APPLICATION
FOR
RE-ENROLLMENT
APPLICATION DEADLINES
for any Fall semester:
Mar. 15 -- On-time Registration Guaranteed
June
30 -- Late Registration Only
for a
ny Spring semester:
Oct. 15 -- On-time Registration Guaranteed
Nov.
30 -- Late Registration Only
PLEASE
READ ALL SECTIONS OF THIS APPLICATION.
IF YOU NEED SIGNATURES, IT COULD DELAY YOUR RE-ENROLLMENT.
Offic
e of the University Registrar
University of Massachusetts
213 Whitmore Building
181 Presidents Drive
Amherst, MA 01003-9313
(formerly Application for Readmission)
WHO SHOULD USE THIS
APPLICATION?
All students who were previously
enrolled at UMass Amherst in an
undergraduate degree program and
who plan to re-enroll after a period of
non-enrollment should file this
application. This includes:
Students returning after
academic suspension or
dismissal.
Students who left in good
academic standing and who
want to return to active status.
These students are eligible to
apply for re-enrollment for any
academic session.
WHO S
HOULD NOT
USE THIS
APPLICATION?
Students previously enrolled:
at another UMass campus in any
status, or
at UMass Amherst as:
o Special Students,
o University Without Walls
(formerly Continuing &
Professional Education)
students or
o Exchange students from
another college or
university.
These students should apply through
the Admissions Office.
APPLIC
ATION DUE DATES
for any Fall semester:
o Mar. 15 - On-time
Registration Guaranteed
o June 30 - Late Registration
Only
for an
y Spring semester:
o Oct. 15 - On-time
Registration Guaranteed
o Nov. 30 - Late Registration
Only
Note t
hat financial aid, housing, and
other student services have their own
application deadlines. Housing
information will be sent with your re-
enrollment packet, if you request it on
your application. Submitting your re-
enrollment application on time is no
guarantee that all student services,
particularly financial aid and housing,
will be available if re-enrollment is
approved.
SIGNA
TURES REQUIRED ON RE-
ENROLLMENT APPLICATION
Secure the required clearance
signatures before submitting this
form. Re-enrollment cannot be
granted if required signatures are
missing.
All students applying for re-
enrollment must sign the
Disciplinary & Criminal History
Statement and the appropriate
section of the Residency
Statement. (Note that, if you are
a New England resident under 18
years of age, your parent,
guardian, or spouse must sign
instead.)
Studen
ts who withdrew from
the University for reasons of
health must obtain clearance for
re-enrollment from the Director of
Health Services. If you had a
health withdrawal, send your
completed application to the
Director of Health Services with
medical documentation attesting
to your readiness to return to
school. You will be contacted if
the Director has any questions.
Students who withdrew from
the University after the middle
of the preceding semester and
who have not remained out of
school for a full semester must
obtain the approval of their
Academic Dean for re-
enrollment. If approval is granted,
the Dean will endorse your
application prior to submission.
Studen
ts who may require an
11th or 12th semester to
complete their degree
requirements must obtain the
approval of their Academic Dean
before submitting the application.
Students who may require 13 or
more semesters must file an
appeal to the Committee on
Admissions and Records, with
prior endorsement by their
Academic Dean. Contact your
Academic Dean for further
instructions.
GENE
RAL INFORMATION
Financial Aid Application. To be
considered for financial aid submit
the Free Application for Federal
Student Aid (FAFSA) online at
fafsa.gov. The priority filing date is
March 1
st
for the future academic
year. Applications submitted after the
priority filing date will be considered
for funds available at the time of
awarding.
The Fi
nancial Aid Office is located at
243 Whitmore Administration
Building. Information is available on
their website at umass.edu/umfa.
Admini
strative Withdrawals. If
there is any
administrative withdrawal
from the University (including
University Without Walls, formerly
Continuing & Professional Education)
on your record, it
MUST be cleared
by you at the appropriate agency
before your application will be
accepted. Administrative withdrawals
are placed on a student’s record due
to outstanding obligations, usually
financial, from various administrative
offices on campus.
The deadline
for clearing
administrative withdrawals for re-
enrollment is
June 30 for the fall
semester and Nov. 30 for the spring
semester. Clearance after these
dates will delay acceptance for
another full semester.
