Student Vehicle Registration Form First Name * Last Name * Banner ID * Street * City * State * Zip * Phone # * Semester * - Select -SpringSummerFall Student Housing Resident * - Select -YesNo Car Make * Car Model * Car Color * Car Year * License Plate # * License Plate State * Submit
Housing Application Applicants MUST complete the application below and submit an application fee in the amount of $250. Housing application deposits will be accepted prior to admission, but you must apply and be accepted as a student at SUNY Adirondack in order to be granted housing. Applicants must be in good standing with SUNY Adirondack, with all accounts paid and no outstanding balances. If you have questions regarding your application, please contact the Office of Residence Life at (518) 832.7785 or reslife@sunyacc.edu. First Name * Middle Initial Last Name * Date of Birth (mm/dd/yyyy) * Male/Female * SelectMaleFemale Semester * SelectFall SemesterSpring Semester New or Current Student * SelectNew StudentCurrent Student Please check one: * - Select -I will be attending SUNY AdirondackI will be attending SUNY Plattsburgh at Queensbury Major * Parking Space Required? * SelectYesNo Requesting accessibility services? * SelectYesNo If yes, please elaborate Interested in living in a triple room? (Students who elect to live in a triple can save apprx. $1,000 per year). - None -YesNo Have you ever been dismissed from a college/residence hall? * SelectNoYes Have you ever been convicted of a felony? * - Select -NoYes Current Email Address * Preferred phone # * Current Street Address * Current City * Current State * Current Zip * Parent / Guardian * Parent / Guardian Preferred Phone # * Parent / Guardian Address (if different) Meal Plan: Students are required to purchase a meal plan. For pricing information visit sunyacc.edu/housing/faq * Plan A: 200 meals per semester, $100 points (Cost: $3,740/year, $1870/semester) Plan B: 150 meals per semester, $400 points (Cost: $3,740/year, $1870/semester) Plan C: 125 meals per semester, $550 points (Cost: $3,740/year, $1870/semester) Plan D: 240 meals per semester, $100 points (Cost: $4,430/year, $2215/semester) Tell Us About Yourself (check all that apply) * Late night person Early morning person Quiet Not bothered by noise Messy Neat Smoker (facility is smoke free) Non-Smoker Type(s) of music you enjoy Roommate Requests (Requests are not guaranteed. The Office of Residence Life will make every attempt to honor requests.) In order to successfully process my housing application, I understand that SUNY Adirondack, the Adirondack Housing Association, LLC, and the Faculty-Student Association of SUNY Adirondack will share certain biographic and financial information with each other. By submitting my completed application, I approve and authorize this information to be shared. By signing my name to this application, I warrant that all statements are true and correct to the best of my knowledge. Submitting false information or withholding information may constitute fraud. By my signature I understand and accept the terms and conditions of the housing contract and agree to accept responsibility for the financial obligations incurred. Student Signature * By checking this box, I agree to the terms of the housing application. Parent/Guardian Signature (if applicant is under 18) By checking this box, I agree to the terms of the housing application. Submit
Continuing Education Interest Form First Name * Last Name * Phone * Email * Address * City * State * Zip * Course - None -Course A"Course B". Submit
