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2021-2022 (2122)
Academic Year
June/July 2021 (SUMMER),
August 2021 (FALL) or
January 2022 (SPRING) Semesters ONLY
2022-2023 (2223)
Academic Year
June/July 2022 (SUMMER),
August 2022 (FALL) or
January 2023 (SPRING) Semesters ONLY
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Must be 9 characters. Currently Entered: 0 characters.
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Student Information
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Must be 9 digits. Currently Entered: 0 digits.
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Student Marital Status *
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Check ALL that apply *
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Dependent Student Status:
According to Federal Guidelines your are considered a DEPENDENT Student and must provide Parental Information
Please select "I am a DEPENDENT student" below.
NOTE:
If you are unable to supply Parental Information you will may be eligible to file as in Independent Student if you meet the Independence Criteria. To request the Proof of Independence Form select "I am a DEPENDENT student but cannot supply parental information" and we will automatically send you information on Proof of Independence.
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Independent Student Status:
According to Federal Guidelines your are considered a INDEPENDENT Student -
Please select "I am an INDEPENDENT student" below.
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Dependency Status *
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Parental Information (for dependent students only)
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Parent's Marital Status *
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Parent 1 Information for: *
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Must be 9 digits. Currently Entered: 0 digits.
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If parent was born in the State of his or her residency - use Date of Birth
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Parent 2 Information for: *
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Must be 9 digits. Currently Entered: 0 digits.
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If parent was born in the State of his or her residency - use Date of Birth
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Electronic Signature Agreement.
By submitting this form, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. By submitting this form you consent to be legally bound by this form's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide SUNY Orange or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and SUNY Orange. You also represent that you are authorized to enter into this form for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Form On-line service constitutes your agreement to be bound by the terms and conditions.
I understand this is a legal representation of my signature.
Clear
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Electronic Signature Agreement.
By submitting this form, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. By submitting this form you consent to be legally bound by this form's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide SUNY Orange or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and SUNY Orange. You also represent that you are authorized to enter into this form for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Form On-line service constitutes your agreement to be bound by the terms and conditions.
I understand this is a legal representation of my signature.
Clear
-
Electronic Signature Agreement.
By submitting this form, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. By submitting this form you consent to be legally bound by this form's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide SUNY Orange or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and SUNY Orange. You also represent that you are authorized to enter into this form for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Form On-line service constitutes your agreement to be bound by the terms and conditions.
I understand this is a legal representation of my signature.
Clear
-
Electronic Signature Agreement.
By submitting this form, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. By submitting this form you consent to be legally bound by this form's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide SUNY Orange or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and SUNY Orange. You also represent that you are authorized to enter into this form for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Form On-line service constitutes your agreement to be bound by the terms and conditions.
I understand this is a legal representation of my signature.
Clear
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