Residency. If your residency
previously was out-of-state and you
want to claim in-state residency, you
must request a Residency Appeal
Form from the Office of the Bursar,
215 Whitmore.
ACADEMIC POLICIES AND
INFORMATION
Academic Advising. If you are
returning after any
academic
withdrawal, you must contact your
department for counseling purposes
and to verify your re-enrollment into
the department. You also must make
an appointment with your Academic
Dean prior to registering for classes.
If y
ou are returning after any non-
academic withdrawal, you should
contact your academic department to
see if it is required, recommended, or
optional for you to meet with an
academic advisor.
Transcri
pts of Additional Credits.
Students are advised to complete a
Prior Approval Form (available from
the University Registrar’s Office, 213
Whitmore) before
enrolling in
courses at another institution. If you
have not already completed that
form, complete it now. Official
transcripts of any courses attempted
at another institution should be
included with your application or sent
to the University Registrar’s Records
Area. Credits and university
requirements approved for transfer
are added to your permanent record
without affecting your grade point
average.
University Requirements. All
returning students will be required to
meet General Education
requirements as well as college and
major requirements.
Fresh St
art Policy. Students who
have not been enrolled at the
University for at least the last three
years, including Continuing &
Professional Education, are eligible
to elect re-enrollment with the “Fresh
Start” option. This option enables
eligible students to have their prior
work not included in their cumulative
grade point average, so they “start
fresh” with a 0.0 cumulative gpa.
Information about the Fresh Start
option will be sent to eligible students
when re-enrollment is approved.
TELEPHONE NUMBERS
Academic Deans’ Offices
College of Education
Furcolo Hall W111
545-2705
College of Engineering
126 Marston
545-2035
Colle
ge of Humanities &
Fine Arts
E202 South College
545-6152
Colle
ge of Natural Sciences
220 Morrill II
545-1969
Colle
ge of Nursing
Skinner Hall
545-2703
College of Social and Behavioral
Sciences
128 Thompson Hall
577-1057
Isenberg School of Management
206 ISOM
545-5610
College of Information and Computer
Sciences
120 Computer Science Bldg
545-4822
School
of Public Health and Health
Sciences
125 Arnold
545-6883
Administrative Services
Office of the Bursar
(413) 545-2368
https://www.umass.edu/bursar/
University Without Walls (formerly
Continuing & Professional
Education)
(413) 545-3653
https://www.umass.edu/online/
Dean of
Students Office
(413) 545-2684
https://www.umass.edu/dean_students/
Disability Services Office
(413) 545-0892
https://www.umass.edu/disability/
Finan
cial Aid Services
(413) 545-0801
https://www.umass.edu/umfa/
Health S
ervices (UHS)
(413) 577-5000
https://www.umass.edu/uhs/
Off-Campus Student Services
(413) 577-2187
https://www.umass.edu/offcampuslife/
Residential Life
(413) 545-2100
https://www.umass.edu/living/
Student Success
https://www.umass.edu/studentsuccess/
Univ
ersity Registrar
(413) 545-0555
https://www.umass.edu/registrar/
Veteran
s Services
(413) 545-5792
https://www.umass.edu/veterans/
General
Campus Information
(413) 545-0111
https://www.umass.edu/gateway/contact-
umass-amherst
Application for Re-Enrollment(formerly Application for Readmission)
University of Massachusetts Amherst
A NON-REFUNDABLE APPLICATION FEE OF SIXTY DOLLARS ($60.00) IS REQUIRED. PLEASE SUBMIT A
CHECK PAYABLE TO THE UNIVERSITY OF MASSACHUSETTS WITH THIS APPLICATION.
Name __________________________ ____________________ ______ ______________________________________
LAST (FAMILY NAME) FIRST MIDDLE PREVIOUS NAME (IF APPLICABLE)
Permanent Address _________________________________ _______________________ _____ ______________
STREET CITY STATE ZIP
Telephone ( ) - Date of Birth Student ID Number
(REQUIRED FOR FINANCIAL AID)
Gender Male
Domicile
In-State Non-UMass Email ____________________________________
Female Out-of-State Planned Entrance Semester: Fall
Spring
International
Planned Enrollment Status
Part-Time
Full-Time
Previous UMass Amherst Attendance
Semester/Year of last attendance Class/Status at time of withdrawal (e.g., 2002)
Current Major ______________________________________
Colleges Attended Since Leaving the University
Submit an official transcript from every college or university you have attended since your last enrollment at UMass Amherst to Transfer
Processing, C/O Undergraduate Admissions, University of Massachusetts Amherst, 37 Mather Drive, Amherst, MA 01003-9313. Official
transcripts can also be sent electronically to elcolts@admissions.umass.edu.
