Intent to Enroll

For dual admitted students: Students in their final semester at SUNY Adirondack, should complete this form to confirm your intent to transfer to SUNY Plattsburgh at Queensbury. This alerts admission to request your transcripts and ensures you receive communication about next steps including a transfer credit evaluation, orientation, and course registration.

For SUNY Adirondack students who are not yet dual admitted: Didn’t opt for dual admission with SUNY Plattsburgh at Queensbury when you first applied to SUNY Adirondack? No worries! Bypass the full admission application by completing this brief form in your final semester before transfer, which will grant permission for SUNY Adirondack to release your application and transcript information for review by SUNY Plattsburgh.

First Name

I have a chosen name different than my legal first name

Chosen Name

Middle Name

Last Name

Gender

Email Address

Birthdate

Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Please select the country of your primary citizenship:

Are you a NYS Resident?

NYS Resident

Non NYS Resident

When you applied to SUNY Adirondack, did you opt-in to be dual admitted with SUNY Plattsburgh at Queensbury?

Yes

No

By checking this box, I consent to have my application and transcripts released from SUNY Adirondack for consideration for dual admission with SUNY Plattsburgh at Queensbury.

I consent

I would like to meet with a Queensbury Campus advisor to learn more about dual admission programs, prerequisites, and class scheduling!

Yes

No

What year do you anticipate graduating with an associates degree from SUNY Adirondack?

Semester you intend to enroll at SUNY Plattsburgh at Queensbury:

By checking this box, I authorize SUNY Adirondack to release my immunization record and Meningococcal Vaccination Response Form (if applicable) to the Student Health & Counseling Center at SUNY Plattsburgh, upon my transfer to SUNY Plattsburgh.

I consent

I prefer to manually send my medical records

SUNY Plattsburgh at Queensbury Program of Study:

Have you ever been released from another institution for disciplinary reasons?

Yes

No

Did you participate in EOP (Educational Opportunity Program) at SUNY Adirondack?

Yes

No

By entering my name here and submitting this form, I acknowledge that my eligibility for admission to the SUNY Plattsburgh at Queensbury program is contingent upon meeting New York State's requirements for secondary education, a review of my disciplinary history, if applicable, and meeting any program-specific requirements.

Hidden Field: Mark Intent to Enroll Confirmed

Yes

No