SPRING 2022 APPLICATION FOR REINSTATEMENT
VANCOUVER CAMPUS ONLY
Please complete this application thoroughly and thoughtfully. When completed, you must print the application and attach your Personal
Statement with any documentation. Applications WILL NOT be accepted in the mail via United States Postal Service. Students must either
hand deliver their personal statement and application materials or email them to their advisor prior to the reinstatement interview
(depending on COVID-19 circumstances).
Applications must be approved by your Academic Advisor on OR before the following deadline:
• Current students deficient under Rule 38a: 2pm on Friday, January 7, 2022
• All Former Students Returning (FSR’s): 5pm on Thursday, December 23, 2021
• Students deficient under Rule 38b Fall 2021, will be recessed from WSU for one academic semester following deficiency.
• Students deficient under Rule 39 Fall 2021, will be dismissed from WSU for two consecutive academic semesters.
Legal Name:
LAST FIRST MI
WSU ID Number:
Address:
ADDRESS CITY STATE ZIP
WSU E-Mail Address:
Phone:
What is your proposed major?
Name of your academic advisor:
Last Enrolled at WSU:
SEMESTER YEAR
FSRs only: Since last enrolled at WSU, I have attended or will be attending the following institutions. Include
summer school attendance.
I understand complete, official transcripts must be received by: WSU Vancouver Admissions, 14204 NE Salmon Creek Avenue,
Vancouver, WA 98686-9600.
Name of Institution Starting Month/Year Registered
Final Month/Year Registered
PERSONAL STATEMENT
Your personal statement is crucial in considering your application for reinstatement to the University. Without a complete
and thoughtful personal statement, it will not be possible to give your application full consideration.
Please respond to the following questions in a Word document. Handwritten responses will not be accepted.
1. What are your reasons for a deficient grade point average at WSU?
2. What is your plan to be successful in future semesters?
3. What major are you planning to pursue and how do you intend to successfully complete the requirements for graduation?
4. Former students returning only: What have you done to demonstrate academic readiness for return, in your time away
from the University?
REINSTATEMENT APPLICATION PROCESSING FEE
By signing this application for reinstatement:
• I certify that the information provided on this application is true and accurate.
• I authorize WSU to
communicate with me through e-mail regarding this reinstatement.
• I understand the Reinstatement Application Processing Fee will be charged to myWSU student account regardless
of the
reinstatement decision. By signing this application for reinstatement, I am agreeing to pay the nonrefundable Reinstatement
Application Processing
Fee ($50.00, for Rule 38; $75.00, for Rule 39). The charge will be applied to your student account and if
reinstated, your reinstatement hold will be lifted within 48 hours.
Signature
Date
Engaged Learning & Career Action Center for Students – 360-546-9155 – van.elca@wsu.edu –
14204 NE Salmon Creek Avenue, Vancouver, WA 98686 – https://studentaffairs.vancouver.wsu.edu/elca
click to sign
signature
click to edit
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