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  • JCC Opportunity Program Application
    Jefferson Community College

    1220 Coffeen Street
    Watertown, NY 13601

    Phone: 315-786-6555
    Fax: 315-786-6574

  • How Can We Help You?

    • Personal Information 
    •  - -
    • Program Eligibility 
    • Receiving accommodations may be important to your success at college. Please follow the link to apply through the college’s Accommodative Services office: https://sunyjefferson-accommodate.symplicity.com/public_accommodation/

    • Educational Plans 

    • Signature 
    • Please Read Carefully!
      I certify that the information that I have provided is true and correct to the best of my knowledge. I understand that STAR staff will use the data provided on this application form to assist in assessing my academic, personal, and financial needs. I understand that STAR is a student support services (SSS) grant from the U.S. Dept. of Education. By signing this form, I authorize members of the STAR staff to obtain any and all information or documentation necessary for the ongoing evaluation of my academic pursuits and to communicate with faculty, staff, and agency personnel in order to provide support services. I understand that the STAR staff can only assist me in fulfilling my goals if I fulfill my obligation. Failure to meet my responsibilities as required can result in suspension and/or termination from the program.

    • Clear
    •  - -
    • Return Completed Application To: Jefferson Community College, The STAR Program, Bldg. 15-101B, 1220 Coffeen Street, Watertown, NY 13601

    • Submit 
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