Request Enroll Form PDF Details

The process of re-enrolling at Temple University is made accessible through the Undergraduate Request to Re-enroll form, revised in Spring 2020. This document is essential for former students looking to resume their education after a period of absence, detailing the necessary steps and requirements for re-admission. The form specifies various deadlines for submitting re-enrollment requests depending on the intended semester of return—August 1 for fall, December 1 for spring, and April 1 for summer sessions. Applicants are required to provide detailed personal information including their Temple University identification (TUid), legal residence, academic history, and reasons for their absence from the university. Furthermore, the form addresses military service status and asks critical questions concerning any disciplinary or legal issues faced by the applicant in the past. The importance of honesty in this application cannot be overstated, as withholding information or providing false data could lead to ineligibility to return or even expulsion. It also outlines specific protocols for those who have attended other institutions during their break from Temple University, requiring official transcripts. Lastly, the form advises on the next steps upon approval, including potential interviews and advising sessions to ensure candidates meet the new college requirements. With signatures and office use only sections, the form is comprehensive, guiding applicants through the re-enrollment process with clarity and efficiency.

QuestionAnswer
Form NameRequest Enroll Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesrequest re enroll, request re edit, request enroll pdf, re enroll temple

Form Preview Example

Please print out and send your
Undergraduate Request to Re-enroll to Temple University to the school in which you plan to reenroll using the information below. Re-enrollment forms must be sent via TUsafesend.

Undergraduate Request to Re-enroll to Temple University

(Revised Spring 2020)

This form must be submitted by the following deadlines; requests received after these deadlines will be reviewed for the following semester:

 

 

 

 

ForFallReturn–August1 For Spring Return – December 1

For Summer Return – April 1

TUid:

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birthdate:

 

(9xxxxxxxx)

 

 

 

Last

First

 

 

 

 

Middle

Maiden Name, Previous

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of Legal Residence:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How long at this address?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NumberandStreet

 

 

City

 

 

 

 

State

 

 

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone: (Home)

 

 

 

 

(Cell)

 

 

 

 

 

 

 

Alternative Email (non-Temple)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Required

Last attended:

 

 

 

Enrolling for: Fall Spring

 

Sum I

Sum II

20

Campus:Main

 

 

Ambler

 

 

 

Health Sciences TUJ

 

 

Semester/Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Anticipated Graduation Date (check one): January May

 

 

August

20

 

not known

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you currently in military service assigned to active duty at a Pennsylvania Military Installation? Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

dependent of a military person assigned to active duty at a Pennsylvania Military Installation please indicate): Spouse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College/Major/Campus within Temple University in which you plan to enroll now:

(Review http://bulletin.temple.edu/ for Academic Programs)

College

Major/Program

Campus

If this is a CHANGE of College/Major/Campus. Please indicate previous program here:

 

 

 

Dates:

 

 

College

Major/Program

Campus

 

From

 

To

Note: If you are changing to another school/college within Temple University or have not enrolled for a considerable length of time, you may be contacted by the new college for an interview or information session to verify your qualifications, to ensure your understanding of the requirements and to discuss the upcoming registration requirements. Once approved, you will be notified when you are able to register.

PLEASE NOTE: Re-enrolled/Re-instated students must follow the most current University, School/College and major requirements upon their return. Approval to return will not be considered until financial, academic and/or medical holds have been cleared; holds must be cleared by the application deadline.

Have you attended another institution since your last semester at Temple University? If so, please complete the following:

‘

Institution

Dates of enrollment

 

 

Institution

Dates of enrollment

Official transcripts will be required prior to your return. If you have attended more than two school/colleges/universities, please list on a separate page.

Page 1 of 3

Briefly explain the reason(s) you have not attended Temple recently. Please note:

•If you did not attend for health reasons, you may be asked to submit documentation from your health professional verifying that you are medically cleared to return to school

•If you were facing academic troubles when you last attended Temple, please explain why you now feel that you can successfully resume your academic work

Have you ever been found responsible for a disciplinary violation at any higher educational or post-secondary institution you have attended, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action?

Yes No

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony?

Yes No 

If you answered “yes” to either question, please explain on a separate sheet of paper the incident(s), date(s) or occurrence and resolution of the incident(s) (fine, suspension, probation, etc.).

ALL APPLICANTS, please read the following and sign:

I understand that withholding information requested on this application or giving false information may make me ineligible to return to the University or subject to disciplinary action, including expulsion. With this in mind, I certify that the above statements are correct and complete. I understand the individual colleges may have specific rules regarding my ability to return or how my previous credits apply toward a current Temple degree. I understand that late applications to re- enroll may not be accepted for the next term.

