Re-enrollment Form

Biographical Information

Student ID (if known)

First Name

Middle Name

Last Name

Birthdate

Personal Email Address

Seton Hill Email Address (if known)

Mobile Phone

I'd like to receive text and voice messages to this number and I have read the opt-in policy.

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship Status

Academic Information

I am returning to complete:

On-Campus Undergraduate Degree or Certificate

Online Undergraduate Degree or Certificate

Graduate Degree or Certificate

What was your major when you last attended?

Graduate Program

Are you requesting to return to the same program/major, or are you seeking a change?

Please explain the circumstances that led to your withdrawal or absence from the university.

What term would you like to return

Do you plan to attend as a full-time or part-time student?

Full Time

Part Time

Do you plan to live on campus or commute?

Resident

Commuter

Have you attended another college or university since leaving?

Yes

No

Name of school: (Please send official transcripts)

Current School CEEB (Hidden)

Have you ever been found responsible for a disciplinary violation at any other secondary school you have attended, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?

Yes

No

Please explain the incident(s) and the corresponding circumstances along with the approximate date in the box below.

Have you ever been convicted of a misdemeanor, felony or other crime?

Yes

No

Please explain the incident(s) and the corresponding circumstances along with the approximate date in the box below.

I acknowledge that credits earned while enrolled as a non-degree student at Seton Hill University will not count toward a Seton Hill degree program unless I am formally admitted as a degree-seeking student and meet all admission requirements.