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Application for Re-Enrollment
Office of Undergraduate Admissions
Previous Education Information: In the space below, please provide the requested information for ALL colleges &
universities attended, both before and after attending Azusa Pacific University.
_____________________________________________ _____________________ ______________
College Name From (mm/yyyy) To (mm/yyyy) Credits Completed
_____________________________________________ _____________________ ______________
College Name From (mm/yyyy) To (mm/yyyy) Credits Completed
_____________________________________________ _____________________ ______________
College Name From (mm/yyyy) To (mm/yyyy) Credits Completed
_____________________________________________ _____________________ ______________
College Name From (mm/yyyy) To (mm/yyyy) Credits Completed
_____________________________________________ _____________________ ______________
College Name From (mm/yyyy) To (mm/yyyy) Credits Completed
_____________________________________________ _____________________ ______________
College Name From (mm/yyyy) To (mm/yyyy) Credits Completed
Please indicate the academic major you plan to study at APU: ________________________________________________
Please sign below, indicating that you understand and agree to the following:
• Re-enrolling is an application process and I must be re-admitted to the university before I may enroll in classes.
• I must have a zero balance on my APU account and have no defaulted loans before I can be re-admitted.
• I understand that if I have been away for more than two semesters I will be subject to new catalog requirements.
• If I have attended any other schools in my time away from Azusa Pacific University, I must submit official transcripts
from each school attended.
• I must receive clearance from the offices of Student Life, Student Financial Services, and Residence Life. The Office of
Undergraduate Admissions will contact these offices for clearances on my behalf.
• I understand that if I have filed an Intent to Graduate form and have been away from Azusa Pacific University for more
than two years, I am no longer under the same catalog and therefore, may need additional requirements to complete my
degree.
• Upon re-admission to the university, my academic record will be evaluated by the Office of the Undergraduate
Registrar in order to determine the remaining units/requirements needed to fulfill degree requirements.
• I certify that the information in my application is complete and correct to the best of my knowledge. If my application
is accepted, I agree to abide by the policies, standards, and regulations at Azusa Pacific University and respect the
ideals, principles, and traditions it upholds as a Christian institution of higher learning. I further understand that this
information will be relied upon by the officials of the university in determining my admission status and that the
submission of false information is grounds for rejection of my application, withdrawal of an offer of acceptance,
dismissal from the university, revocation of a degree, and/or other disciplinary action.
_________________________________________________________________ ___________________
Signature Date
Office of Undergraduate Admissions • Azusa Pacific University • PO Box 7000 • Azusa, CA 91702
Phone: (626) 812-3016 • Fax: (626) 812-3096 • Email: admissions@apu.edu
(if you have taken courses at more than 6 institutions, please provide the
requested information for each additional institution on a separate page)
