Re-enrollment Request Form
Please complete and submit the form below to request re-enrollment to Portland State University.

This form cannot be accepted if a PSU ID is not provided. If you do not remember your PSU ID please contact the Office of the Registrar at 503-725-3220 or registrar@pdx.edu to inquire about the steps required to retrieve it.

PSU ID *
9XX-XX-XXXX
Your answer
Last Name *
Your answer
First Name *
Your answer
Middle Name *
Type in "None" below if you do not have a middle name.
Your answer
Previous Name(s) *
Enter other names your account may be under (i.e. maiden name). Enter "None" below if not applicable.
Your answer
Date of Birth *
(MM/DD/YY)
Your answer
Email Address *
Your answer
Phone Number *
(XXX) XXX - XXXX
Your answer
Current Address *
Example: 724 SW Harrison Street, Portland OR 97207
Your answer
What term do you plan on returning? *
We will email you the associated registration dates for the term selected below.
Have you attended other institutions? *
Please list all schools you attended after leaving PSU, otherwise enter "None" below.
Your answer
Have you earned an associate's degree or higher since leaving PSU? *
Please enter the type of degree and date earned, otherwise type "None" below.
Your answer
Submit
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