International Undergraduate Application 2023-2024

High School/Secondary School Name:*

Graduation Date/Expected Date (if applicable):*

Most Recent College/University Name:*

If not found above, please type you most recent College/University below:

From:*

To:*

Did you attend more than 1 college? If "yes", please fill out the information below.*

Yes

College/University #2 Name:*

From:*

To:*

College/University #3 Name (if applicable):*

From:*

To:*

AGENT INFORMATION

Are you currently working with an agent or educational consultant?

Yes

Permission must be granted by you, the applicant, in order for staff in the Center for International Programs to discuss this application with any third party, including agents. Do you authorize us to speak with your agency representative about your application?

Yes

Agency Name:

If "Other", please write Agency Name below:

Agent - First Name:

Agent - Last Name:

Agent - Email:

Agent - Phone Number:

AFFIRMATION OF APPLICATION

All applicants must read and sign below:
I understand that this application cannot be processed if it is not completed according to the instructions, and that any deliberate falsification or omission of data may result in denial of admission or formal dismissal from SUNY New Paltz. All information submitted is true to the best of my knowledge. There is a $50 fee required after submission.

By typing your name below, you acknowledge it acts as a signature in affirming that all of the information above is correct.

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