Those items with a ** are required for electronic submission.

#1 PERSONAL INFORMATION

**  First Name:
**  Middle:
**  Last Name:
Gender:	Male Female
**  Address 1:
Address 2:
**  City:
**  State:
**  Zip Code:
**  Home Phone:
Work Phone:
Home Fax:
Work Fax:
E-Mail Address:
**  Social Security #:
**  Date of Birth:
**  United States Citizen:	Yes No
U.S. Military Veteran:	Yes No
**  Have You Ever Had a Felony Conviction:	Yes No

#2 APPLICATION INFORMATION

**  I am applying to Paul Smith's as a:	Freshman (Full-Time Study) Freshman (Part-Time Study) Transfer (Full-Time Study) Transfer (Part-Time Study)
**  Enrollment Month:	SeptemberJanuary
**  Enrollment Year:	2008200920102011
Do Plan to Apply for Financial Aid:	NoYes
HEOP Admission:	NoYes (consider me for HEOP admission)Yes (enrolled in EOP/HEOP previously) What is HEOP?
**  Intended Major:	Biology-(includes Health Services), B.S.Biology, Environmental Science, B.S.Business/Entrepreneurial Studies, B.S.Culinary Arts, A.A.S.Culinary Arts/Service Management, B.P.S.Culinary Arts: Baking Track, A.A.S.Culinary Arts: Baking CertificateForest Recreation, A.A.S.Forest Technician, A.A.S.Fish and Wildlife-Fisheries Science, B.S.Fish and Wildlife-Wildlife Science, B.S.Forestry: Forest Management, B.S.Forestry: Forest Biology, B.S.Forestry: Forest Operations, B.S.Forestry: Resource Management, B.S.Forestry: Vegetation Management, B.S.Geographic Information (GIS) CertificateHotel & Restaurant Management, A.A.S.Hotel, Resort and Tourism Manage., B.S.Liberal Arts: Environmental Studies, A.A.Liberal Arts: General Studies, A.A.Liberal Studies: Nature/Culture, B.S.Natural Resources-Manage. & Policy, B.S.Recreation, Adventure Travel, B.S.Surveying Technology,A.A.S.Urban Tree Management, A.A.S.Undeclared Major
**  Which Factor Assisted You With Applying to the College:	Post Card ReminderMailed PublicationsEmail ReminderPhone Call ReminderOther

#3 NON-U.S. CITIZENS

**  Country of Birth:
**  Country of Citizenship:
**  Number of Years in U.S.:
**  Non-Resident Alien:	Yes No
If Yes, Alien Registration #:
**  Permanent Resident:	Yes No
If No, Visa Type:	F-1 H-4 J-1 A-2  --Month Visa Expires  --Year Visa Expires
Other:

#4 SECONDARY SCHOOL INFORMATION

**  Name of High School	**  Location (City/State)	**  Dates Attended From  To	**  GPA

Tests Taken	Dates Taken	Scores

**  High School Graduate or GED?:	--Date Graduated High School    --Date Completed GED
BOCES/VO-TECH Center:
Have You Completed Any of the Following?:	Advanced Placement Credit CLEP Credit College Course Taught in High School Course Taken at College Prior to Graduation

#5 COLLEGE TRANSFER INFORMATION (if applicable)
Please complete this information for all colleges you have attended. Official transcripts are required for all colleges you have attended.

Name of College	Location (City/State)	Dates Attended From  To	Major	GPA	Credits Received

**  Have you been dismissed and/or suspended from a college for disciplinary reasons?:	Yes No

#6 OPTIONAL INFORMATION (used for statistical and reporting purposes; there is no penalty for not providing this information)

Race:	Native AmericanBlack, non-HispanicWhite, non-HispanicAsian/Pacific IslanderHispanicOther
If Native American, then Tribal Affilition:
If Other:

#7 PARENT/GUARDIAN INFORMATION

Name:
Relationship:
Address:
City:
State:
Zip Code:
Home Phone:
Occupation/Employer:
Work Phone:
Have other family members attended Paul Smith's? If yes, then give name, relationship, and graduation year. If no, then type No.:

**    By submitting this form, I attest that all information provided in this application is complete and correct, and that inaccurate or false statements may result in denial of admission or dismissal. Paul Smith's College may request additional materials and information necessary to complete my file for review. Paul Smith's College accepts qualified candidates for admission and provides all programs, services, and activities without regard to race, religion, sex, color, national or ethnic origin, age or disability.