Summer Programming 2023

Thank you for your interest in participating in summer programming at Jefferson Community College! Please complete the form below. For additional questions, please email jcceop@sunyjefferson.edu or call 315.786.2288.

First Name

Preferred Name

Middle Name

Last Name

Birthdate

Phone

Email Address

Country

Street

City

Region

Postal Code

Military Affiliation

Household Size

Estimated Household Income

Are you a current student at Jefferson? (Enrolled in the current semester)

Have you previously attended Jefferson?

What is your JCC ID number?

JCC Entry Term

Please select your JCC Program of Study

What are you career/occupational goals?

How confident are you in your career goal?

First generation college student?

NYS resident?

Citizenship

Have you applied for Financial Aid?

Do you have access to the internet and a computer at home?

Do you require any classroom accommodations?

Please describe classroom accommodations needed below.

Jefferson Community College Website

Summer Programming 2023