Get Application For Readmission

Application for Readmission Must be reviewed on or before the following dates December 1st April 1st st July 1 - Last Name First Name readmission for Spring Semester MI Rensselaer ID Number RIN Present Address Street City ST ZIP Present Phone Number Permanent Address HOME Address Home Phone Number EMAIL Personal RPI Readmission to Rensselaer for the semester. School i*e* School of Science and Major i*e* Biology in which you were enrolled while attending Rensselaer. To change your major you must obtain approval for a curriculum change ONLY after readmission by contacting your Advisor. Last date of attendance mm-dd-yyyy Original Date of Graduation mm-dd-yyyy Expected Date of Graduation upon returning to Rensselaer mm-dd-yyyy Reason for leaving Rensselaer Medical Academic LOA If you ve checked Medical please specify one of the following Dismissal Other Please explain below Student Health Services Counseling Center Please check if you are an international student on an F-1 or J-1 Visa Are you requesting readmission for FINAL ADMINISTRATIVE REGISTRATION FAR only 0 credit hours Yes No Complete Questions 1 8 additional sheets of paper may be used if necessary Page 1 of 3 Have you been employed since leaving Rensselaer If so give the name of employer date s of employment and your duties. Please ask your employer to write a letter on your behalf* Employer Date s Employed Have you taken courses at another college Duties If so did you receive an Associates Degree Upon Completion of course s at your current college you must send an official transcript to the to the Student Experience office. Sent Pending List college s attended courses taken and grade in each course taken If grades are not available estimate your final grade and indicate that those grades are estimates. College Course s Grade What are your curricular and career goals If you had academic difficulties what basis do you have to believe that you can do better work than before Are there any special factors that you wish to share with the Committee reviewing your readmission application If your cumulative average at Rensselaer is below a 2. 00 what average would you have to maintain in your remaining semesters in order to achieve graduation What courses do you plan to take in your first semester if you are allowed to return Please use the space below to add any additional comments you would like to make in support of your readmission application Please return the completed application to Student Experience office Rensselaer Polytechnic Institute 4100 Academy Hall 110 8th Street Troy New York 12180-3590 PHONE 518 276-8022 FAX 518 276-3372 Signature Date. School i*e* School of Science and Major i*e* Biology in which you were enrolled while attending Rensselaer. To change your major you must obtain approval for a curriculum change ONLY after readmission by contacting your Advisor. To change your major you must obtain approval for a curriculum change ONLY after readmission by contacting your Advisor. Last date of attendance mm-dd-yyyy Original Date of Graduation mm-dd-yyyy Expected Date of Graduation upon returning to Rensselaer mm-dd-yyyy Reason for leaving Rensselaer Medical Academic LOA If you ve checked Medical please specify one of the following Dismissal Other Please explain below Student Health Services Counseling Center Please check if you are an international student on an F-1 or J-1 Visa Are you requesting readmission for FINAL ADMINISTRATIVE REGISTRATION FAR only 0 credit hours Yes No Complete Questions 1 8 additional sheets of paper may be used if necessary Page 1 of 3 Have you been employed since leaving Rensselaer If so give the name of employer date s of employment and your duties. .