Instructions:
1.This form is for use by both undergraduate and graduate students. If you have had an interruption in attendance for any reason, you must complete a readmission application.
2.Students who have been in attendance at other universities/colleges must also have a record of any credits earned since they were last enrolled at Southern University at New Orleans sent directly to the Office of Admissions.
3.All students must have a complete immunization record or request for exemption on file.
4.Submit you fully completed and signed form to the Registrar’s Office. An application fee of $20 is required for undergraduates and $25 for graduate students.
Complete all sections on both sides of this form (please print in blue or black ink):
Southern University at New Orleans WILL NOT PROCESS an incomplete Readmission Application.
SID (if known) ______________________________ I last attended SUNO during (term/year) _______________________________
Name: ______________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
City: ______________________________________________ State: _____________ Zip: ___________________________________
Permanent Address (if different from above): _______________________________________________________________________
City: ______________________________________________ State: _____________ Zip: ___________________________________
Date of Birth: ________/____________/____________ |
Social Security Number: _________ - _______ - __________ |
Home Phone: (______) _______________ Email: __________________________________________ Gender: M F |
Expected Enrollment (Choose start term only): |
|
|
Fall (August) __________________ |
Spring (January) ________________ |
Summer (May) _______________________ |
YEAR |
|
YEAR |
YEAR |
Planned Major: _______________________________________________________________________________________________
Please indicate your status (check all that apply):
|
Degree Seeking |
|
Associate Degree |
|
Bachelor Degree |
|
Non-Degree Seeking |
|
Teacher Certification |
|
Substance Abuse Certification |
Did your parent, guardian or spouse graduate from Southern University at New Orleans? Yes No Graduation Year ___________
Name: _____________________________________________________________________________________________________
Emergency Contact Information
Name: ______________________________________________________________________________________________________
Relationship: __________________________________________ Phone: (_______) _______________________________________
Address: ____________________________________________________________________________________________________
City: _________________________________________________ State: ______________ Zip: _______________________________
1 SUNO Readmission Application
Educational Data
High School: _________________________________________________________________________________________________
Location (City & State): _________________________________________________________ Year Graduated: _________________
List below all colleges or universities that you have attended (if any) since you last enrolled at or applied to SUNO. You must submit official transcripts from each institution attended. Faxed transcripts are not considered official. Failure to acknowledge attendance at a college or university may result in the denial of your application.
School |
City/State |
Dates of Attendance |
Degree Earned/Expected Date |
Credit Hours Earned |
______________________________________________________________ |
_________________ |
__________________________ |
__________________________ |
_______________________________________________ |
_____________ |
___________________ |
_____________________ |
_______________________________________________ |
_____________ |
___________________ |
_____________________ |
_______________________________________________ |
_____________ |
___________________ |
_____________________ |
Residency |
|
|
|
|
Please account for all time since your high school graduation. DO NOT include military service or enrollment in institutions covered in previous sections of this form.
Employment/Activities: |
City/State |
From: (Mo/Yr) To: (Mo/Yr) |
________________________________ |
________________________________ |
___________________________________ |
________________________________ |
________________________________ |
___________________________________ |
________________________________ |
________________________________ |
___________________________________ |
Place of Birth (if not United States) ________________________________ Visa expiration date (if applicable) ___________________
Ethnicity
African American |
White (Caucasian) |
Asian American |
Other |
Native American |
Hispanic/Latino |
Citizenship Status |
|
|
U.S. Citizen |
Non-Citizen |
|
To complete your application for readmission, please review all portions of the application, read and sign below.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
I understand that this application for readmission only applies to the semester indicated. I also recognize that I am bound by the University’s regulations concerning application deadlines and its readmission requirements. My signature also indicates my authorization of the release of my transcripts to Southern University at New Orleans. I acknowledge that all information submitted is complete and accurate. Providing false or misleading information may result in the rejection of my application, my dismissal from Southern University at New Orleans and/or my financial aid status being affected.
If readmitted to Southern University at New Orleans, I agree to abide by the policies established by the University. Should any information change prior to my entry to the University, I will notify the SUNO Registrar’s Office immediately.
__________________________________________________________________________ Date: ____________________________
Applicant’s Signature (must be signed in ink)
2 SUNO Readmission Application