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Readmission Form - College of William and Mary

Readmission Form - College of William and Mary

Readmission Form - College of William and Mary

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Office <strong>of</strong> the Dean <strong>of</strong> StudentsApplication for Undergraduate <strong>Readmission</strong>During your time away, did you attend any other college or university? [ ]No [ ]Yes**** Please provide the name(s) <strong>of</strong> the institution(s) <strong>and</strong> dates <strong>of</strong> attendance:Were you enrolled as a degree-seeking c<strong>and</strong>idate at that institution? [ ]No [ ]Yes****Note:: If you responded, “Yes,” you CANNOT be readmitted to the <strong>College</strong> using this form.You must submit a NEW ADMISSION APPLICATON to the Office <strong>of</strong> Admission.Please list your activities <strong>and</strong>/or employment since you last attended the <strong>College</strong>. Please include the dates.Have you been convicted <strong>of</strong> a felony since you were first admitted to <strong>William</strong> <strong>and</strong> <strong>Mary</strong>?[ ] Yes [ ] NoI certify that the information in this application is accurate. I underst<strong>and</strong> that, if I am readmitted, any untruthfulstatement in this application would result in immediate revocation <strong>of</strong> my admission to the <strong>College</strong>. I also underst<strong>and</strong> thatthe honor code is an agreement among undergraduate students to not lie, cheat, nor steal. This pledge is given <strong>and</strong>effective upon matriculation to the <strong>College</strong>.Signature <strong>of</strong> Applicant: ________________________________________________ Date: ____________________________Return this form to theOffice <strong>of</strong> the Dean <strong>of</strong> Students, The <strong>College</strong> <strong>of</strong> <strong>William</strong> & <strong>Mary</strong>, 109 Campus Center,P.O. Box 8795<strong>William</strong>sburg, VA 23187-8975Phone (757) 221-25102510 Fax (757) 221-2538 TDD (757) 221-23022302G:\PUBLICATIONS\<strong>Form</strong>s\Currently Active\<strong>Readmission</strong> Instructions <strong>and</strong> <strong>Form</strong> REVISED 11-20-08.docx

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