Re-Entry application

Re-Entry application

Apply to be readmitted to the University following a period of absence.
Name*

First NameLast Name
Previous name(s) ________________________________________________________________
Student ID #
Date of Birth*

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Telephone Number*
Please enter a valid phone number.
Are you a Veteran or Active Military?

YesNo
Date Last Attended UMF*
Expected Graduation Date
Semester Planning to return * Year Year*
Former Major*
Proposed New Major*
Do you plan to live in a Residence Hall?*

YesNo
I plan to attend:*

Full-TimePart-Time
If you have attended a College or University since attending UMF, list below and request a transcript be sent directly from each institution to the Registrar’s Office as soon as possible.
Institution Name Institution # of Credits Earned Credits Dates of Attendance Dates GPA GPA
Institution Name Institution # of Credits Earned Credits Dates of Attendance Dates GPA GPA
Institution Name Institution # of Credits Earned Credits Dates of Attendance Dates GPA GPA
Have you received a degree elsewhere? If so, where?
Institution Name
Signature* Date*
Should be Empty: