First Name
Middle Name
Last Name
Chosen Name
Former last name (if applicable)
Email
Do you currently live outside of the United States?
What is your mobile/cell phone number?
May we contact you via text message?
How did you hear about us?
Legal Sex
Gender Identity
Pronouns
Have you earned college credits through SUNY Sullivan while in high school (College in High School (CIHS) Program?
Are you seeking any of the following from SUNY Sullivan?
Social Security Number Note: Required for Financial Aid or 1098T (Tuition Payment Statements)
Permanent Address Line 1 Include Apt #
Permanent Address Line 2
Permanent Address City
Permanent Address state
Permanent ZIP/Postal Code
Permanent County of Residence
Diversity Statement
SUNY Sullivan values diversity. The viewpoints, identities, and histories that our students, faculty, and staff bring enhance our commitment to diversity, equity, and inclusion. Our founding principles and support for undocumented students guides our actions. You can go to college. Currently, there is no federal law preventing you from attending. SUNY Sullivan does not, and will not, consider national origin or immigration status as a factor in admission. We encourage all students, regardless of citizenship status or national origin, to apply for admission, including undocumented and Deferred Action for Childhood Arrivals (DACA) students graduating from U.S. high schools (adapted from https://www.suny.edu/attend/get-started/undocumented/).
Citizenship status
Citizenship
If you are not a United States citizen, and you are living in the United States on a Visa, what type of Visa is it?
If not a US citizen, what is your alien registration number?
Are you a United States Veteran?
SUNY Sullivan is required to report information on the racial and ethnic diversity of students, faculty, and staff.
EthnicityNote: Select "Hispanic or Latino" if you are a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Race Note: Mark one or more races to indicate what the candidate considers himself/herself to be.
What is your Ancestry? Select all that apply.
What is the primary language used in your home?
Are you expecting to graduate High School, or have you graduated High School
High School Attended
High School City
High School State
High School Graduation Date
Do you have a GED?
GED Test Date
Have you ever applied/attended SUNY Sullivan?
Last College/University Attended (if applicable)
Which year and term do you plan to attend?
Program of interest
Enrollment Status
Are you interested in on-campus housing?
EOP
EOP is designed to help students who have been historically disadvantaged academically and economically to reach their full potential with academic support and modest financial assistance. Please click yes if you're interested in applying for the Educational Opportunity Program. For more information, visit https://sunysullivan.edu/educational-opportunity-program-eop/.
If you received a letter from SUNY recently, please enter the offer code provided.
After pressing submit allow a few seconds for the form to process and you will get a confirmation message that it was successfully submitted.
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Undergrad code UG
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