BENEDICT COLLEGE
School of Continuing Education
111 Doctor’s Circle, Columbia, SC 29203
(803) 705-4779
APPLICATION FOR READMISSION
Former students who have not enrolled for one or more semesters, (Summer Sessions excluded) are required to file an Application
for Readmission. You must return this form to the School of Continuing Education. The privilege of requesting readmission does
not imply an obligation on the part of the college to grant the request. THE COLLEGE RESERVES THE RIGHT TO DENY
READMISSION.
___________________________________________________________________
Last Name
First Name
MI
____________________________
Social Security #
______________________________________________ _________________________ _______
Street or P.O. Box
City
State
________________________________________________________________________
E-Mail Address
________________
Zip
______________________
Date of Birth
Gender ( ) Female ( ) Male
*Race or Ethnic Origin ( ) Black/African American ( ) White ( ) Hispanic/Latino ( ) American Indian/Alaska Native
( ) Asian ( ) Native Hawaiian or Other Pacific Islander ( ) Nonresident Alien ( ) Race/Ethnicity Unknown
( ) Two or More Races
*Religious Denomination ( ) Baptist ( ) Methodist ( ) Catholic ( ) Other _____________________________________
*This information is voluntary and is not used as a factor in admission decisions nor is it used in a discriminatory practice.
Name during attendance (If different from above) ____________________________________________________________
Last semester of attendance at BC ___________ Classification ______________ Major _____________________________
Are you a veteran? ( ) Yes ( ) No
Semester you wish to re-enter:
( ) Fall 20____
( ) Summer I 20____
( ) Spring 20____
( ) Summer II 20____
All students are required to have an official transcript from each institution
that they attended mailed directly to the School of Continuing Education.
Name of Institution
_____________________________________________
_____________________________________________
Location
Date(s)
___________________________________ _________________
___________________________________ _________________
Please note that all students returning from academic probation or suspension must have an Academic Improvement Plan on
file.
While enrolled at Benedict College were you subjected to any action by school authorities which resulted in the
following? Withdrawal ( ) Yes ( ) No Probation ( ) Yes ( ) No
*Suspension ( ) Yes ( ) No
*Students returning after a suspension must complete the Appeal for Readmission after Suspension document located on
page 2 of this application.)
Signature ____________________________________ Date ________________ Phone Number _____________________
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Equal Opportunity in Education and Employment • Without Regards to Race, Sex, Color, National Origin, Religion or Disability
Appeal for Readmission after Suspension
Students who have been suspended and have missed a semester of enrollment must petition Academic Affairs for readmission
to the College. You must answer the questions listed below to the best of your ability. If you wish to submit additional
documentation for your petition, it must be submitted with your readmit application and not submitted separately.
Applications for Readmission which are submitted without the petition will be automatically denied. The Admissions Office
will notify you if additional paperwork is required. Readmission is not guaranteed and only those students who demonstrate
that they have given careful consideration to how they have and/or will change their behaviors or circumstances will be
considered.
___________________________________________________________________
Last Name
First Name
MI
Major _______________________________________
____________________________
Social Security #
Semester ( ) Fall ( ) Spring ( ) Summer
Year 20_______
Phone Number (____)___________________________ Alternate Phone Number (____)___________________________
___________________________________________________________________________________________________
E-Mail Address
Section A: Write a complete statement explaining the circumstances that resulted in your suspension.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Section B: Describe the steps you plan to take to improve your academic status. Your statement must include how
circumstances have changed making academic improvement a realistic goal.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Student’s Signature ______________________________________________ Date _________________________
*Students who are readmitted following suspension will be placed on academic probation and will be given an Academic
Improvement Plan.
OFFICE USE ONLY
Date Submitted to Academic Affairs __________________ Date Received from Academic Affairs __________________
( ) Approved ( ) Not Approved Academic Affairs Representative ___________________________________________
Additional Note for Student ____________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
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Equal Opportunity in Education and Employment • Without Regards to Race, Sex, Color, National Origin, Religion or Disability