SUNY Roadshow (Northeastern Clinton)

Monday, September 22, 2025 at 1:20 PM until 2:20 PMEastern Daylight Time UTC -04:00

Northeastern Clinton Central High School
103 State Route 276
Champlain, NY 12919
United States

First Name

Preferred Name

Last Name

Gender Identity

Birthdate

Mailing Address (Please include apartment number, if applicable)

Country

Street

City

Region

Postal Code

Email Address (If possible, please avoid using your high school email, as it may be marked as SPAM)

Phone Number (Home)

Phone Number (Mobile)

Entry Level

High School Name

High School Graduation Year

Previous College(s) Attended

Anticipated Start Term

Intended Major

Athletic, Hobbies, or Club Interest