APPLICATION FOR READMISSION
UNDERGRADUATE DEGREE STUDENT
UNIVERSITY OF COLORADO BOULDER
Use ink, print legibly, complete both sides of this application and sign it. We
encourage you to reapply by October 1 for spring semester and April 1 for summer and
fall terms. Submit your application to the Office of Admissions, Regent Administrative
Center 125, University of Colorado Boulder, 552 UCB, Boulder, CO 80309-0552.
Request that official transcripts be sent directly to this office from institutions you have attended
since your last attendance at CU Boulder. We will contact you if additional credentials are required.
You may apply to a different college or program than the one in which you were previously enrolled
and will be admitted as long as you are eligible. If you were previously enrolled in the College of
Arts and Sciences or the College of Engineering and Applied Science, did not receive your
degree, and are now applying to that same college you must also apply to the same major in which
you were previously enrolled. If admitted, you can declare another major after you are enrolled once
you meet the eligibility requirements. Visit www.colorado.edu/advising for more information. The
major change form for the College of Engineering and Applied Science can be found at colorado.edu/
engineering/academics/advising-and-registration. If you received your degree, you may not apply to
your previous major.
If you are applying to the College of Music, an audition is required. Obtain the audition application
from the Associate Dean for Undergraduate Studies, College of Music, University of Colorado
Boulder, 301 UCB, Boulder, CO 80309-0301, or call 303-492-6352.
If you are applying to return to the School of Education, submit this application directly to School
of Education, University of Colorado Boulder, 249 UCB, Boulder, CO
80309-0249.
Note: If you attended the university within the last year as an undergraduate student, you may not
need to submit this application. For more information, contact the Registrar’s Office at 303-492-6970
or visit www.colorado.edu/registrar/students/withdraw-cu, before submitting this application.
1. Full Legal Name (will be used for all university records)
Last
First
Middle
2. Previous name(s) that might appear on your transcripts or credentials
3. CU Boulder Student Identification Number 4. Permanent Address and Telephone Number
9. Are you a U.S. citizen?
 Yes  No
If not a U.S. citizen: Citizenship Country
 Nonimmigrant on temporary status
Type of visa you now hold or expect to obtain
 Student (F-1)  Exchange Visitor (J-1)
 None  Other (specify)
 Permanent Resident (immigrant)
Alien Registration Number
10. Do you have a pending criminal charge OR have you ever been  Yes  No adjudicated guilty or convicted of a misdemeanor, felony or other crime? Note that you are not
required to answer “yes” to this question or provide an explanation if the criminal adjudication or
conviction has been ordered by a court to be kept confidential. (Misdemeanor traffic offenses are
exempt.) If yes, you must download and submit the Criminal History Supplement form from the
“Supplemental Forms” section on www.colorado.edu/admissions/apply/forms. NOTE: You hereby
agree to immediately notify the Director of Admissions if criminal charges are subsequently brought
against you for an offense that occurred prior to the date you submitted this application. The
University of Colorado Boulder reserves the right to consider such charges and take appropriate
action including, but not limited to, denying admission, and if already admitted and enrolled, summary
suspension and/or revocation of admission.
11. Have you ever been placed on probation, suspended,  Yes  No expelled or been subject to official disciplinary action from any postsecondary institution after
attending CU Boulder for academic misconduct or behavioral misconduct? Failure to answer this
question will stop the processing of your application. If yes, you must attach an explanation including
the specific offense, the length of suspension and the date (month/year) it occurred. If your answer to
this question changes after you apply, notify the admissions office immediately.
12. What is your proposed CU-Boulder college/school?
What is your proposed major?
(Students previously enrolled in Arts & Sciences or Engineering who are applying to return to that
same college must also apply to their previous major – see instructions at start of application.)
13. For which degree are you applying?  Bachelor’s  Teacher Licensure
Number and Street or P.O. Box
City State
Zip Code
Foreign Country
Area Code
Telephone 5. Mailing Address and Telephone Number (Complete ONLY if different from
permanent address.)
14. For which term and year are you applying?  Fall
 Spring  Summer  Maymester
 Augmester 20
(Yr.)
15. List all colleges you have attended since your last attendance at CU Boulder, whether or not
courses were completed, and whether or not you believe the record will affect your admission or
transfer of credit. Attach an additional page if necessary. Official transcripts of all work completed
since you last attended CU Boulder must be sent directly from the institution to the Office of
Admissions.
a.
Number and Street or P.O. Box
City State
Zip Code
Foreign Country
Area Code
Telephone
Institution Name City, State, Zip Code Dates of Attendance
Degree/Date Earned
Type of System (semester, quarter, trimester, etc.) No. of Hours Completed
6. Email Address
b.
7. Next of kin Information
Institution Name City, State, Zip Code Last
First
Dates of Attendance
Degree/Date Earned
Type of System (semester, quarter, trimester, etc.) No. of Hours Completed
Address and Telephone (if different from item above)
c.
