Intent to Return to Graduate Study Form

I am a previously admitted graduate student, and it is my intention to resume my studies as a matriculated graduate student at SUNY Plattsburgh.

I am a previously admitted graduate student, and it is my intention to resume my studies as a matriculated graduate student at SUNY Plattsburgh. I am, and I agree.
Please review the following statements and check any that apply.

Please review the following statements and check any that apply. It has been 7 years or more since I began as a matriculated graduate student at SUNY Plattsburgh. I have been previously dismissed from or asked not to return to graduate study at SUNY Plattsburgh. None of the above.
Please reactivate my access to Banner in time for me to register for the following term:
Semester:
Year
Graduate Degree Program:
Student ID #:
Name Name First Last
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email Address:
Phone Number
Today's Date Today's Date / MM / DD YYYY
Please contact the Office of the Registrar
3rd Floor Kehoe Administration Building
101 Broad Street
Plattsburgh, NY 12901
Phone: 518-564-2100
Fax: 518-564-4900
registrar@plattsburgh.edu