First Name:   Middle Name:   Last Name:
Any former/maiden names:
RU ID: (If unsure of RUID# use 6 zero's)
Email: Cell Phone:
Home Phone: Work Phone:
Address: State: VAALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNCNENVNHNJNMNYNVNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIWAWVWIWYAEAP ZIP:

Has your name changed since you were last enrolled at RU? Yes No  If yes, please submit marriage, divorce, or
court order paperwork in order for us to update your records.

Term/Year for which you are requesting readmission: SpringMaymesterSummer ISummer IISummer IIIFall 2005200520062007200820092010

Do you plan to complete your degree through the Roanoke Degree Program? Yes No

Reason for requesting readmission to the University:

To complete an initial degree from RU: ^1
1 if you have not attended RU for two or more consecutive semesters prior to making this application, you will be required to meet the degree requirements stated in the Undergraduate Catalog that is in effect during the term in which you re-enroll.

To complete a second degree from RU: ^2
2 Note: the following policies apply from the Undergraduate Catalog:
* you must successfully complete 30 or more credit hours (over and above what was completed for your first degree) as well as all degree and major requirements stated in the Undergraduate Catalog that is in effect during the term in which you re-enroll
* your GPA from your first degree is frozen & your GPA will start over for your second degree
* grades from courses taken in the second degree will not affect the GPA of your first degree
* you may not earn additional credit for courses taken during your first degree
* the number of course repeats and withdrawals starts over
* you must successfully complete 60 or more credit hours to qualify for Latin Honors (over & above what was completed for your first degree)

To complete a second major or minor from RU: ^3
3 Note: the following policies apply from the Undergraduate Catalog:
* you must successfully complete only those requirements for the additional major or minor as stated in the Undergraduate Catalog that is in effect during the term in which you re-enroll
* your initial major's GPA will be frozen and your GPA for the second major or minor will start over
* after successful completion of the requirements for an additional major or minor, you must submit a "Completion of Major/Minor" form to the Registrar's Office; completion will be confirmed & the additional major or minor will be posted to your academic transcript
* you will not receive an additional diploma
* you are not eligible to participate in the Commencement Ceremony

To take classes as a Special Non-Degree Seeking Student: ^4
4 Please indicate your intentions as a Special Non-Degree Seeking student:
    Regular (no degree is being sought)                    Second Major (completing deficiency courses)
    Second Minor (completing deficiency courses)    Pursuing Teaching Licensure

Date you were last enrolled at RU:
Major(s) during your last enrollment at RU:
Do you plan to change your major if you are readmitted to the University? Yes  No
    If yes, what major do you intend to declare?

If you have attended or are currently attending other colleges or universities since your last enrollment at RU, please list these below:
        College/University                                                        Dates Attended
           
           
           

You must have official transcripts from each school sent to the RU Registrar's Office.  In order to efficiently process your application and present it to the Committee for review, all transcripts must be received before the monthly Committee meeting.  Failure to list all institutions attended will result in cancellation of readmission and registration.

Are you or have you ever been subject to academic suspension or probation at RU or any other college or university?
Yes (RU)  Yes (other colleges or universities, please list below)  No 

If you answered "Yes, in either case", you must provide a complete & concise explanation as to what has occurred to support the expectation that your academic performance will improve if you are readmitted to RU as well as any extenuating circumstances that influenced your prior performance.  Your application will not be processed if this section is not completed.


Other than academic suspension or probation, have you ever had a disciplinary or criminal offence conduct or Honor Code violation that resulted in your being placed on disciplinary sanction or conduct probation, declared ineligible to register for any period of time, suspended or dismissed from RU or any other college or university (including but not limited to alcohol or substance abuse related sanctions)?
Yes (RU)  Yes (other, please list below)  No
Please list other college(s)/university(ies) here:
If you answered "Yes in either case", you must provide a complete & concise explanation including the date of the occurrence.  Your application will not be processed if this section is not completed. Non-Disclosure or falsification of these offences will result in automatic denial of readmission.


Have you ever been convicted are you currently being charged, with a criminal offense other than minor traffic violations?  This includes any case taken under advisement. 
Yes  No
If you answered "Yes", you must provide a complete & concise explanation including the date of the occurrence.  Your application will not be processed if this section is not completed.


Concealment of attendance at another institution since your last enrollment at RU or any falsification of information on this application, whether intentional or accidental, could result in the cancellation of your readmission and termination of your enrollment. REMINDER: This form contains questions regarding RU and any other college or university attended as well as any criminal and/or disciplinary actions.

HONOR STATEMENT:  I do hereby resolve to uphold the Honor Code of Radford University by refraining from lying, from the illegal appropriation of property, and from violating the Standards of Student Academic Integrity.

I have read and understand the above Honor Code statement of Radford University.  If offered readmission, I agree to abide by the Honor Code and the rules and regulations of the University.  I certify that all information supplied in my application is correct, to the best of my knowledge.

NOTE:  After you click the "Submit" button, you will be redirected to the "Readmission Agreement" page which must be printed, signed and returned to the Registrar's Office either by mail, by fax, or in person.  Your "Application for Readmission" will not be reviewed by the Committee until the Readmission Agreement is submitted.