Suno Readmission Application – Fill Out and Use

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