Early College Application Summer 2024 Instructions: High school students are welcome to take up to two (2) courses for college credit at Southern or at a participating high school during the fall and spring semester and (1) course for college credit at Southern or a participating high school during the summer with the waiver. (The waiver is only applicable to students who are enrolled at a participating high school). To get started, complete this application; there is no fee to apply. You will receive a response to the email address listed on your application within two (2) weeks. Loading...* = Required fieldsStudent Information2024 Round - HIDDENFY App 2024Grad App 2024Non-Matric 2024SEOP 2024TR App 2024ACE 2023ACE 2024BSN 2024COEFY App 2023Grad App 2023Non-Matric 2023Post-BaccSEOP 2023TR App 2023ACE 2022FY App 2022Grad App 2022Non-Matric 2022TR App 2022App: Round Always Create - HIDDENYesNoLevel - HIDDENGraduateGraduate Non-MatriculantUndergraduateUndergraduate Non-MatriculantHigh School - HIDDENNon-Degree (Most Common)Senior CitizenEmployeeHigh School StudentStudent Type - HIDDENFirst YearHigh School - Early CollegeNew GraduateNon-DegreeNon-MatriculantPost-BaccalaureateReadmitTransferEnrollment Plan (PT) - HIDDENFull-TimePart-TimeSubmitted Flag - HIDDENYesNoFirst NameMiddle NameLast NameChosen First NameGenderGenderFemaleMaleGender Identityagenderfemale / womangenderfluidgenderqueermale / mannon-binary including non-conformingtransgender male / mantransgender female / womannot listedprefer not to answerPronounsAny / AllHe / Him / HisPlease use namePrefer not to answerPrefer to be askedShe / Her / HersThey / Them / TheirsXe / Xem / XyrsZe / Zem / ZirsPermanent AddressPermanent AddressCountryStreetCityRegionPostal CodeBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Permanent TelephoneCell Phone NumberNote: We recommend that you do not use your school email account if it does not accept emails from outside the school district.Email AddressConfirm Email AddressParent or Guardian First NameParent or Guardian Last NameParent or Guardian EmailRelationship Type - HIDDENBrotherFatherGrandfatherGrandmotherLegal GuardianMotherOtherSiblingSisterStep-FatherStep-MotherEthnic Background: The following two questions are voluntary and for statistical purposes only. It has no bearing on your ability to register for classes at Southern Connecticut State University.Are you Hispanic or Latino?Are you Hispanic or Latino?YesNoRegardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other PacificWhiteWill you be the first in your immediate family to attend college?Will you be the first in your immediate family to attend college?YesNoPrimary CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFederated States of MicronesiaFijiFinlandForeign/UnknownFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan De Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau S.A.R.Macedonia, Republic of NorthMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweSecondary Citizenship, if applicableAfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFederated States of MicronesiaFijiFinlandForeign/UnknownFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan De Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau S.A.R.Macedonia, Republic of NorthMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweAre you a Permanent Resident of the US?Are you a Permanent Resident of the US?YesNoThe University requests that you provide your social security number (SSN). We are required by federal law to inform you of this request. The SSN is collected to enable the University to comply with federal requirements mandated under the IRS tax laws and the Title IV student aid legislation and for other administrative purposes.Social Security NumberSchool InformationCEEB Code - HIDDENDo you attend a Connecticut High School?Do you attend a Connecticut High School?YesNoHigh SchoolAnticipated High School Graduation YearLevel - HIDDENGraduateHigh SchoolUndergraduateWhich semester are you applying for?Summer 2024Please enter the name of your EC instructor or the counselor who helped you enroll in the EC class.School Counselor First NameSchool Counselor Last NameSchool Counselor Email AddressHave you previously applied to or taken Early College courses at Southern ?Have you previously applied to or taken Early College courses at Southern ?YesNoAre you part of the Conncap Program? (If you do not know what the Conncap Program is, please answer no)Are you part of the Conncap Program? (If you do not know what the Conncap Program is, please answer no)YesNoAre you eligible for federal free or reduced price lunch?Are you eligible for federal free or reduced price lunch?YesNoAgreementsBy submitting this form, I agree to abide by the Southern Connecticut State University’s Acceptable Use Agreement, located on the SCSU Technology page. I understand that there are no expectations of privacy. I understand that any violation of this agreement may result in loss of access to computing privileges and may result in disciplinary actions that could affect my employment or student status.I agreeTo become a registered student, you must agree to the Student Enrollment Agreement by selecting 'Yes' below.YesSubmit
