College of Staten Island

The City University of New York

Graduate Admissions Response Form

Please note: This form is only to be submitted by students who have been admitted for the upcoming semester.

A non-refundable $250 commitment deposit is required of all students accepting offer of admissions. If you need additional information please refer to commitment deposit information. If you accept the offer of admission, a commitment deposit request form will be provided after you submit your response. The form should be attached to your payment.


Graduate Admissions Response Form
Last four digits of your SSN:
First Name:
Last Name:
Telephone:	( ) -
E-mail Address:
	I would like to be contacted by an admissions counselor

	I plan to attend the College of Staten Island for the upcoming semester.
	I plan to attend a different school for the upcoming semester. Name of school:
	I am undecided at this time.
	I would like to defer my admission for one semester.