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Application for Readmission
Application for Readmission
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Current
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Complete
Personal Information
Name
First Name
Middle Name
Last Name
Maiden Name
Address
Address
City
State
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
County
Background Information
Your response to the following will in no way affect your admission status. The information is requested so that this institution may demonstrate its compliance with federal regulations and may compile meaningful statistics.
Age
Date of Birth
Gender
- None -
Male
Female
Marital Status
Marital Status
- None -
Single
Married
Other…
Enter other…
Do you consider yourself to be Hispanic/Latino?
- None -
Yes, Hispanic/Latino (including Spain)
No
Regardless of your answer to the previous question, please select one or more of the following racial categories that best describe(s) you:
- None -
American Indian or Alaska Native (including all Original Peoples of America)
Black/African-American (including Africa and Caribbean)
White (including Middle Eastern)
Native Hawaiian or Other Pacific Islander (Original Peoples)
Asian (including Indian subcontinent and the Phillipines)
Veteran?
- None -
Yes
No
Church Information
What church (denomination) do you attend?
Member?
- None -
Yes
No
Name of church
City
When did you last attend Olivet?
When do you plan to enroll?
- None -
Fall 2019
Spring 2019
Summer 2019
Fall 2020
Spring 2020
Summer 2020
Do you plan to room in one of the campus residence halls?
- None -
Yes
No
Please note all coursework completed since your last ONU attendance.
School
City, State
Dates of Attendance
Approx. Sem. Hrs
Degrees Earned
1 - School Name
2 - City, State
3 - Dates of Attendance
4 - Aprox. Sem. Hrs
5 - Degrees Earned
1 - School Name
2 - City, State
3 - Dates of Attendance
4 - Aprox. Sem. Hrs
5 - Degrees Earned
1 - School Name
2 - City, State
3 - Dates of Attendance
4 - Aprox. Sem. Hrs
5 - Degrees Earned
Have you ever been dismissed or placed on academic or disciplinary probation?
- None -
Yes
No
If yes, explain the circumstances:
Purpose for re-enrolling at Olivet:
To complete undergraduate degree
For teacher certification
To complete graduate degree
To transfer credits to
Other:
I have read the General Policies in this application form and agree to abide by them and uphold the standards of Olivet Nazarene University.
I understand that withholding information requested on this application or giving false information may make me ineligible for admission to Olivet Nazarene University. With this in mind, I certify that the above statements are correct and complete.
Electronic Signature
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