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Re-Enrollment Academic Inquiry
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
Please indicate the academic major you plan to study at APU: ________________________________________________
Please sign below, indicating that you understand and agree to the following:
• This form is NOT an application for re-enrollment at Azusa Pacific University. Re-enrollment is a separate application
process and I must be re-admitted to the university before I may enroll in classes. Upon completion of the academic
inquiry process, I have the option to request that this form act as my application for re-enrollment.
• I understand that if I have been away for more than two semesters, I will be subject to new catalog requirements.
• If I decide to continue with the application for re-enrollment, I must have a zero balance on my APU account and have
no defaulted loans before I can be re-admitted.
• In order to be reviewed by the Admissions Committee for re-enrollment, I must submit official transcripts from every
school attended during my time away from Azusa Pacific University.
• In order to be re-admitted to Azusa Pacific University, 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.
• I certify that the information on this form is complete and correct to the best of my knowledge. If I decide to continue
with the re-enrollment application and I am accepted to the university, 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 re-enrollment 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 5 institutions, please provide the
requested information for each additional institution on a separate page)
