Admission Homepage

Application for Readmission

Sex:
Name:
Maiden Name:
Date of Birth:
Permanent Address Number, Street, P.O. Box:
City:
State:
Zip Code:
Telephone:
Email:
Next of Kin: Name:
Permanent Address Number, Street, P.O. Box:
City:
State:
Zip Code:
Relationship:
Name of State of which you are a legal resident:
Major:
Minor:
Quarter/Semester that you first attended SMSU:
Quarter/Semester that you last attended SMSU:
Semester you wish to re-enter SMSU:
Have you attended any other schools since you last attended SMSU?
Yes
No
If yes, please list those schools and the dates attended: In order to be re-admitted, you must submit official transcripts from the institutions to the Office of Admission. *If the transcripts from these institutions are not received by the Office of Admission during the first semester of your re-admission, a HOLD will be placed on your second semester registration.

Do you plan to live on campus?
Yes
No
Additional Comments (optional):
I certify that the information I have provided on this form is complete, accurate, and true to the best of my knowledge. Misrepresentation of re-admission information is sufficient ground for canceling admission. If you submit an online form, it is not necessary for you to submit a paper copy. We will follow up with you relative to additional information necessary to complete your admission file.