ASAP Interest Form

By filling out the form below you are confirming your interest in the SUNY Jefferson ASAP Program. Once you fill out the form, we will review your eligibility.

Eligibility Requirements

Be eligible for In-State Tuition
Applied for FAFSA, TAP or are Military Affiliated
Approved ASAP Program of Study *See webpage for specific programs
Ability to graduate in 3 years or less
Full-Time students (12 credit hours)
Have not yet completed more than 21 college credit hours (College in High School and AP credits excluded)

Program Benefits

Monthly Incentive (Gas Card or Grocery Card)
Textbook Assistance (Fall & Spring Semester)
Child Care Funding
Cost of Attendance Award (for student receiving financial aid)
Dedicated Academic, Advising, Tutoring and Career Support

Contact Information

First Name

Preferred Name

Last Name

Email Address

Cell Phone Number

Birthdate

JCC Student ID (if you are unsure of your JCC ID, please call 315.786.2437. This is also listed on your JCC Acceptance Letter)

Mailing Address

Country

Street

City

Region

Postal Code

Please select the term you plan to begin classes at JCC

Are you a New York State Resident?

Military Affiliation

Program of Study

Specify your program:

Please identify your occupational goal

Jefferson Community College Website

ASAP Interest Form