Application for Admission

TRANSFER DEGREES

Save money during the ﬁrst two years of

your bachelor’s degree and beneﬁt from the

personal attention Clinton is known for!

When you complete an Associate (A.A.) or

(A.S.) degree, you are prepared to enter the

partner institution as a Junior with only two years

remaining to complete your bachelor’s degree.

Visit Clinton.edu for the most up-to-date

agreements.*

APPLIED PSYCHOLOGY A.S.

• Psychology (PSU)

BUSINESS ADMINISTRATION A.S.

• Business (PSU)

› Accounting

› Business Administration

› Economics

› Entrepreneurship

› Finance

› Global Supply Chain Management

› Hotel, Restaurant, & Tourism Management

› International Business

› Management

› Marketing

• Business (SUNY Canton)

› Business Administration

› Finance

› Finance and Management

BUSINESS ADMIN.: SPORT MANAGEMENT A.S.

• Business Administration (SUNY Canton) (SUNY

Cortland)

› Sport Management

CRIMINAL JUSTICE A.A.

• Criminal Investigation (SUNY Canton)

• Criminal Justice (PSU)

• Homeland Security (SUNY Canton)

• Law Enforcement Leadership (SUNY Canton)

ENGLISH A.A.

• English, Writing, Literature (SUNY Albany) (SUNY

Cortland) (PSU)

ENVIRONMENTAL SCIENCE A.S.

• Environmental Science (PSU)

INDIVIDUAL STUDIES A.A./A.S.

• Personalized career or educational path.

• Health & Fitness Promotion (SUNY Canton)

› Business Track

› Science Track

LIBERAL ARTS: HUMANITIES & SOCIAL SCIENCE A.A.

• Audio-Radio/Digital Media Production (PSU)

• Communication (PSU)

• Communication Disorders (PSU)

• Digital Media Production (PSU)

• History (PSU)

• History - Teaching (PSU)

• Human Devel. & Family Relations (PSU)

• Journalism: Magazine (PSU)

• Journalism: Multimedia (PSU)

• Journalism: Newspaper (PSU)

• Physical Ed. Teacher Prep (SUNY Cortland)

• Psychology (PSU)

• Public Relations (PSU)

• Social Work (PSU)

• Sociology (PSU)

• Studio Art (PSU)

• Theatre (PSU)

• TV-Video Prod. / Broadcast Journalism (PSU)

LIBERAL ARTS: MATH & SCIENCE A.S.

• Aquatic Fisheries Science (SUNY ESF)

• Biochemistry (PSU)

• Biology (PSU)

• Bioprocess Engineering (SUNY ESF)

• Biotechnology (SUNY ESF)

• Cardiovascular Profusion (SUNY Upstate Med.)

• Chemistry (SUNY ESF Syracuse) (PSU)

• Conservation Biology (SUNY ESF)

• Construction Management (SUNY ESF)

• Ecology (PSU)

• Environmental Biology (SUNY ESF)

• Environmental Education (SUNY ESF)

• Environmental Health (SUNY ESF)

• Environmental Resources Engineering (SUNY ESF)

• Environmental Science (PSU) (SUNY ESF)

• Environ. Science - Plan./Mgmt. (PSU)

• Environmental Studies (SUNY ESF)

• Forest Ecosystems Science (SUNY ESF)

• Forest Health (SUNY ESF)

• Forest Resource Management (SUNY ESF)

• Forestry / Natural Sciences (SUNY ESF)

• Geology (PSU)

› Earth Science

› Environmental Geology

• Landscape Architecture (SUNY ESF)

• Mathematics (PSU)

• Medical Biotechnology (SUNY Upstate Med.)

• Medical Imaging Sciences (SUNY Upstate Med.)

• Medical Technology (SUNY Upstate Med.)

• Natural Resources Management (SUNY ESF)

• Nutrition (PSU)

• Paper Engineering (SUNY ESF)

• Paper Science (SUNY ESF)

• Radiation Therapy Tech. (SUNY Upstate Med.)

• Respiratory Therapy (SUNY Upstate Med.)

• Sustainable Energy Management (SUNY ESF)

• Wildlife Science (SUNY ESF)

CERTIFICATE PROGRAMS

Certiﬁcate Programs can be completed in

one year and generally serve as pathways to

an Associate Degree in the same career ﬁeld.

Certiﬁcate Programs also provide skills training

for specialized ﬁelds, such as Payroll for those

in the accounting ﬁeld.

