Readmission Application

This form is to be completed if you have not been enrolled for one calendar year or more and seek to enroll in the same degree program to which you were originally admitted.

Personal Information

*Bold fields are required

(Required if you used another name when you previously attended Regent.)
Contact Information
Citizenship & Immigration
Academic Information

Note: Students who have not been enrolled for more than one year must meet the degree and admissions requirements current at the time of readmission, as requirements for admission may have changed. Regent students, former students or graduates who seek admission to a different degree program than that of their last term of enrollment must contact the admissions office.