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Drake University
Request for Undergraduate Re-Enrollment
This form must be completed by undergraduate students who
a) have been admitted to a Drake University degree program,
b) have been enrolled in classes,
c) have not registered at Drake for at least one fall or spring semester,
d) and wish to re-enroll at Drake University.
Applicant: Please read this form carefully, print it, complete it and submit to the Dean's office of the college or school in which you were last enrolled.
IMPORTANT STUDENT INFORMATION
Student must contact the Dean's Office of their last enrollment.
Student is responsible for furnishing all official transcripts from schools attended since leaving Drake, if any. Registration will be held up for subsequent semesters if the documents are not submitted on a timely basis.
Send ALL transcripts to the Office of Student Records, 2507 University Ave, Des Moines, IA 50311.
Student is responsible for clearing any hold before re-enroll approval or registration.
Any student seeking financial assistance should contact the Office of Student Financial Planning.
Student must contact the Housing Office if on campus housing is desired.
Any international student must contact the International Center to obtain, complete and return a new Financial Certificate as soon as possible.
Student is responsible for any college/school specific re-enrollment requirement.
Student will be notified of enrollment status decision.
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NAME: First______________________Middle__________________________Last___________________
Previous names used:________________ Current non-Drake e-mail address: ________________________
Telephone: ________________________ SSN___________________ DRAKE ID_____________
ADDRESS: _____________________________ _________________ ________________ ___________
Street City State Zip
Semester & year of planned re-enrollment Summer 20__ Fall 20__ Spring 20__
College & Major of last enrollment AS BN JO ED PH Major_____________
College and Major of Re-enrollment AS BN JO ED PH Major ____________
SCHOOLS ATTENDED SINCE LAST ENROLLMENT AT DRAKE
Name of school ________________________ Name of school___________________
Location ______________________ Location_______________________
HAVE YOU HAD ALL TRANSCRIPTS SENT TO THE OFFICE OF STUDENT RECORDS? Yes No
ARE YOU AN INTERNATIONAL STUDENT NEEDING A NON-IMMIGRANT VISA? Yes No
STUDENT SIGNATURE_________________________________________Date_______
OFFICE USE ONLY
_____Approved by College of Last Enrollment Date:_______
_____Approved by College of New Enrollment Date:_______
_____Student Notified of Re-enrollment Action Date:_______