• Alcohol & Substance Abuse Counseling

• Computer Support

• Health Studies

• Industrial/Commercial Electrician

• Payroll

CAREER DEGREES

Associate of Applied Science (A.A.S.) degrees

are considered “career degrees,” which prepare

you to step from the classroom immediately

into a job in your ﬁeld. Although not speciﬁcally

designed for transfer, many A.A.S. degrees

still offer transfer options, some of which are

highlighted in blue.

BUSINESS ACCOUNTING A.A.S.

• Tax Management

• Human Resources

• Banking

BUSINESS ADMINISTRATION A.A.S.

• Marketing/Advertising

• Sales

• Ofﬁce Management

COMPUTER ELECTRONICS TECHNOLOGY A.A.S.

• Computer Engineering

• Hardware/Software Support

• Instrumentation Specialist

• Quality Control and Testing

• Mechatronics

• Transfer: Electrical Engineering Tech. (SUNY Canton)

COMPUTER INFORMATION SYSTEMS A.A.S.

• Computer Programing

• Network Administration

• Transfer: Information Technology (PSU) (SUNY

Canton)

CRIMINAL JUSTICE A.A.S.

• Corrections

• Federal Law Enforcement

• Sheriff’s Department

• State Police

• Transfer: Criminal Investigation (SUNY Canton)

• Transfer: Homeland Security (SUNY Canton)

INDUSTRIAL/COMMERCIAL ELECTRICIAN A.O.S.

• Electrician

HEALTH SERVICES MANAGEMENT A.A.S.

• Doctor / Physician Ofﬁce Manager

• Nursing Home Administrator

HUMAN SERVICES A.A.S.

• Chemical Dependency Treatment

• Gerontology

• Mental Health Services

• Social Services

INDIVIDUAL STUDIES A.A.S.

• Personalized career or educational path.

• Transfer: Sport Management (SUNY Canton)

MECHANICAL TECHNOLOGY A.A.S.

• CAD or CAM Technician

• Electrical/Mechanical Repair

• Quality Assurance

• Plastics Service or Manufacturing

NURSING A.A.S.

• Registered Nurse

• Transfer: BSN (SUNY Delhi) (PSU) (SUNY Empire

State College) (SUNY Upstate Medical)

Start Up Here,

Go… Anywhere!

At Clinton Community College we

offer both TRANSFER and CAREER

Associate Degrees as well as one-year

CERTIFICATE PROGRAMS.

Clinton holds general articulation

agreements with SUNY Potsdam, SUNY

Oswego, and Hartwick College.

PSU: SUNY Plattsburgh

SUNY ESF: SUNY College of Environmental

Science & Forestry at Syracuse

*Please note that transfer agreements are subject to

change. Visit www.clinton.edu for the most up-to-

date list.

Updated September 2017

www.clinton.edu

136 Clinton Point Drive • Plattsburgh, NY 12901

Admissions • (518) 562-4170 • (800) 552-1160

Application

for Admission

Have you ever been dismissed from another college for disciplinary reasons (not including academic dismissal)?* □ Yes □ No

*An afﬁrmative response to this question will not automatically prevent admission, but applicants will be asked to provide additional information.

Are you a U.S. citizen? □ Yes □ No, I am a citizen of

If no, are you: □ A Permanent Resident of the U.S. □ An International Student □ Other

Are you a legal resident of New York State? □ Yes If “yes” but for less than one year, how many months? □ No

Clinton Community College

136 Clinton Point Drive • Plattsburgh NY 12901

(518) 562-4170 or (800) 552-1160

Application for: □ Full-time study (12+ credits) □ Part-time study (less than 12 credits)

Start Semester: □ Fall (August Start) □ Spring (January Start) □ Summer (May or July Start) Year

Do you plan to take courses: □ On Campus Only □ On Campus and Online □ Online Only

Please print.

Social Security Number:

Legal/Given Name:

(As it appears on ofﬁcial documents.) First M.I. Last

Preferred Name (optional):

(Example: a transgender student has the legal name of “Jessica” but prefers to be identiﬁed as “Jon” or an international student has the legal name of “Shàoqiáng” but prefers

to use “Sean”)

If you have any educational records under a different name(s), please list the name(s) here:

Gender assigned at birth: □ Male □ Female

If you would like, we invite you to share more about your gender identity:

Address:

P.O. Box / Street Apt #

(eg. Clinton)

City State Zip County

Telephone: Home: ( ) Emergency: ( )

Cell: ( ) Text me updates and reminders: □ Yes □ No

(You may opt out at any time. Carrier fees may apply.)

