Re-Admission Form

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Re-Admission Form

This form is submitted to the Admissions Review Committee. Please answer as fully as possible

Your full name: *

What is your email address *

What is the best phone number to contact you: *

Please describe the reason(s) you left the program in detail: *

Explain how circumstances have changed and will allow you to complete the program. *

What corrective or preventive measures will you take to achieve and maintain satisfactory academic progress? *

What are your goals are once you have completed the program? *

Please describe your plan of action to meet your goal(s); be specific. *

Explain why the committee should consider your readmission to the program. *

Provide any additional statement or comments you have for the readmission committee.

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