College/University City/State
Credits
Earned
Dates Attended
Degree Earned (if
applicable)
OPTIONAL: The items in italics are optional. No information you provide will be used in a discriminatory manner.
1. Are you Hispanic/Latino (including Spain)? Yes No
2. Regardless of your answer to the prior question, please select one or more of the following that best describe you:
American Indian or Alaska Native (including all Original Peoples of the Americas)
Asian (including Indian subcontinent and Philippines)
Black or African American (including Africa and Caribbean)
Native Hawaiian or Other Pacific Islander (Original Peoples)
White (including Middle Eastern)
3. Please check this box if you wish to be identified as being of Cape Verdean background
Clearances Required for Re-Enrollment
This portion must be signed if (select all that apply):
1. you withdrew for reasons of health;
2. you were enrolled in the most recent regular semester and you withdrew after the midpoint of the semester;
3. you are returning from suspension;
4. you require an 11
th
or 12
th
semester at UMass.
DIRECTOR OF HEALTH SERVICES SIGNATURE (required if Box #1 applies) DATE
ACAD
EMIC DEAN SIGNATURE (required if Box #2 / Box #3 / Box #4 applies) DATE
2020
DISCIPLINARY & CRIMINAL HISTORY STATEMENT
Please note that concealment of facts or untruthful statements may cause you to be subject to denial of re-enrollment and/or
dismissal from the University of Massachusetts Amherst. All applicants must complete and sign (under penalties of perjury)
this section:
Question #1: Have you ever been found responsible for a disciplinary violation at any school or college you have attended,
whether related to academic misconduct or behavioral misconduct, which resulted in your probation, suspension, housing
removal, removal, dismissal, or expulsion from the school?
_____ Yes _____ No
If you answered yes t
o Question #1, attach a separate page that gives the approximate date of each incident and explains the
circumstances. Additionally, if the incident/s occurred at a college other than UMass Amherst, the institution’s Dean of
Students must also submit a letter of explanation. Your re-enrollment application will be considered incomplete without this
information.
Question #2: Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime?
_____ Yes _____ No
(Note: You are not required to answer “yes” to this question if the criminal adjudication or conviction: has been expunged, sealed,
annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential; was a first conviction for
misdemeanor drunkenness, simple assault, speeding, minor traffic violations, or disturbance of the peace; or any conviction of a
misdemeanor where the conviction occurred more than five years prior to the date of this application, unless you were sentenced to
imprisonment upon conviction of the misdemeanor, or you have been convicted of another criminal offense within the five-year period.)
If you answered yes t
o Question #2, attach a separate page that gives the location and approximate date of each incident and
explains the circumstances. Your re-enrollment application will be considered incomplete without this information.
By my signatur
e, I certify that the information I have provided about my academic and personal history and residency is
accurate and complete. Failure to disclose any required information could result in the denial of re-enrollment or retroactive
administrative withdrawal from the University without refund or course credits. I understand that it is my responsibility to
submit a completed re-enrollment application by the stated deadline. Failure to do so may result in my application being
withdrawn without review.
Signed under the penal
ties of perjury, this _____ day of ________, 20 ____, at ____________ a.m./p.m.
Applicant’s signature __________________________________________________________________
Print name ____________________________________________________________________________
Date
Month
Year
Time
UNIVERSITY OF MASSACHUSETTS AMHERST RESIDENCY STATEMENT
This form must be signed by all applicants
Please read the rules and regulations for classification as a Massachusetts student. Concealment of fact or untruthful
statements may cause you to be subject to denial of re-enrollment and/or dismissal from the institution.
Part I - All applicants
Applicant’s Name (as it appears on application) _______________________________________________________________
Applicant’s Permanent Address
(please include street, city/state and zip) _______________________________________________ Since ________________
Date of Birth ____________________________ City and State of Birth ____________________________________________________
________________
_
_
Are you a U.S. Citizen?
yes no If not, Alien Registration No. ____________________ Temporary Visa Permanent Visa
Parent’s/Legal Guardian’s Name* __________________________________________________________________________________
Parent’s/Legal Guardian’s Permanent Address _____________________________________________________ Since _____________
(please include street, city/state, and zip)
*Enclose proof of court appointment
Part II - All New England residents (including Massachusetts residents) must complete the
applicable section (A or B) below.
