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Re-Admission Form
This form is submitted to the Admissions Review Committee. Please answer as fully as possible
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Your full name:
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Your answer
What is your email address
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Your answer
What is the best phone number to contact you:
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Your answer
Please describe the reason(s) you left the program in detail:
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Your answer
Explain how circumstances have changed and will allow you to complete the program.
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Your answer
What corrective or preventive measures will you take to achieve and maintain satisfactory academic progress?
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Your answer
What are your goals are once you have completed the program?
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Your answer
Please describe your plan of action to meet your goal(s); be specific.
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Your answer
Explain why the committee should consider your readmission to the program.
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Provide any additional statement or comments you have for the readmission committee.
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