Eastern Illinois University
Eastern Illinois UniversityMail completed Application for Readmission to the Office of the Registrar, Eastern Illinois University, 600 Lincoln Avenue, Charleston, IL 61920-3099 or Fax to (217)581-3412. Call after faxing to make sure your re-application has been received. Major in General Studies students should send readmission application to Bachelor of General Studies Degree Program Office, Eastern Illinois University, 600 Lincoln Ave, Charleston, IL 61920-3099 or Fax to (217)581-7076.
Continuing students no longer pay
an advanced deposit.
Have you previously earned a degree at Eastern? (check one)YES ____NO
_____
Name (Last, First, Middle, Previous) ______________________________________
Soc Sec No _________________
Do you wish a name change? (yes/no)_____
Re-admission for (semester/year) _____ Last Attended Eastern (semester/year)______
Permanent Address _______________________________________________________
City ____________________________State_______ZIP_________
Birth Date ______________ Marital Status (check one) single_____ married _____
U.S. Citizen (check one) Yes_____ No _____
Degree Seeking _____________________ Major __________________________
Former Major _______________________ Former Advisor ______________________________
LIST BELOW ALL COLLEGES/UNIVERSITIES ATTENDED SINCE LAST ENROLLED AT EASTERN (College/University, Location, Dates Attended) __________________________________________________________________ __________________________________________________________________
For students currently enrolled at another college/university the time of applying for readmission the REQUIRED STATEMENT IN LIEU OF AN OFFICIAL TRANSCRIPT will be accepted until a final transcript can be sent.
Final transcripts are due in the Office of the Registrar by the tenth class day or a Hold will be placed on your record FALSIFICATION MEANS DISMISSAL.
Date_____________ Signature _________________________________________
E-mail Address ______________________________________________________
REQUIRED STATEMENT IN LIEU OF AN OFFICIAL TRANSCRIPT FOR READMISSION TO EASTERN ILLINOIS UNIVERSITY
I, (print or type first, middle, last name),_____________________________________
soc. sec. #, __________________________
am or have been enrolled at one or more post-secondary institutions since I was last in attendance at Eastern. I am aware that
I must have a composite grade point average of at least 2.00 on a 4.00 scale for all course attempted at institutions other than Eastern Illinois University.
Transcripts have been sent or will be sent no later than three weeks after the grading period if I'm currently enrolled elsewhere. I understand that if the transcripts are not received or show that I do not meet the condition listed above, then I am not re-admissible to Eastern and am subject to having my enrollment canceled immediately.
Date ________________________ Signature____________________________
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To insure proper handling, completed application must be mailed to the OFFICE OF THE REGISTRAR, EASTERN ILLINOIS UNIVERSITY, 600 LINCOLN AVENUE, CHARLESTON, IL 61920-3099.
DO NOT WRITE BELOW THIS LINE
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Holds __________ Classification_____ Academic Standing ______ New File_____ Ent. P. 6_____
Sum. Card _______ ILO _____ Permit _____ Date Sent ______
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