Simmons University
Application for
Undergraduate Readmission
to the University
If you are a withdrawn undergraduate student, you may request approval for readmission
by completing the Request for Readmission forms. Please return the forms to the Office of the
Registrar, Simmons University, 300 The Fenway, Boston, MA 02115 registrar@simmons.edu,
allowing sufficient time for the review of your application. In addition to the department of your
major, you will also need approval from the Offices of the Health Center, Student Financial
Services, and the Dean for Student Affairs; the Registrar’s Office will contact those departments.
If you left with an academic sanction, you will need the approval of the Administrative Board as
well.
If you have taken courses since you left Simmons and you would like them to be included with
your application for readmission or considered for transfer credit, please also submit an official
copy of the transcript.
If readmitted, you will be responsible for all University requirements and policies in place at the
time of readmission including the all-University, Major, and Minor requirements. You are
encouraged to carefully review the Course Catalog at
www.simmons.edu/overview/academics/catalogs.
The calendar and course offerings are at
http://www.simmons.edu/academics/academic-calendar
http://courses.simmons.edu/fall/.
Questions should be directed to registrar@simmons.edu or 617-521-2111.
03/20/19
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Application for
Undergraduate Readmission to the University
Application for
(please indicate year):
Fall __________ Spring __________ Summer _________
Name: ______________________________________________________ Simmons ID _________________
Address: ______________________________________________________________________________________
Daytime telephone: ___________________________________________________________________________
Email address: ________________________________________________________________________________
When did you attend Simmons? From (month/year) ________________ to (month/year) ________________
Why did you leave the University?
Did you leave in good academic standing? Yes ____ No____ (Students who left with an academic sanction must be
approved by the Administrative Board. These students may file a Petition to the Administrative Board once they
approved by the four other offices.)
What is your department of interest/intended major? Department: _________________________________
What have you been doing since you left the University? Please answer in detail. You may attach additional pages
and supporting documents.
Signature: ____________________________________________________ Date: _____________________
03/20/19
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Application for
Undergraduate Readmission to the University
Department of Interest/Major
To the applicant: Prior to returning to the University, you will need written approval from the department
in which you intend to major. If you have not yet decided on a concentration, choose the department in
which you have the strongest interest. Please complete this form and submit it to the Office of the
Registrar. If you are readmitted, you must fulfill the requirements of the major that are in place at the
time of your readmission.
Name: _____________________________________________ Student ID: _____________________
Address: ___________________________________________________________________________
Daytime telephone: _________________________________________________________________
Email address: ______________________________________________________________________
Proposed semester of return to the University: _____________________________________________
Department of intended major: ________________________________________________________
To be completed by the department representative. Please review this readmission request promptly (see
attached student statement and academic transcript) and return it to the Office of the Registrar
(registrar@simmons.edu).
The department ____ approves ____ denies
this student’s application for readmission.
The following conditions must be met before readmission can be approved:
If denied, please indicate reason(s) : ____________________________________________________
Signature of department representative: _______________________ __________________________
Date: _____________________________________________________________________________
03/20/19
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