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AUBURN UNIVERSITY - APPLICATION FOR READMISSION
SECTION A:
NAME: ___________________________________________ STUDENT NUMBER: ______________________________
PREVIOUS NAME AT AUBURN, IF APPLICABLE: ________________________________________________________
GENDER:
M
F RACE:______________ MARITAL STATUS:
S
M
D BIRTHDATE: ____________
EMAIL: ______________________________________ CURRENT PHONE NUMBER: ___________________________
CURRENT ADDRESS: ________________________________________________________________________________
LAST ENROLLED AT AUBURN: _________________________ READMISSION FOR __________________________
Term / Year
Term / Year
HAVE YOU PREVIOUSLY RECEIVED A BACHELORS DEGREE FROM AUBURN UNIVERSITY OR ANY OTHER
COLLEGE?
YES
NO
IF YOU ANSWERED YES, PLEASE INDICATE IF YOU WILL BE SEEKING A SECOND UNDERGRADUATE DEGREE, OR
IF YOU ARE ONLY TAKING ADDITIONAL CLASSES.
SECOND UNDERGRADUATE
CLASSES ONLY
SECTION B:
As defined by University policy in the AU Bulletin, are you classified as an: ALABAMA Resident: ____________________
Non-Resident: ___________________________
If ALABAMA RESIDENT, please read and initial Certification Statement, if non-Alabama resident please go to section C.
_____
Initial
I certify that I am a bona fide resident of the State of Alabama and that I have not left the State of Alabama for a period of
12 consecutive months or more since the date of my last enrollment at Auburn University. I have attached a copy of my
Alabama Driver’s license that is at least one year old to verify this information.
**If you do not have an Alabama Driver’s license that is at least a year old or you were previously admitted as a nonresident and would need to prove residency, you must contact the Residency office at 334-844-2726 for additional
requirements.
SECTION C:
Since you last attended Auburn University, have you attended any other college or university? ____________________________________
If yes, please read and initial the provisional readmission statement below, if no, sign in Section D.
INSTITUTION: ________________________________________________ DATES ATTENDED: ______________________________
INSTITUTION: ________________________________________________ DATES ATTENDED: ______________________________
_____
Initial
I am requesting provisional readmission pending receipt of one (1) official transcript from each institution. I realize that I will
be asked to resign from Auburn University if my transcripts have not been received by the Admissions / Records office (1550 E.
Glenn Ave.) within three weeks after the beginning of the term for which I am registering or if any transcripts indicate that I am
ineligible for readmission.
**University regulations stipulate that a student who attended another institution for more than one term must have earned an
overall “C” average or better on all coursework since last attending Auburn University to be eligible to re-enter Auburn
University. Further, any student seeking readmission must be eligible to return to the last institution attended.
SECTION D:
PLEASE SIGN: ____________________________________________________ DATE: ____________________
**Once completed, return this form to the Office of the Registrar, Langdon Hall, 152 S College St., Auburn, AL 36849 in
person or by mail; or fax to 334-844-2538; or email to registrar@auburn.edu. If you have any questions, call 334-844-2544
for assistance.
Rev. 3-2016