Educational Opportunity Program Transfer Verification Form

Transcription

1 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/CD) 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 three campuses in the State University. Admission: To be considered for program admission, applicants must be New York State residents 1. Applicants must also meet the economic 2 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, first time 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.

2 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. Applicant is applying for: Fall Semester Spring Semester Academic Year Student Information Last Name First Name Middle Initial Student ID 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 NYS EOP, HEOP, or College Discovery/SEEK Program. The student was not enrolled in a NYS 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 offer an opportunity program or a similar program Part II. Institution Information 1. Name of Institution Location (City, State) 2. This institution s academic year is based on: Semesters Trimesters Quarters 3. Select the option that best describes your institution: SUNY CUNY Private Proprietary College 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 (please describe)

3 Complete this section only if your campus has a New York State EOP, HEOP, or CD/SEEK Program Part III. Student Enrollment Data 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 Part IV. Student Enrollment Data 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. Household Income at the time of admission 5. Are you aware of any institutions attended by the student prior to enrolling at your institution? If so, please specify. Part V. 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

4 Part VI. Program Participation/Enrollment (To be completed only by SUNY campuses with EOP, HEOP, SEEK/CD) 1. Indicate the specific terms of participation, omitting enrollment in any pre freshman activities. Please indicate FT for fulltime 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 2. According to our records, the student has also used eligibility at the following colleges/universities: Institution Name Term Institutions with a New York State Opportunity Program Program Director: Signature: Phone: Date: Institutions without a New York State Opportunity Program Title: Signature: Department: Phone: Date:

5 EOP PARTICIPATING CAMPUSES University Centers and Doctoral Degree Granting Institutions University at Albany 1400 Washington Avenue Albany, NY Binghamton University Vestal Parkway East P.O. Box 6001 Binghamton, NY University at Buffalo Capen Hall, Room 501 Buffalo, NY Stony Brook University Melville Library, Room W3520 Nicolls Road Stony Brook, NY SUNY Downstate Medical Center 450 Clarkson Avenue, Box 93 Brooklyn, NY Upstate Medical University 750 East Adams Street Syracuse, NY College of Environmental Science and Forestry 1 Forestry Drive Syracuse, NY New York State College of Ceramics at Alfred University One Saxon Drive Alfred, NY New York State College of Human Ecology at Cornell University 227 Day Hall Ithaca, NY University Colleges SUNY Brockport 350 New Campus Drive Brockport, NY Buffalo State College 1300 Elmwood Avenue Buffalo, NY SUNY Cortland P.O. Box 2000, D 116 Cornish Cortland, NY SUNY Fredonia 178 Central Avenue Fredonia, NY SUNY Geneseo 1 College Circle Geneseo, NY SUNY New Paltz 100 Hawk Drive New Paltz, NY Old Westbury P.O. Box 210, 223 Store Hill Road Old Westbury, NY

6 College at Oneonta Ravine Parkway Oneonta, NY SUNY Oswego Room 706, Culkin Hall 7060 State Route 104 Oswego, NY SUNY Plattsburgh 101 Broad Street Plattsburgh, NY SUNY Potsdam 44 Pierrepont Avenue Potsdam, NY Purchase College 735 Anderson Hill Road Purchase, NY Technology Colleges Alfred State College 10 Upper College Drive Alfred, NY SUNY Canton 34 Cornell Drive Canton, NY SUNY Cobleskill 107 Schenectady Avenue Bouck Hall, Room 116 Cobleskill, NY SUNY Delhi 2 Main Street Delhi, NY Farmingdale State College 2350 Broadhollow Road Farmingdale, NY Maritime College 6 Pennyfield Avenue Throggs Neck, NY Morrisville State College Administration Building, 90 Eaton Street, P.O. Box 901 Morrisville, NY SUNYIT Marcy Campus, P.O. Box 3050 Utica, NY Community Colleges Broome Community College P.O. Box 1017, 904 Front Street Binghamton, NY Dutchess Community College 53 Pendell Road Poughkeepsie, NY Erie Community College City Campus, 121 Ellicott Street Buffalo, NY Fashion Institute of Technology 227 West 27th Street New York, NY Finger Lakes Community College 4355 Lakeshore Drive Canandaigua, NY x7201

7 Community Colleges Continued. Fulton Montgomery Community College 2805 State Highway 67 Johnstown, NY x8200 Genesee Community College 1 College Road Batavia, NY x6521 Hudson Valley Community College 80 Vandenburgh Avenue Troy, NY Monroe Community College 1000 East Henrietta Road P.O. Box 9720 Rochester, NY Onondaga Community College 4941 Onondaga Road Syracuse, NY Schenectady County Community College 78 Washington Avenue Schenectady, NY Suffolk County Community College 533 College Road Selden, NY Ulster County Community College Cottekill Road Stone Ridge, NY x5058 Westchester Community College 75 Grasslands Road Valhalla, NY