Follow the steps to successfully complete your application

1. Click ‘Get Form’ button to access the application and open it in the editor.
2. Select the semester you wish to enroll in by checking the appropriate box for either the full year program or the spring semester only.
3. Enter your Social Security Number in the designated area to identify your application.
4. Indicate your gender by checking the corresponding box and provide your date of birth in the specified format.
5. Fill in your last name, first name, and middle name in the text fields. If applicable, include your former last and first names.
6. Provide your current address, including street, apartment number (if any), city, state, and zip code.
7. Input your telephone numbers, including your work or alternate contact number.
8. List your email address in the specified field.
9. Indicate how long you have lived at your current address and how long you have resided in New York State.
10. Answer whether you are a United States citizen, and if not, specify your immigration status or visa type, and alien registration number if applicable.
11. Respond to the questions about your enrollment in courses at the College of Staten Island and the City University of New York.
12. Detail your post-secondary education, including the names of the institutions attended, dates of attendance, and degrees earned.
13. Fill out your employment information, including the name of your school and district, as well as the subject you teach and your license or certification area.
14. Optionally, complete the ethnicity survey, which is voluntary and used for statistical purposes.
15. Read the applicant’s certification section, then sign and date the application to confirm the information provided is accurate.
16. Once all fields are completed, save changes, and you may choose to download, print, or share your application as needed.

Complete your College Of Staten Island Sabbatical Program application online today!