Office of Graduate Studies
Application for Readmission
_______________________ _______________________
_______________________ _______________________
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The $110 application fee must be pai
d through Enrolment Services before submitting this application to the Office of Graduate Studies.
APPLICANT TO COMPLETE:
Requested reentry semest
er:
Department/School:
Degree Program:Student ID:
First Name:Last Name:
Fall Winter
______________
Classification Requested
(Note: Part time classification would normally be approved ONLY if you were previously registered as a parttime student)
List any academic work completed subsequent to your last registration in this program (official transcripts are required):
Describe the stage at which you left your program and indicate what requirements are remaining:
Year:Summer
Fulltime
Are you able to finance your program?
(Note: A departmental finding form is required)
Parttime
Yes No, full assistance is required
Please indicate your contact information:
_____________________________________________________________________________________
_______________________ ____________________ _______________
_____________________________________________________________________________________
_______________________
I hereby apply for readmission to the program in which I was previously registered and from which I have been absent for atleast
one semester. I wish to continue my program from the point which it was discontinued, and apply for full credit for courses and
semesters which have been completed.
_______________
__________________ _________________
For Enrolment Services:
Date:Student Signature:
Phone Number:
E
mail:
Postal Code:Province:City:
Address:
No, partial assistance is required
_______________Receipt#$110 Readmission fee received;
Protection of Privacy: We are committed to protecting your pri
vacy. Personal information is collected under the authority of the University of Guelph Act and pursuant to the
Freedom of Information and Protection of Privacy Act (FIPPA). If you have questions about the use and disclosure of your personal information, call the Office of Graduate Studies at (519)
824-4120 ext. 56833. You can also find more information about access to information and protection of privacy at the University of Guelph from the University Secretariat.
If paying by credit card, payment signature is required:
Visa or MasterCard holder's signature:
_________________________________
_________________Date:
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Readmission Decision Form
DEPARTMENT/SCHOOL TO COMPLETE
The Graduate Admission Committee of the Department has reviewed this application for admission; decision and
recommendations are listed below:
Graduate Coordinator Signature: ___________________
____ Date: _______________
_______________________ _______________
A)
Date:Graduate Coordinator Signature:
The applicant is recommended for readmission:
1. Entry semester: _____________________
2. Category:
(Note: Attach requirements to satisfy provisional status) Regular
3. Credit granted for work previously completed
(Note: Attach list of credited courses):
Provisional
Full Partial
4. Funding: A new funding form is required for each readmission.
5. For information regarding this program, the stud
ent sh
ould contact: _________________
____
6. Please describe below the requirements remaining for the completion of this student’s progra
m:
B)
The applicant is NOT recommended for readmission:
Reject; does not meet Department/School admission standards
Reject; no space/advisor/funding available
______________________________Reject; other reason
OFFICE OF GRADUATE STUDIES USE ONLY:
Readmitted:
_____________________________________Yes, for
___________________________________
___________________________________
Date: _______________
for Dean of Graduate Studies.Reviewed by
No, file closed:
Completed forms can be dropped off in person or mailed to the Office of Graduate and Postdoctoral
Studies, University of Guelph, 3rd floor University Centre, or faxed to (519) 763-6809.
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Payment Information
Please indicate if payment will be through Visa or MasterCard:
Visa
MasterCard
Credit card number:
________ /__________ /__________ /__________
Expiry:
____ /____
Card holder's name:
____________________________________
Please note: The card holder's signature is required on page 1
Payment information will be destroyed upon successful payment process.
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