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Application for Readmission
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Contact Information
Dominic Passalacqua
College Registrar
White Hall
(315) 792-3393
(315) 792-3020 (Fax)
Please do not type anything in the following field
Application for Readmission
Office of the Registrar
*
indicates required field
A matriculated student not in attendance for one full semester (exclusive of Summer Session) loses matriculated status and must apply for readmission. This form should be completed and returned to the Office of the Registrar prior to the start of the semester.
Full Name
*
Gender
Male
Female
Home Address
*
Mailing Address
(if different from Home Address)
Home Telephone Number
*
Local Telephone Number
(if different from Home Telephone Number)
Major you wish to pursue
*
Birthdate
*
Term
*
Fall
Spring
Summer
(The term you wish to return.)
Year
*
(The year you wish to return.)
Division
*
Evening
Day
(The division you wish to return in.)
When did you previously attend Utica College?
*
What name did you register under?
(If changed)
Have you attended any other institutions?
*
Yes
No
If yes, which institutions?
(An official transcript should be sent to the UC Registrar's Office as soon as available.)
Are you returning under a special program (eg. HEOP)?
*
Yes
No
Are you seeking campus housing?
Yes
No
Date
05/13/2008
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