Coronavirus (COVID-19) Information

Student Application

Name * Required
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email (used most frequently) * Required
Phone (used most frequently) * Required
Current Major * Required
Please Select Which Applies To You Best * Required
- I am an independent student who has been laid off from my current job as a result of Coronavirus (COVID-19)
- I am a dependent student whose family income has dramatically diminished as a result of Coronavirus (COVID-19)
Please describe the need you are currently facing due to Coronavirus (COVID-19) * Required

New York State Department of Health Testing Appointments
Call 1-888-364-3065