Registrar - Reinstatement Application Request
Input information regarding application for reinstatement. Reinstatement applications are available starting - February for Summer semester, 1SS and 2SS, May for Fall semester, and October for Spring semester * Deadline for applications to be returned is one month before start of the term.

Items with an * indicate a required field.
First Name *
Middle Name *
Last Name *
Date of Birth *    
Address Line 1
City
State
Zip
Phone *
E-mail address *
Term to Reinstate *
CLASS *
Indicate your current class level. ARE YOU CURRENTLY ON HOLD?
Mail to address above? *  Yes
  No
Picked Up in person  Yes, student picked up at office.
Person picked up the application.
Are you Currently in school somewhere else? *  Yes
  No
Comments/Questions