SUNY-ESF, SUNY College of Environmental Science and Forestry

Grade level or post-graduate (PG)

Highest level of recognition

Highest level of recognition

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All applicants for admission must submit the SUNY Application or the Common Application, followed by this supplement.
No further action will be taken on your application until we receive this form.
You must complete and submit this form, including the essay, in one session. Do not submit multiple versions.

I am applying as a:

First Name

Middle Name:

Last Name:

Gender

Any previous name for which you have education records:

Permanent Address:

City, State Zip:

Permanent Phone Number:

(include area code)

Cell Phone Number:

(include area code)

Email address:

Temporary Phone Number:

(include area code)

Date of Birth:

10.

Last 4 digits of your Social Security Number:

XXX-XX-

11.

Are you a U.S. Citizen?

If no, are you a permanent resident?

If you are a permanent resident, please provide your alien registration number:

12.

Semester you plan to enroll at SUNY-ESF:

13.

Do you wish to be considered for the Early Action admission option (freshmen only)?

14.

SUNY-ESF Major (Rank Your First and Second Choice)

First

Second

15.

Father's Information

First Name

Middle Initial

Last Name

If deceased, state year:

Occupation

Extent of Education

E-mail Address

16.

Mother's Information

First Name

Middle Initial

Last Name

If deceased, state year:

Occupation

Extent of Education

E-mail Address

17.

If you do not reside with both parents, please indicate who you reside with:

Name

Relationship:

18.

List the names and relationships of family members who attended SUNY-ESF:

Name

Relationship:

Name

Relationship:

19.

High School Information:

High School
Include name, city and state.

School Counselor:

Please check here if you were home schooled:

Please let us know if you will be completing any College or University level courses for credit while in high school (check all that apply):

ESF in the High School
AP
IB
CLEP
College or University course(s) at

20.

Honors
Briefly list any academic distinctions or honors you have received since the 9^th grade or equivalent (e.g. National Merit, Honor Society):

21.

Extracurricular Activities
List any extracurricular, community or volunteer activities you participated in during high school or college (especially any related to the environment):

Grade level or post-graduate (PG)					Approximate Time Spent		When did you participate in these activities?		Positions held, honors won, or letters earned	If applicable, do you plan to participate in college?
9	10	11	12	PG	Hours per week	Weeks per year	School year	Summer	Positions held, honors won, or letters earned	If applicable, do you plan to participate in college?

Activity

Activity

Activity

Activity

Activity

22.

Work Experience
List your paid work experience while attending high school or college, most recent first, and indicate the approximate hours per week for each position.

Employer	Approximate Dates (mm/yyyy-mm/yyyy):	School Year:	Summer:
Specific nature of work	Approximate Dates (mm/yyyy-mm/yyyy):	Hours per week:
Employer	Approximate Dates (mm/yyyy-mm/yyyy):	School Year:	Summer:
Specific nature of work	Approximate Dates (mm/yyyy-mm/yyyy):	Hours per week:
Employer	Approximate Dates (mm/yyyy-mm/yyyy):	School Year:	Summer:
Specific nature of work	Approximate Dates (mm/yyyy-mm/yyyy):	Hours per week:

23.

If more than one semester has elapsed, or will elapse, between periods of full-time attendance in high school or college, it is required that you tell us what you have done or plan to do in the interim.

24.

ESSAY QUESTION - Required for all applicants.
Please prepare a response to the following in 250-500 words (1-2 pages, typed) and paste it below:

What experiences, activities and interests, both in the classroom and outside the classroom, have contributed to your decision to select your intended major and to make SUNY-ESF one of your college choices?

Transfer Students Only (Questions 25-28):

25.

Check here if you are a member of
Phi Theta Kappa.

26.

I am NOT currently attending college or completing college-level work.

27.

Please provide the information requested below for all colleges you have attended, in chronological order, most recent first. If more than four colleges, please contact the Undergraduate Admissions office at esfinfo@esf.edu or 315-470-6600.

College Name	Location (City, State)	Dates of attendance mm/yyyy - mm/yyyy	Major	Credits Earned

28.

List any college coursework you will be completing during the semester immediately preceding your expected enrollment at SUNY-ESF (fall courses prior to spring entry; spring and summer courses prior to fall entry):

Semester and Year	Course No.	Course Title	Credit Hours	College Name

Optional Information (Questions 29-31):
The following questions are optional. Refusal to provide this information will not subject the applicant to any adverse treatment in the admission process. Any information provided will remain confidential.

29.

If you wish to be identified with a particular ethnic group, please indicate how you would describe yourself.

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Are you Hispanic/Latino?

If Hispanic/Latino, is your background (select one):

30.

Do you plan to apply for financial aid?

31.

What other colleges will you apply to this year?

CERTIFICATION - Required for all applicants:
By submitting this form, I hereby certify that the information given by me on this application is complete and accurate. I understand that any misrepresentation may be cause for denial of admission or permission to register at any time.

After you click the "Submit Form" button below, you should see a message indicating that this form has been successfully submitted. If you do not see this message, contact the Undergraduate Admissions office at esfinfo@esf.edu or 315-470-6600 with the error code or description of the problem.

If you want to print a copy of this form for your records, use the print function on your browser before you submit the form.

Please click submit only once. The form will take a little time to process.