Temple University reserves the right to request documentary evidence in support of your claim of legal residence. Under penalty of forfeiting my eligibility to return to Temple University. I certify that the entries made on this Statement of Legal Residence are correct and complete.

I have read the policies related to re-enrollment, including the option for Academic Forgiveness and will follow up with my academic advisor during my initial meeting: http://bulletin.temple.edu/undergraduate/academic-policies/academic-forgiveness/ and http://bulletin.temple.edu/undergraduate/academic- policies/leave-absence/

Student’s Signature: _______________________________________

Date: _____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- OFFICE USE ONLY-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cum GPA:

 

Last semester GPA:

 

Warning:

 

Probation:

 

 

 

Dismissal:

 

RAP CODED NEEDED: YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOA Expired:

 

Academic Forgiveness Petition Initiated:

 

 

 

Change of Residency:

 

 

 

 

 

 

(sendformto OUR)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PENDING: Transcript needed:

 

 

Transfer Credit Evaluation:

 

 

Medical clearance needed:

 

 

 

Interview with advisor needed:

 

 

 

Curriculum review needed:

 

 

 

 

 

Must clear financial holds prior to re-enrollment:

 

 

 

 

 

 

Other holds:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED:

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

Matric Term:

 

 

Catalog Term:

 

 

 

 

DENIED:

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

Referred to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dean’s Designee /Authorized Signature:

 

 

 

 

 

 

Date:

 

 

 

 

 

Workflow sent:_________ Residency form sent:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 3

Please print out and fax your Undergraduate Request to Re-enroll to Temple University to the school in which you plan to enroll. You may also call the School/College Advising office for an alternate submission method if you do not have access to a fax machine. Once your petition is received, you will be notified of your next step.

Ambler Campus Majors

Boyer College of Music and Dance

College of Education (Main)

College of Engineering

College of Public Health*

College of Liberal Arts (Main)*

College of Science and Technology (Main)*

School of Theatre, Film, & Media Arts* Fox School of Business and Management (Main)

Fox School of Business and Management (Ambler)

Klein College of Media and Communication (Main)

Division of Architecture and Environmental Design (Ambler)

School of Social Work*

School of Tourism and Hosp. Management

Tyler School of Art (Admissions)

University Studies (Main)*

Temple University – Japan Campus*

amblerer@temple.edu

cpcaadvising@temple.edu

edadvising@temple.edu

engradvr@temple.edu

cphadvising@temple.edu

claaac@temple.edu

cstadv@temple.edu

tfmaadv@temple.edu

foxadvis@temple.edu

amblereg@temple.edu

advise@temple.edu

FAX: 267-468-8255 cphadvising@temple.edu

sthmcss@temple.edu

tyleradmissions@temple.edu

dus@temple.edu

FAX: 02-5441-9811

aac@tuj.temple.edu

PHONE: 267-468-8248

PHONE: 215-204-2227

PHONE: 215-204-8011

PHONE: 215-204-7800

PHONE: 215-204-5200

PHONE: 215-204-7971

PHONE: 215-204-2890

PHONE: 215-204-2227

PHONE: 215-204-7672

PHONE: 215-468-8248

PHONE: 215-204-5273

PHONE: 267-468-8242

PHONE: 215-204-5200

PHONE: 215-204-1754

PHONE: 215-777-9090

PHONE: 215-204-2500

PHONE: 03-5441-9800

http://www.temple.edu/ambler/advising/

https://arts.temple.edu/about/center-performing-and- cinematic-arts-academic-advising

http://www.temple.edu/education/services/index.html

https://engineering.temple.edu/department/center-academic- advising-student-affairs

https://cph.temple.edu/about/student-resources/student-advising

http://www.cla.temple.edu/advising/

https://cst.temple.edu/students/undergraduate-academic-advising

http://tfma.temple.edu/fma/undergraduate/advising

http://www.sbm.temple.edu/advising/

http://www.temple.edu/ambler/advising/

http://smc.temple.edu/undergraduate/advising/

http://ambler.temple.edu/academics/advising-and-support

https://cph.temple.edu/ssa

https://sthm.temple.edu/cms/current-students/center-for-student-services

http://tyler.temple.edu/undergraduate-admissions/

http://www.temple.edu/vpus/arc/

http://www.tuj.ac.jp/undergrad/academic_advising

*Re-enrollment forms must be sent via TUsafesend when being e-mailed to an advising unit. TUsafesend can be accessed through your TUPortal or at:

http://tusafesend.temple.edu/

Page 3 of 3

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