Number and Street or P.O. Box
State
Zip Code
Foreign Country
Area Code
Telephone
Month
Institution Name City, State, Zip Code City 8. Your Birth Date
Middle
Relationship
Day
Year
Date of Issue
Dates of Attendance
Degree/Date Earned
Type of System (semester, quarter, trimester, etc.) No. of Hours Completed
d. Check here if you have attended additional colleges. 
(Attach an additional page with this information for each college.)
Name
(Print your Last Name, First Name, and Middle Initial)
CU Boulder Student Identification Number
16. If you are currently enrolled at a college, indicate which will be your last term at your current institution.  Fall  Spring  Summer 20
(Yr.)
List below all courses in progress and courses you plan to take before the term for which you are applying. Attach an additional page if necessary.
Name of College Complete Course Title Dept.
Term/Year
Course No.
Credit Hours
If you are claiming in-state tuition classification, you must complete this section regardless of previous classifications.
17. Are you claiming eligibility for Colorado in-state tuition classification?  Yes  No
If yes, carefully complete all of the following items. Failure to complete the information may result in your being misclassified or may cause delays that could affect your chances for admission. Mark N/A (not
applicable) if appropriate. Month and year are sufficient for dates more than two years past. In addition to your own information, if you are not age 23 on the first day of classes for the term to which you are
applying, provide information on your parent or court-appointed guardian.
In-state tuition eligibility requires one year of Colorado domicile (legal residence). Exceptions to the one-year requirement are provided for honorably-discharged members of the U.S. armed forces moving
permanently to Colorado or certain dependents of honorably-discharged members of the U.S. armed forces; active-duty military stationed in Colorado or certain dependents of active-duty military; Colorado
National Guard members; children of new faculty members at Colorado state-supported colleges; U.S. citizens, U.S. permanent residents, and undocumented/DACA applicants who attended 3 years of high
school in Colorado; and existing employees (and their children) of companies moving to Colorado with state economic incentives.
Information about the Colorado resident/nonresident regulations including details of these exceptions is available from the Office of the Registrar at registrar.colorado.edu, by e-mail at tuitclass@registrar.colorado.edu or by telephone at 303-492-6868. Married applicants under the age of 22 and applicants who are not Colorado residents but who are married to active-duty military personnel
who are Colorado residents or who will be stationed in Colorado should seek further information as indicated above.
Note: If you were previously classified as nonresident, you must submit a separate Petition for In-State Tuition to change your classification. Petitions are available from the registrar’s office and must be submitted to that office by the first day of classes.
YOU YOUR FAMILY
Parent Court-appointed Guardian
1) Your age and birth date ............................................................................................................................................... __________ ___/___/___
2) Dates of continuous physical residence in Colorado (Mo./Day/Yr.) ............................................................................ ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
3) Dates of absences from Colorado of more than 30 days in duration
within the past year (Mo./Day/Yr.) ................................................................................................................................... ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
4) Dates of employment in Colorado (Mo./Day/Yr.) ......................................................................................................... ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
5) List exact years for which personal resident Colorado income tax returns
were filed.......................................................................................................................................................................... _______________________ ______________________
6) Dates of active duty military service (Mo./Day/Yr.)....................................................................................................... ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
Dates stationed in Colorado (Mo./Day/Yr.) ................................................................................................. ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
7) Dates you/your family member have had a Colorado driver’s
license or ID card (Mo./Day/Yr.) ...................................................................................................................................... ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
Current Colorado driver’s license or ID card number.................................................................................. _______________________ ______________________
8) List exact years of Colorado motor vehicle registration................................................................................................ _______________________ ______________________
Current Colorado license plate number....................................................................................................... _______________________ ______________________
9) Give state in which currently registered to vote............................................................................................................ _______________________ ______________________
Dates of Colorado voter registration (Mo./Day/Yr.) ..................................................................................... ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
10) Dates of ownership of a home in Colorado that is your/your family member’s
primary residence (Mo./Day/Yr.) ...................................................................................................................................... ___/___/___ to ___/___/___ ___/___/___ to ___/___/___
11) Are your parents separated or divorced?................................................................................................................... Yes No


12) Colorado parent/court-appointed guardian name and permanent address...............................................................
13) List your most recent employers.
Employer City State Hours per Week Dates (Mo./Day/Yr. to Mo./Day/Yr.)
18. I hereby certify that to the best of my knowledge the information in this application is true and complete. I understand that if found to be otherwise, it is sufficient cause for refusal or dismissal. In addition,
you must notify the Office of Admissions if any information provided in this application changes after submission. You also agree to all terms and conditions as discussed in this application. If I enroll as a
student at the University of Colorado Boulder, I agree to observe all campus policies and regulations including the Honor Code and acknowledge that I am responsible for all financial obligations.
Applicant’s Signature The University of Colorado is an equal opportunity/nondiscrimination institution. Date
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