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Transfer Verification - The State University of New York

By Lloyd Riley,2015-04-11 23:46
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Transfer Verification - The State University of New Yorkof,The,State,New,York,the,new

    Educational Opportunity Program

    TRANSFER VERIFICATION FORM

    The student whose name appears on this form is applying for transfer admission to the State University of New York, Educational Opportunity Program. The ability to transfer within Opportunity Programs (EOP, HEOP, SEEK, etc) is intended to facilitate the transition from lower division institutions to upper division institutions and to enable students to make necessary institutional transitions that arise from changes in educational or personal needs while maintaining a continuum of services. Though this option is intended primarily for students who began their college studies in an Opportunity Program, there are specific circumstances in which a student who is not in such a program may be accepted as a transfer.

Educational Opportunity Program (EOP)

    Established in 1967, the Educational Opportunity Program is designed to provide college access to academically and economically disadvantaged New York State residents who would not be able to gain college entry otherwise. Although disadvantaged, students accepted into the program demonstrate the potential to master college-level work.

    Providing college access to more than 10,000 students annually, the Educational Opportunity Program exists on forty-five campuses in the State University.

     1Admission: To be considered for program admission, applicants must be New York State residents. 2Applicants must also meet the economic and academic criteria established by the State University of New

    York, Office of Opportunity Programs. Students accepted into the program are determined to be eligible subject to proof of income and their prior high school performance; documentation must be provided at the time of application. Priority is given to applicants from historically disadvantaged backgrounds.

    Program Services: Participants of the program receive a range of services including: counseling, tutoring, developmental coursework, financial support, and in some instances, students are required to attend a summer pre-freshman program prior to fall matriculation.

To facilitate the transfer admission process, it is important that all sections of the Transfer Verification Form are complete. If you

    have questions or require assistance in completing the form, please contact the campus to which the student is applying.

    .

     1 New York Residency is defined by the following: (1) Have resided in New York State for twelve months prior to their day of registration in college,

    or (2) Reside in New York State at the time of application and lived in New York State for the last two terms of high school; or (3) Were residents of

    New York when they entered military service, Vista or the Peace Corps and re-established New York State residence within six months after

    completing their term of service.

     2 Because the Economic Guidelines change annually, you will need to consult with the EOP administrator to confirm that the student met the

    economic criteria at the initial point of college entry. This does not apply to campuses with an EOP, HEOP, or College Discovery/SEEK Program.

This section is to be completed by the campus to which the student wishes to transfer. It is intended to aid

    the student’s previous school in identifying the student accurately.

    Student is applying for: Fall Semester ? Spring Semester ? Academic Year ___________

    Student Information

______________________________________________________________________________

    Last Name First Name Middle Name

    ___________________________ __________________________________ SSN# or student ID Last Date of Attendance

This section is to be completed by the campus from which the student is transferring. It is important that all sections

    are complete where appropriate.

Part I. Please check only one option

    The student was admitted to the EOP, HEOP, or College Discovery/SEEK Program. ??

    The student never enrolled in the EOP, HEOP or College Discovery/SEEK Program. ? ?

    We do not have an EOP, HEOP, or CD/SEEK program, but the student enrolled in a similar program ? We do not have an EOP, HEOP, or CD/SEEK program, but the student enrolled in a similar program ?

    We do not offer an opportunity program or a similar program ?We do not offer an opportunity program or a similar program ?

Section I. Institution Information

    1._______________________________________________________________________________________

     Name of Institution

    ________________________________________________________________________________________

     Location (City, State, and Country)

    2. This institution’s academic year is based on: Semesters Quarters ? Trimesters ? ? ?? ?

    3. Select the option that best describes your institution: ?SUNY ?CUNY ? NY Private 4-yr ???

    NY Private 2-year Non-NYS Public 4-yr Non-NYS Public 2-yr Non-NYS Private 4-yr ????????

    Non-NYS Private 2-yr ??Other ___________________________ Other ___________________________??

