Application for Readmission

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Personal Information

First Name

Middle Name

Last Name

Phone

Maiden Name

Address

City

State

Zip

County

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

Marital Status

Do you consider yourself to be Hispanic/Latino?

Regardless of your answer to the previous question, please select one or more of the following racial categories that best describe(s) you:

Veteran?

Church Information

What church (denomination) do you attend?

Member?

Name of church

City

When did you last attend Olivet?

When do you plan to enroll?

Do you plan to room in one of the campus residence halls?

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?

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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