Application for Readmission: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by selecting the program you are applying for readmission from the provided options. Ensure you check only one box.
Indicate the term for which you seek readmission and provide your last attendance date at Samuel Merritt University.
Fill in your personal information, including your name, mailing address, email, and phone numbers. If your name differs from educational records, include that as well.
Complete the sections regarding your Social Security Number, Date of Birth, and citizenship status. Answer any felony conviction questions truthfully.
Provide optional demographic information for statistical purposes if comfortable.
List any universities attended since leaving Samuel Merritt University along with dates attended.
Detail any courses currently in progress or planned before your requested readmission.
Craft a personal statement addressing your reasons for seeking readmission and any changes in circumstances since last attending.
Finally, certify your application by signing and dating it before submission.

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