Undergraduate Re-Entry Application

* Required field
*Major/Degree Program in which you plan to Enroll
*Intended Semester of Re-Entry
Fall
Spring
Winter
Summer
Enroll Year: 2022
Social Security Number*
*Verify Social Security Number
Emplid(CUNY ID)
*First Name
*Last Name
MI
*Date of Birth(mm/dd/yyyy)
*Sex
*Name used when last in attendance:
*Address
Apartment
*City/Town
*State
Zip Code
Province
Postal Code
*Country
Phone Number
(format: xxxx-xxx-xxxx)
Home#
Cell#
Foreign Phone Number
*Email Address
Verify Email*


(This email address will be used for further correspondence.)
*Length of time in New York State
Years:
Months:
*Were you a SEEK student?
*Are you US citizen?
*Prior Dates of Attendance at City College
Date From:
Date To:
*Did you attend any other college(s) since your last attendance at City College?
*

The City College of New York (CCNY) is an Equal Opportunity and Affirmative Action Institution. CCNY reserves the right to deny admission to any student if, in its judgment, the presence of that student on campus poses an undue risk to the safety or security of the college or the college community. The College offers services and assistance to students with disabilities. Questions can be directed to the Office of Student Disability Services at (212) 650-5913.