University in the High School Application - Spring

Spring 2021

Biographical Information

First Name*

Middle Name

Last Name*

Social Security Number (Please enter your full SSN OR leave this field blank if you choose not to answer)

Gender

Birthdate*

Contact Information

Student Email Address (It is recommended that students do not use a high school email address)

Mailing Address*

Country

Street

City

Region

Postal Code

Phone Number*

Parent/Guardian Information

Parent or Guardian First Name*

Parent or Guardian Last Name*

Parent or Guardian Email*

Academic Information

UHS High School

Have you taken Farmingdale State College classes before?*

Yes

Do you qualify for the free or reduced lunch program?*

Yes

Are you a participant in a Third-Party Payment program (e.g., Smart Scholars, P-Tech, etc.) that will cover your UHS program fees?

What is your current class standing?

How Many Courses are you registering for

Registration at your high school is not available at this time.

Please select your course:

Credits

Select Teacher

Please select your course:

Credits

Select Teacher

Please select your course:

Credits

Select Teacher

Email Contact for School

Payment Due

Upload Transcirpt

A student registering for a UHS course with a prerequisite must upload documentation including the specific, relevant information demonstrating that the prerequisite has been met (e.g., a transcript, a report card, a signed letter from an instructor, etc.).

This documentation must be in PDF format.

See “University in the High School Prerequisite Guide” for further details regarding specific course prerequisites.

NOTE:Do not click the "Submit" button more than once. The system will take a few moments to process your request.

NOTE: If you need to update a previously submitted registration, please use the link provided in your confirmation email, or contact the University in the High School Office via email at uhsoffice@farmingdale.edu or by phone at (934) 420 - 2199.

University in the High School Application - Spring

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