A - If applicable - This section to be completed by applicants 18 years of age or older and/or by married applicants
I, ___________________________________________, certify that I am married 18 years of age or older, and that I have read the
Rules and Regulations Governing the Residency Status of Students for Tuition Purposes at the University of Massachusetts and that
pursuant to said Rules and Regulations, I am a resident of the Commonwealth or State of ______________________________________
I have continuously resided in the Commonwealth or State of _________________________________ Since ______________________
Mo/Day/Year
Signed under the penalties of perjury
Student’s signature _____________________________________________________________________ Date ____________________
Mo/Day/Year
B - If applicable - This section to be completed by parent, guardian or spouse of applicants less than 18 years of age
I, ____________________________________________, certify that I am the _________________________________________ of
(Father, Mother, Guardian, Or Spouse)
______________________________________________, and that I have read the Rules and Regulations Governing the Residency
Student’s Name
Status of Students for Tuition Purposes at the University of Massachusetts and that pursuant to said Rules and Regulations, I am a
resident of the Commonwealth or State of _________________________________________.
I have continuously resided in the Commonwealth or State of _________________________________ Since ______________________
Mo/Day/Year
Signed under the penalties of perjury
Parent, Guardian, or Spouse’s signature ____________________________________________________ Date ____________________
Mo/Day/Year
Note: If the parents are divorced, or if this statement is executed by someone other than the parent, satisfactory evidence of legal
guardianship or marriage to the party signing this statement must be furnished.
Part III - Non-New England Residents only - (Part I must also be completed)
I do not qualify for classification as a Massachusetts resident as defined in Rules and Regulations Governing the Residency Status of
Students for Tuition Purposes at the University of Massachusetts.
Student’s Signature ______________________________________________________________________ Date __________________
Mo/Day/Year
TUITION CLASSIFICATION (Rules and Regulations Governing the Residency Status of Students for Tuition Purposes)
These rules and regulations, approved in 1995 by the University's Board of Trustees, and current as of publication, apply to the classification of students at
the University of Massachusetts as Massachusetts or non-Massachusetts students for tuition and fee purposes.
Part I. Definitions
1.1 "Academic period" shall mean a term or semester in an academic year or
a summer session, as prescribed by the Board of Trustees or under their
authority.
1.2 "Continuous attendance" shall mean enrollment at the University for the
normal academic year in each calendar year, or the appropriate portion or
portions of such academic year as prescribed by the Board of Trustees or under
their authority.
1.3 "Emancipated person," for the purposes of residency classification for
tuition shall mean a person who has attained the age of 18 years and is
financially independent of his or her parents, or if under 18 years of age, (a)
whose parents have entirely surrendered the right to the care, custody, and
earnings of such person and who no longer are under any legal obligation to
support or maintain such person; or (b) a person who is legally married; or (c) a
person who has no parent. If none of the aforesaid definitions applies, said
person shall be deemed an "unemancipated person."
1.4 "Parent" shall mean
a) the person's father and mother, jointly;
b) if the person's father is deceased, the person's mother; if the person's mother
is deceased, the person's father;
c) if a legal guardian has been appointed by a court having jurisdiction, the legal
guardian;
d) if neither the father nor mother is living and no legal guardian has been
appointed, the person who then stands in loco parentis to the person;
e) if the father and mother are divorced, separated or unmarried, the parent who
has been awarded legal custody of the person; or, if legal custody has not been
awarded, the parent with whom the person lives. With respect to any adopted
student, the word "adoptive" should be inserted before the words "father" and
"mother" wherever used.
1.5 "Reside," "residency" or "resident" shall mean "domicile," i.e., a
person's true, fixed and permanent home or place of habitation, where he or
she intends to remain permanently.
Part II. Classification
2.1 For the purpose of assessing tuition and fees, each student shall be
classified as a "Massachusetts resident" or a "non-Massachusetts resident." A
person shall be classified as a Massachusetts resident if he or she (or the parent
of an unemancipated student) shall have resided in the Commonwealth of
Massachusetts for purposes other than attending an educational institution for
twelve months immediately preceding the student's entry or reentry as a
student.
Physical presence for this entire twelve-month period need not be required
as long as the conduct of an individual, taken in total, manifests an intention to
make Massachusetts his or her permanent dwelling place.
