SUNY Policy Compliance Review on Prior Felony Admissions

Office of the Vice Provost
University Police

NOTE:

By submitting this form, you are confirming that all information is complete and accurate.
● Should your status change prior to the semester of the program / experience you are applying for, it is your responsibility to notify the Prior Felony Review Panel.
● Not returning this form may result in not being admitted to the course or program of interest.
About this form

State University of New York (SUNY) policy prohibits admission applications from inquiring into an applicant's prior criminal history. After acceptance, the University "shall inquire if the student previously has been convicted of a felony if such individual seeks campus housing or participation in clinical or field experiences, internships, or study abroad programs" (Admission of Persons with Prior Felony Convictions, 2017).

The information required to be disclosed under SUNY policy regarding such felony convictions shall be reviewed by the Prior Felony Review Panel campus committee consistent with the legal standards articulated in New York State Corrections Law.

A prior felony conviction does not automatically prevent you from enrolling in or participating in your chosen program. However, it's important to understand that a criminal record may limit your ability to complete certain program requirements, obtain professional licensure, or pursue employment in some career fields.
Student Name Student Name First Middle Last
Social Security Number (Last four digits)
Maximum of 4 digits allowed. Currently Entered: 0 digits.
Banner ID
Must be 9 digits. Currently Entered: 3 digits.
Student Email address
Degree Type

Degree Type Undergraduate Graduate
Reason for Review (the covered activity)
Activity/Program Name
Sponsoring Department
Email address for a contact in the sponsoring department, usually the Administrative Assistant. This person will be notified that you have submitted this form.
Have you been convicted of a felony or do you have a pending felony charge?

Have you been convicted of a felony or do you have a pending felony charge? Yes Yes, and I have been previously evaluated through the campus review process No
Previous name(s)
Have there been any changes or updates since your previous review?

Have there been any changes or updates since your previous review? Yes No
Please provide a brief statement regarding any updates.
Thank you for your submission.

If further information is required, you will be contacted by a review panel member. When you click on the "Continue" button, you will be able to exit this form.
You indicated that you have neither been convicted of a felony nor have a pending felony charge.

When you click on the "Continue" button, you will be able to exit this form.
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Select the "Continue" button to proceed.
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Enter Your Email Address *

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SUNY Policy Compliance Review on Prior Felony Admissions

NOTE:

About this form

Thank you for your submission.

You indicated that you have neither been convicted of a felony nor have a pending felony charge.

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