Section II. Student Enrollment Data

    (Complete this section only if your campus has a New York State EOP, HEOP, or CD/SEEK Program)

    1. Date of Admission: Fall____________ Spring______________ Summer ____________ 2. The student was enrolled in: EOP ? HEOP ? SEEK/CD ?

    3. Are you aware of any institutions attended by the student prior to enrolling at your institution? If so, please specify.

    ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ (Complete this section only if your campus does not have a New York State EOP, HEOP, or CD/SEEK Program)

    1. Date of Admission: Fall____________ Spring______________ Summer ____________ 2. High School Average (at time of application) __________ Combined SAT Score __________ ACT Composite_____ 3. Attended From____________ until _______________

    Month/Year Month/Year

4. Are you aware of any institutions attended by the student prior to enrolling at your institution? If so, please specify.

    _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Section III. Institutions Outside of New York State (Select only one option)

    1. Upon college entry, the student was admitted into a program with the same mission as the New York State Educational Opportunity Program. Documentation is attached stating that the student was both financially and academically disadvantaged at the time of admissions. Yes ? No ? ? ?

    2. The student was enrolled in a course of study at a college which has traditionally served underrepresented and financially disadvantaged populations. Documentation is attached stating that the student was both financially and academically disadvantaged at the time of admissions. Yes ? No ? ? ?

Section IV. Program Participation/Enrollment

    1. Indicate the specific terms of participation, omitting enrollment in any pre-freshman activities. Please indicate FT for

    full-time or PT for part-time. If the student enrolled in less than six credits hours, indicate the number of credits. Term FT/PT Term FT/PT Term FT/PT Term FT/PT

Summer______ ________ Fall______ ________ Winter______ ________ Spring______ ________

    Summer______ ________ Fall______ ________ Winter______ ________ Spring______ ________

    Summer______ ________ Fall______ ________ Winter______ ________ Spring______ ________

    Summer______ ________ Fall______ ________ Winter______ ________ Spring______ ________

    Summer______ ________ Fall______ ________ Winter______ ________ Spring______ ________

    Summer______ ________ Fall______ ________ Winter______ ________ Spring______ ________

    2. According to our records, the student has also used eligibility at the following colleges/universities:

    Institution Name Term

    __________________________ ___________ _______________________

    _____________________________________ _______________________

1) Institutions with a New York State Opportunity Program OR 2) Institutions without a New York State Opportunity Program

     Program Director: __________________________ Title: ___________________________________________

     Signature: _________________________________ Signature: _______________________________________

     Phone: ____________________________________ Department: _____________________________________

     Date: _____________________________________ Phone: __________________________________________