E-Mail Address: Date of Birth: / /

Program of study you are applying for at CCC: (see back for listing)

Future Transfer Option, if applicable: (see back for listing)

APPLICATION

FOR ADMISSION

If you would like to identify yourself as having a disability and needing accommodative services, contact the Learning

Resource Specialist at (518) 562-4252 or email Lindsay.Fitzgerald@clinton.edu.

Application Deadlines:

Applications for full and part-time admission will be accepted up to and including the ﬁrst week of classes each semester.

High School Transcripts or GED/TASC:

Clinton Community College requires an ofﬁcial copy of your high school transcript showing all of your coursework completed to date. A ﬁnal tran-

script indicating high school graduation date is required before an admissions decision can be made. Faxed transcripts are not considered ofﬁcial

documents. A GED/TASC will be accepted in lieu of a high school transcript. Failure to provide these documents will mean a delay in your admissions

decision to Clinton Community College and/or a delay in the release of ﬁnancial aid beneﬁts. Homeschooled applicants should contact the Admissions

Ofﬁce to discuss submission of documentation to demonstrate high school equivalence.

Previous College Transcripts:

If you have previously attended other colleges, you must have ofﬁcial academic transcripts sent from those institutions. These Registrar’s ofﬁces often

require such a request be made in writing, and there may be a charge for the transcript service. Failure to provide these documents will mean a delay

in your ﬁnal admission to Clinton Community College and/or a delay in the release of ﬁnancial aid beneﬁts.

ACT or SAT Test Scores:

Clinton Community College does not require these test scores. However, they are recommended for some degree programs solely as a guide for

placement. Placement tests may be waived based on SAT and ACT scores.

I certify that the information on this application is correct. False information or omission of data may result in denial of admission,

ﬁnancial aid, or dismissal.

Applicant’s Signature Date

Racial/Ethnic Background (Check all that apply)

This question is optional. If you choose to answer this question, your answer is conﬁdential and there is no penalty for refusing to answer.

□ White □ Black or African-American □ Native Hawaiian or Other Paciﬁc Islander

□ Asian □ American Indian/Native Alaskan □ Other (not listed)

Hispanic Please Specify:

□ Dominican □ Mexican □ Puerto Rican □ Central American □ South American □ Other Hispanic/Latino □ Unknown

Military Service Status

□ Active Duty Service □ Discharged Veteran □ Dependent

□ Child of vet., active duty, Nat’l Guard or Reserve □ National Guard or Active Reserve □ None of the Above

□ Spouse of vet., active duty, Nat’l Guard or Reserve

Clinton Community College, a member of the State University of New York, in recognition of its educational mission, its social concern, its responsibility for the personal development of individuals, and its concern for the rights of the

individual, does hereby express and establish this college policy of Afrmative Action/Equal Opportunity. It is the policy of Clinton Community College to provide equal opportunity in education, employment, and participation in College

activities without regard to race, color, creed, religion, sex, age, national origin, disability, political afliation, sexual orientation, veteran or marital status, or other basis prohibited by law, except as such conditions may constitute bona de

occupations or assignment qualications. The College’s Afrmative Action Ofcer, is the designated campus contact for matters related to Title IX of the 1972 Education Amendment, Afrmative Action, and Equal Opportunity. Inquiries

should be directed to: Human Resources/Afrmative Action Ofcer, Room 223M, Clinton Community College, 136 Clinton Point Drive, Plattsburgh, NY 12901, (518) 562-4137, or New York Ofce for Civil Rights: US Department of

Health and Human Services, Jacob Javits Federal Building, 26 Federal Plaza – Suite 3312, New Y

ork, NY 10278.

High School Information

High School Name: CEEB CODE:

City State Zip

□ High School Graduation or Date of Graduation or GED/TASC:

□ Receipt of GED/TASC MO / YR

1. NY State High School Diploma Type: □ Advanced Regents □ Regents Honors □ Regents

□ Local □ SACC □ CDOS

2. Out of State Diploma Type: □ College Prep □ Local □ IEP Diploma □ Other

If /once you successfully complete(d) AP courses in high school, please request an official copy of your College Board report be

forwarded to the Clinton Admissions office.

MM DD YYYY

Previous College Coursework

Students must forward ofﬁcial transcripts from previous colleges where coursework has been taken. This includes

courses taken while in high school (including CAP courses), courses that were not completed and courses for which no

credit was received.

Please List All Colleges Attended:

College Name Hours Earned Degree (if any) Date Attended