Minerva College of Arts & Sciences
University at Albany, State University of New York
 
 
University in the High School (UHS)
2010-2011
WEB REGISTRATION
APPLICATION

The student Web Registration Application below is the first step to the enrollment process. There is no financial obligation associated with this Application. You are encouraged to apply even if you do not subsequently enroll. It is very important that you complete all required fields (* - notes a required field) on the Web Registration Application. The information you type in these fields will become a permanent part of your academic record at the University at Albany.

Please be sure the printer you are using is operable before you begin.

*Student's First Name
(Be sure to type your full legal name as it appears on your Social Security Card and refrain from using nicknames.)

Middle Name

*Last Name

Social Security Number

Personal student information is treated confidentially and consistently with the federal Family Educational Rights and Privacy Act (FERPA) and the New York State Cyber Security Policy P03-002: Information Security Policy. Additionally, the Web Registration Application is located on a secure web server. It is strongly advised that you provide your social security number when submitting your Application. Though you will automatically be assigned a unique ID number for University at Albany purposes, the social security number will remain the primary identifier on all University at Albany transcripts. It will be easier for you to identify your records using social security numbers when requesting transcripts, perhaps several years after high school graduation. It will also serve the additional purpose of making University academic records consistent with records of agencies external to the University (e.g., future requests regarding confirmation of enrollment, financial records, and transcripts from other post-secondary institutions).

*Gender:

*Date of Birth

*Home Phone Number: - -

E-Mail Address:

*Street Address:
(Spell out the word Street, Avenue, Boulevard, etc. Please do not abbreviate or use periods.)

P.O. Box or Apartment Information:
(Please be advised that if you do not have a Street Address, you will need to enter your P.O. Box or Apartment Information under the Street Address field.)

*City:

*County:

*State:

*Zip: -

*Academic Standing
Please click here for further information.

*High School Graduation Year

*******************************************************************
Please enter numerical values only:
SAT Critical Reading Score

SAT Writing Score SAT Math Score

ACT Composite Score ACT Writing Score

High School Grade Point Average

*******************************************************************

*High School
Please be advised that not all high schools represented on this list actually participate with the University in the High School Program at the University at Albany. Please check with your high school before submitting a Web Registration Application.

*Name of 1st UHS Course:
*Teacher's Name
It is important that you correctly type your teacher’s full name in this field.

Name of 2nd UHS Course:
Teacher's Name

Name of 3rd UHS Course:
Teacher's Name

Name of 4th UHS Course:
Teacher's Name

Name of 5th UHS Course:
Teacher's Name

Name of 6th UHS Course:
Teacher's Name

Name of 7th UHS Course:
Teacher's Name

Name of 8th UHS Course:
Teacher's Name

Name of 9th UHS Course:
Teacher's Name

Name of 10th UHS Course:
Teacher's Name


When you have completely finished the Web Registration Application, please review your information before you select, “Submit”.

Once you click the “Submit” button you will see a summary of the information that you entered in the application. It is very important that you print the Web Registration Application Confirmation page and keep it for your records. This is your proof/receipt of when you successfully completed the application. Once you have successfully printed a copy of your confirmation page, please close your browser.

Please do not submit more than one application per day.

Do not return to the Web Registration Application to submit additional information or to make corrections. If you have changes that need to be made, please wait until you receive your Pre-Printed Registration Form from your teacher, which will be distributed in early November with registration instructions (if your application was successfully submitted by October 8, 2010).

Submission of this Web Registration Application Form does not guarantee registration in the UHS Program through the University at Albany.

 

If you have questions/comments or need assistance with this form, please contact the UHS Office at 518-442-4148 or via e-mail at uhs@albany.edu.

Updates to page performed September 10, 2009.