Part III. Determination of Residency
3.1 Proof of Residency
a) Each case will be decided on the basis of all facts submitted with qualitative
rather than quantitative emphasis. A number of factors is required for residency
to determine the intention of the person to maintain permanent residence in
Massachusetts. No single index is decisive. The burden of proof rests on the
student seeking classification as a Massachusetts resident.
b) The following shall be primary indicia of residency:
1) For unemancipated persons, the residency of parents, having custody,
within Massachusetts;
2) Certified copies of federal and state income tax returns;
3) Permanent employment in a position not normally filled by a student;
4) Reliance on Massachusetts sources for financial support;
5) Former residency in Massachusetts and maintenance of significant
connections there while absent.
c) The following shall be secondary indicia of residency, to be considered of less
weight than the indicia listed above in subsection b):
1) Continuous physical presence in Massachusetts during periods when not
an enrolled student;
2) Military home of record;
3) All other material of whatever kind or source which may have a bearing
on determining residency.
3.2 Proof of Emancipation. A student asserting that he or she is an
emancipated person shall furnish evidence to support such assertion. Such
evidence may include:
a) Birth certificate or any other legal document that shows place and date of
birth;
b) Statements of the person, his or her parent(s), guardian(s), or others
certifying no financial support;
c) Legal guardianship papers - court appointment and termination must be
submitted;
d) Certified copies of federal and state income tax returns filed by the person
and his or her parent(s);
e) Where none of the foregoing can be provided, an affidavit of the emancipated
person in explanation thereof and stating fully the grounds supporting the claim
of emancipation.
3.3 Presumptions, etc.
a) Residency is not acquired by mere physical presence in Massachusetts while
the person is enrolled in an institution of higher education. (See Section 2.1)
b) A person having his or her residency elsewhere than in Massachusetts shall
not be eligible for classification as a Massachusetts resident for tuition purposes
except as herein provided.
1) Any person who is registered at the University as a Massachusetts
resident shall be eligible for continued classification as a Massachusetts
resident for tuition purposes (until attainment of the degree for which he or
she is enrolled) during continuous attendance at the institution.
2) The spouse of any person who is classified or is eligible for classification
as a "Massachusetts resident" is likewise eligible for classification as a
"Massachusetts resident." This provision will not apply in the case of a
spouse in the United States on a non-immigration visa.
3) A person who is an immigrant/permanent resident of the United States (or
has applied for such status) is eligible to be considered for Massachusetts
residency for tuition purposes provided that he/she meets the same
requirements for establishing residency in Massachusetts as are required
of a United States citizen. Non-citizens who are in (or who have applied
for) refugee/asylum status are likewise eligible to be considered for
Massachusetts residency for tuition purposes provided that he/she meets
the same requirements for establishing residency in Massachusetts as are
required of a United States citizen. All non-citizens must provide
appropriate documentation to verify their status with the United States
Immigration and Naturalization Service.
4) Those students whose higher education pursuits are funded by the
Department of Welfare, the Massachusetts Rehabilitation Department, or
any of the other Commonwealth of Massachusetts public assistance
programs.
c) A person does not gain or lose in-state status solely by reason of his or her
presence in any state or country while a member of the Armed Forces of the
United States.
d) For the purposes of this policy the following persons shall be presumed to be
Massachusetts residents:
1) A member of the Armed Forces of the United States who is stationed in
Massachusetts on active duty pursuant to military orders, his or her
spouse and dependent students.
2) Full time faculty, professional staff, and classified staff employees of the
University of Massachusetts system and their spouses and dependent
students.
Part IV. Appeals
4.1 Any student or applicant who is unwilling to accept the initial ruling relative
to his or her residency classification may file a "Residency Reclassification
Appeal."
4.2 Any student or applicant who is unwilling to accept the ruling relative to his
or her residency reclassification may submit an appeal to the University's
Residency Appeal Committee. The decision by this Committee is final and may
not be appealed further.
4.3 In any case where the Admissions Office is unable to make an initial
determination based on the evidence submitted, the applicant may be required
to submit a "Residency Reclassification Appeal" to the Admissions Office for
their review before being finally classified as a resident or a nonresident.
Part V. Penalties
Misrepresentation in or omission from any evidence submitted with respect to
any fact, which if correctly or completely stated would be grounds to deny
classification as a Massachusetts resident shall be cause for exclusion or
expulsion from or other disciplinary action by the University.
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