, such as secondary, college, colegio,
ecole secondaire, instituto, university, etc., using the terminology of the education system you attended.
Example: Charles Dickens Secondary School
Certificates,
Diplomas, etc.
Write the name of any examinations passed, or of certificates, diplomas, or degrees earned, such as
Certificate of Education (ordinary or advanced), Bachillerato, Abitur, Maturita, Baccalaureate,
Studentereksamen, etc., using the terminology of the education system you attended.
NumberCity CodeCountry Code
Advisor's Phone
Number
SECONDARY SCHOOL (HIGH SCHOOL):
Diplomas, etc.Name of schoolDate endedDate started
City, CountryName of schoolDate endedDate started
POST-SECONDARY COLLEGE OR UNIVERSITY: If you have ever attended or are currently attending a
college or a university, you MUST complete this section.
40.
41.
Father's First (Given) Name Father's Family (Last) Name
Mother's Family (Last) Name Mother's First (Given) Name
33.
34.
Parents' e-mail address
35.
City, Country
City/country
of school
Write the city and country location of the school you attended
Diplomas, etc.
Ex.
I CERTIFY THAT ALL INFORMATION ON THIS APPLICATION FORM IS TRUE TO THE BEST OF MY
KNOWLEDGE. I understand that withholding information requested on this application or giving false
information will make me ineligible for admission or subject to dismissal.
Current Date
Student's signature
GAP Information (required): If you were out of school for a year or more since beginning secondary school,
please explain your activities during that time. For example, were you working, traveling, going to college, etc.
To which other U.S. colleges or universities have you applied?
PERSONAL INFORMATION
42.
43.
Personal Essay
Please compose a personal essay using at least 250 words. Please answer these questions in your essay:
1. Why are you choosing SUNY Plattsburgh for your university study in the United States?
2. Why are you choosing your particular major (i.e. area of academic study)? What are your educational/career
goals after graduation?
3. Briefly describe your family and your home. How many brothers and/or sisters do you have? Who lives in
your house? What do your parents do for a living?
Attach an additional sheet if necessary.
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INTERNATIONAL UNDERGRADUATE APPLICATION (State University of New York at Plattsburgh)

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Completed 27 August 2020

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