Graduate Readmit/Reenrollment Request Form

Prior UA Attendance

Have you attended any other accredited college or university since leaving The University of Akron?

Yes

Were you previously dismissed from The University of Akron?

Yes

Was your dismissal from The University of Akron more than two years ago?

Yes

Please outline the cause of your previous poor academic performance and steps you have taken toward improvement.

Students who have attended another institution since leaving The University of Akron need to apply as a new graduate student instead of a readmit.

Please visit uakron.edu/apply to submit your graduate application. Please do not proceed with this readmit application.

Disciplinary History

Please include all dismissals/expulsions and any pending charges from any school. Failure to include a complete record or falsifying answers may disqualify an applicant from enrollment at UA.

Charges

Violations found responsible for

Penalties

Date of incident

School where incident occurred

Please explain the details and circumstances surrounding the incident.

Please describe the nature of the offense, and what, if any, rehabilitation efforts you have undertaken and/or what you have learned from the experience.

Criminal History

Please include all convictions and any pending criminal charges. Failure to include a complete record or falsifying answers may disqualify an applicant from enrollment at UA.

Offense you were charged with

Date of conviction

Date of charge, if still pending

Arresting agency

Court in which charges were heard

Case number assigned by court

Sentence/fine imposed

Name and contact information of any parole or probation officer or counselor assigned to your case

Please explain the details and circumstances surrounding the incident.

Please describe the nature of the offense, and what, if any, rehabilitation efforts you have undertaken and/or what you learned from the experience.

I certify that the information herein is complete and accurate to the best of my knowledge. I hereby grant permission to The University of Akron to seek and to exchange any information with the academic institutions that I have attended. I further authorize any such academic institution to release any records or confidential information concerning me to The University of Akron. I agree to abide by the rules set forth in the University Bulletin. I understand that The University of Akron maintains a system of records which has been in existence and operating since 1968 and which utilized the Social Security Number until the fall of 2001 for the purposes of verifying the identity of students.

Please enter your full name to verify.