Below is the Application and Self Assessment form in an EDITABLE PDF format. You will need Adobe Reader installed on your computer to view the pdf file. 

 Application and Self Assessment Form 

 

Submission Instructions

Using a PC:
  1. Once you have filled in the entire application, click "file."
  2. Click "print."
  3. In the printer section, select "Microsoft XPS Document Writer" as your printer using the dropdown menu.
  4. In the same section, be sure "Document and Markups" is selected under the "Comments and Forms" dropdown menu.
  5. Click "OK" or "Print."
  6. Name the file and choose where you would like to save it.
  7. E-mail the saved .XPS file to Stephen Rebello.
Using a Mac:
  1. Once you have filled in the entire application, click "file."
  2. Click "Save as."
  3. Select "PDF" as the format.
  4. Choose where you would like to save the file.
  5. E-mail the saved .pdf file to Stephen Rebello.

 If you prefer, feel free to print and mail the completed application to:

Stephen Rebello
Student Support Services
Binghamton University
P.O. Box 6000
Binghamton, NY 13902-6000

Last Updated: 9/2/14