SUNY PLATTSBURGH at QUEENSBURY - CROSS-REGISTRATION FORM
(For use by SUNY Plattsburgh Branch Campus students for cross-registration at SUNY Adirondack and Empire State College, and for Branch Campus
Criminal Justice majors studying at Hudson Valley Community College)
Cross registration is a cooperative arrangement permitting
full-time, matriculated undergraduate students
at SUNY Plattsburgh to cross
register for a
maximum of two courses per academic year
at other colleges with which we have cross-registration agreements. This program
is available during the
fall and spring semesters only.
Cross registration at these colleges must be in courses not available or not accessible to
the student at SUNY Plattsburgh. SUNY Plattsburgh students who plan to cross register must pay full-time tuition and fees and register for at least
half of their full-time
course load at SUNY Plattsburgh. No extra tuition charge is assessed, but students are responsible for any fees that may be
required by the host institution for a particular course. Credits and grades earned through cross registration are recorded on the academic record,
and they are calculated in the grade point average. Credits completed through cross registration also apply to the residency requirements.
Students must have approval to cross register from their advisor, chairperson of their major (or designee), and the host campus registrar. Cross-
registration is dependent of seat availability at the host institution. Registration, course add/drop, and course withdrawal dates and procedures, of
the host institution must be followed.
Plattsburgh Student ID: _________________________________________
NAME: _______________________________________________________
Host Campus Student ID: _______________________________________
MAJOR: _____________________________________________________
ADDRESS: __________________________________________________________________________________________________________________
E-MAIL: ______________________________________________________
TELEPHONE: _________________________________________________
College the student plans to attend: SUNY Adirondack Hudson Valley Community College Empire State College
Semester/Year:
____________________________________ Reason:
Course(s) not available at the Plattsburgh Branch Campus
HOST
Campus
Course
Number
Plattsburgh
Course
Equivalent
This Course Will Count As:
Gen. Ed.
Requirement
(List Category)
if a
Major or
Concentration
Requirement
PLEASE READ AND CHECK APPROPRIATE BOXES BELOW
I understand that I must be a FULL-TIME STUDENT (at least 12 credit hours total) to cross-register for courses.
I understand that forty-five (45) upper-division (300 or 400 level) credits are required for graduation.
I may cross-register for a MAXIMUM OF TWO COURSES during any one academic year (Fall and/or Spring semesters only).
I am currently registered/pre-registered for __________ credits at Plattsburgh for the semester in which I plan to cross-register.
Courses approved on this form WILL NOT exceed the two-course registration maximum for this academic year.
Student’s Signature: ___________________________________________________________
Dat
e: _____________________
REQUIRED SIGNATURES:
RETURN COMPLETED FORM TO THE PLATTSBURGH BRANCH CAMPUS OFFICE:
640 Bay Road, Queensbury, NY 12804 – Fax: 518-792-3868 – Telephone: 518-792-5425
S
tudent delivers full-time enrollment verification from Plattsburgh and a copy of this completed form to the host campus. The host campus
registrar notifies Plattsburgh's registrar of final grade(s).
April 2020