ASAP Interest Form

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To participate in ASAP and receive the program benefits, you must agree to the following:

Enroll full-time each semester (12 or more credits) and maintain good academic standing
Enroll immediately and continuously in any developmental courses required
Meet monthly with your Success Coach and attend monthly required enrichment activities
Complete the Free Application for Federal Student Aid (FAFSA) and the New York State Tuition Assistance Program (TAP) application each year, to remain eligible
Graduate within three years

First Name

Preferred Name

Middle Name

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Phone

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Yes

Mobile Number

What best describes you:

New Student: I have applied to NCCC for the upcoming semester (excluding College in the High School)

Continuing Student: Currently enrolled in classes at NCCC

Readmit Student: Previously attended NCCC, but am not currently enrolled

Prospective Student: I have not applied to or attended NCCC, but am interested

Intended Program:

Have you earned LESS THAN 21 college credits?

Yes

What describes your educational plans/goals?

I plan on earning an Associate Degree at NCCC

I plan on earning a certificate

I plan to transfer BEFORE earning my Associate Degree at NCCC

I am not sure

Have you completed your 2026-2027 FAFSA and TAP application?

Yes

I'm using Military tuition assistance or GI bill benefits.

I do not plan on applying for financial aid.

If enrolled in NCCC’s ASAP program, I agree to check-in with my ASAP Coach twice each month and attend student success workshops throughout the semester.

Yes

North Country Community College ASAP Program Student Commitment

The North Country Community College ASAP Program is a partnership designed to support your success. Please read each statement carefully and initial where indicated to acknowledge your understanding of and commitment to the expectations outlined below.

I understand that to remain eligible for the ASAP program, I must enroll full-time each semester (at least 12 credits) and earn at least 24 academic credits in my designated major each year, maintain good academic standing (a GPA of at least 2.0), remain enrolled in an ASAP-approved major, and complete the requirements for an associate degree in no more than six semesters (three years) Please Type Your Initials Below

I understand that as an ASAP student I must attend all of my bi-weekly meetings with my assigned academic advisor, as well as any supplementary meetings as may be required at my ASAP academic advisor’s discretion, and complete, follow-up and report back on advisement-related tasks assigned by my ASAP academic advisor. Please Type Your Initials Below

I understand that to remain eligible for the ASAP program, I must immediately enroll in and complete any required developmental courses within the first two semesters. Please Type Your Initials Below

I understand that to remain eligible for the ASAP program, I must notify my ASAP Student Success Coach immediately if I experience any academic or personal difficulties. No course adjustments or withdrawals should be made without discussing the impact on my financial aid and graduation plans with my academic advisor. Please Type Your Initials Below

I understand that, before making any changes to my class schedule (including adding, dropping, or withdrawing from a course), I am expected to meet with both my ASAP Student Success Coach and my assigned Academic Advisor. My Student Success Coach will help me understand how the change may impact my academic progress, financial aid, and ASAP participation, while my Academic Advisor will provide academic advising and approve any schedule. Please Type Your Initials Below

I understand that, as an ASAP student, I am expected to participate in tutoring, academic support services, and/or academic success workshops when recommended by my Academic Advisor, ASAP Student Success Coach, or other college personnel to support my academic success. Please Type Your Initials Below

I understand that, as an ASAP student, I must be a New York State resident and annually submit my New York State Certificate of Residency Form throughout my participation in the ASAP program. Please type your initials below

I understand that as an ASAP student, I must complete and submit the Free Application for Federal Student Aid (FAFSA) and/or New York State Tuition Assistance Program (TAP) application and accept any federal and state grant aid awarded to me (Pell, SEOG, TAP, etc.) each year in order to remain in the ASAP program and to enable the College to determine my eligibility for the $200 ASAP scholarship. Please Type Your Initials Below

I understand that ASAP does not cover financial aid loss or ineligibility due to course withdrawals, lack of satisfactory academic progress, inapplicability of courses to one's major, or failure to submit documentation to the Financial Aid Office or the New York State Higher Education Services Corporation (HESC). Please Type Your Initials Below

I understand that as an ASAP student, I must adhere to the College's Code of Conduct and Academic Integrity Policies. Please Type Your Initials Below

I understand that my $50 monthly incentive may be suspended if I do not fulfill my ASAP Program responsibilities, which are summarized in this commitment form. Please Type Your Initials Below

I understand that the ASAP program only provides the $200 tuition gap scholarship each semester to students who complete the Free Application for Federal Student Aid (FAFSA) and/or New York State's Tuition Assistance Program (TAP). Please Type Your Initials Below

I confirm to the best of my knowledge that I do not have more than 21 credits except those earned in high school. Please Type Your Initials Below

I understand that all academically eligible transfer credits (except those earned in high school) will be counted towards my ASAP eligibility. Any transfer credits that result in a total credit accumulation above 21 credits before entering ASAP, even after initial acceptance, may be grounds for my dismissal from ASAP. Please Type Your Initials Below

I authorize the ASAP program to share and receive information regarding my academic progress, financial needs, and other matters related to my success with my professors, tutors, Academic Advisor, Student Success Coach, and other appropriate college personnel. I understand that this communication is intended to coordinate support services and promote my academic success at North Country Community College. Please Type Your Initials Below

I also understand that my $50 monthly incentive may NOT be used for gambling or alcohol. Please Type Your Initials Below

I understand that as an ASAP student, I must adhere to the College's Code of Conduct and Academic Integrity Policies. Please Type Your Initials Below