     Date: ___________________________________________

Participating Campuses

SUNY College at Oswego State University College of Genesee Community College University Centers Room 706, Culkin Hall Agriculture and Technology at 1 College Road State Route 104 Cobleskill Batavia, New York 14020 Oswego, New York 13126 Route 7, Knapp Hall 202 ((585) 343-0055X6521 State University of New York at (315) 312-3094 Cobleskill, New York 12043 Albany (518) 234-5836 Hudson Valley Community 1400 Washington Avenue SUNY College at Plattsburgh College Albany, New York 12222 101 Broad Street State University College of 80 Vandenburgh Avenue (518) 442-5180/81 Plattsburgh, New York 12901 Technology at Delhi Troy, New York 12180 (518) 564-2263 2 Main Street (518) 629-7348 State University of New York at Delhi, New York 13753-1190 Binghamton SUNY College at Potsdam (607) 746-4652 Jamestown Community College Vestal Parkway East 44 Pierrepont Avenue 525 Falconer Street Binghamton, New York 13902 Potsdam, New York 13676 State University College of Jamestown, New York 14701 (607) 777-4506 (315) 267-2335 Agriculture and Technology at (716) 665-5220X2348 Morrisville State University of New York at SUNY College at Purchase Administration Building, South Monroe Community College Buffalo P.O. Box 337 Street 1000 East Henrietta Road Capen Hall, Room 501 Purchase, New York 10577 Morrisville, New York 13408 P.O. Box 9720 Buffalo, New York 14260 (914) 251-6520 (315) 684-6075 Rochester, New York 14623 (716) 645-3072 (585) 292-2365 New York State College of Specialized Colleges State University of New York at State University of New York Human Ecology Onondaga Community College Stony Brook College of Environmental Science at Cornell University 4941 Onondaga Road Melville Library, Room W3520 and Forestry 227 Day Hall Syracuse, New York 13215 Stony Brook, New York 11794 1 Forestry Drive Ithaca, New York 14853 (315) 498-2429 (631) 632-7090 Syracuse, New York 13210 (607) 255-6384 (315) 470-6670 Schenectady County University Colleges Community College Community Colleges SUNY College at Brockport State University College of Broome Community College 78 Washington Avenue 350 New Campus Drive Technology at Farmingdale P.O. Box 1017, 904 Front Street Schenectady, New York 12305 Brockport, New York 14420 2350 Broadhollow Road Binghamton, New York 13902 (518) 381-1279 (585) 395-2547 Farmingdale, New York 11735 (607) 778-5220 (631) 420-2230 Suffolk County Community College SUNY College at Buffalo Corning Community College 533 College Road 1300 Elmwood Avenue State University of New York 1 Academic Drive Selden, New York 11784 Buffalo, New York 14222-1095 Institute of Technology at Corning, New York 14830 (631) 451-4356 (716) 878-3904 Utica/Rome (607) 962-9263 Marcy Campus Ulster County Community SUNY College at Cortland P.O. Box 3050 Dutchess Community College College P.O. Box 2000, D-116 Cornish Utica, New York 13504 53 Pendell Road Cottekill Road Cortland, New York 13045 (315)792-7505 Poughkeepsie, New York 12601 Stone Ridge, New York 12484 (607) 753-4808 (845) 431-8038 (845) 687-5000X5058 State University of New York SUNY College at Fredonia Maritime College Erie Community College Westchester Community Central Avenue Fort Schuyler City Campus, 121 Ellicott Street College Fredonia, New York 14063 Bronx, New York 10465 Buffalo, New York 14203 75 Grasslands Road (716) 673-3318 (718) 409-7477/7348 (716) 851-1140 Valhalla, New York 10595 (914) 785-6761 SUNY College at Geneseo State University College of Fashion Institute of Technology 1 College Circle thTechnology at Alfred 227 West 27 Street Health Science Centers Geneseo, New York 14454-1450 Box 806 New York, New York 10001 State University of New York (585) 245-5725 Alfred, New York 14802 (212) 217-7190 Health Science Center at (607) 587-4122 Brooklyn SUNY College at New Paltz Finger Lakes Community 450 Clarkson Avenue, Box 93 75 South Manheim Boulevard State University of New York College Brooklyn, New York 11203 New Paltz, New York 12561 Ceramics at Alfred University 4355 Lakeshore Drive (718) 270-7701 (845) 257-3220/21 Alfred, New York 14802 Canandaigua, New York 14424 (607) 871-2283 (585) 394-3500X7201 State University of New York SUNY College at Old Westbury Health Science Center at P.O. Box 210, 223 Store Hill Road State University College of Fulton-Montgomery Community Syracuse Old Westbury, New York 11568 Technology at Canton College 750 East Adams Street (516) 876-3068 34 Cornell Drive 2805 State Highway 67 Syracuse, New York 13210 Canton, New York 13617 Johnstown, New York 12095 (315) 464-5433SUNY College at Oneonta (518) 762-4651X8200 Ravine Parkway Oneonta, New York 13820 (607) 436-3249

    Please return form to:

     Name____________________________________ Campus Address___________________________________

     ____________________________________

     ____________________________________

     Phone_______________________________________

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