IMPORTANT NOTICE
Application Deadline Dates:
Fall Semester – July 1st
Spring Semester – November 1st
Summer Semester – April 15th
*Applications will be reviewed after the stated deadline.
* Late applications will be reviewed for the following
Division of University Studies
Application for Undergraduate Readmission
(For University Studies Students ONLY)
semester.
(Please print all information)
Name: ________________________________________________________
Last
First
TU ID#: ____________________________
Middle
Indicate if you were previously registered under a maiden or other name _________________________________________________
Current Address ______________________________________________________________________________________________
Number and Street
Phone: (Home) __________________
City, State & Zip Code
(Work) ________________ E-Mail
I am applying for readmission for _____ Spring
I plan to enroll as a
Campus:
______ Full-Time
______ Main
_____ Summer
______ Part-Time
______ Ambler
_____ Fall
______ Day
______ Health Sciences
__________ (Year)
______Evening Student
______ Tyler
College within Temple University in which you were last enrolled:
______________________________________________________
College
Dates: _______ to _______
Major/Program
Check the school/college below and list the major in which you plan to enroll:
Major/Program
_____ College of Health Professions & Social Work
____________________________
_____ School of Environmental Design (Landscape Arch., Hort., CRP) ____________________________
_____ Fox School of Business and Management
____________________________
_____ School of Communications and Theater
____________________________
_____ College of Education
____________________________
_____ College of Engineering
____________________________
_____ Ester Boyer College of Music
____________________________
_____ College of Liberal Arts
____________________________
_____ College of Science and Technology
____________________________
_____ School of Tourism and Hospitality Management
____________________________
_____ Tyler School of Art
____________________________
_____ University Studies
____________________________
COMPLETE REVERSE SIDE
(Office Use Only)
Holds:
DEAN’S ACTION/DECISION: ____ APPROVED _____ DENIED
Temple Credits:
________________________________________
Transfer Credits:
Dean/Dean’s Designee
Admit Semester:
GPA:
Major/Program:
Last Semester Attended:
Date
List all collegiate and/or post-high school institutions you have attended since leaving Temple University. Please have each
institution forward an official transcript of your record to the address below. Use an additional sheet of paper, if necessary, to
answer this or subsequent questions.
Name of Institution
City and State
Dates Attended
From
To
_________________________
___________________
______
______
_________________________
___________________
______
______
_________________________
___________________
______
______
1.
Please indicate your reason for withdrawing from Temple University.
_____ Academic _______ Financial
________*Health-Related ______ Other _______________
*You must submit with this application medical clearance from your health professional that you are cleared to return to school.
2.
If you were academically dismissed, why do you now feel ready to successfully resume academic work?
ALL APPLICANTS, PLEASE READ THE FOLLOWING AND SIGN:
I understand that I must schedule an interview to discuss my application for readmission.
I understand that withholding information requested on this application or giving false information may make me ineligible for
readmission to the University or subject to dismissal. With this in mind, I certify that the above statements are correct and complete.
I understand that individual schools/colleges have specific rules regarding acceptability of credits after lapse in enrollment.
________________________________
Student’s Signature
RETURN FORM TO:
Academic Resource Center
First Floor, Suite 101
1810 Liacouras Walk
Philadelphia, PA 19122-6029
Fax: 215-204-2516
____________________________
Date