Readmission Application

Name of Employer*

Position Title

Start Date

End Date (If you are currently employed, leave the end date blank)

Educational Plans

Level of Study*

Master's Programs*

Bachelor's Programs*

Certificate Programs*

Anticipated Start Term*

Session*

Academic History

Have you attended any other college/university(s) since last attending Stevenson University?*
Official transcripts required in order for application to be reviewed.

Yes

College/University Name*

College/University Name

Signature

I certify that this and all information submitted on behalf of my application is true and complete to the best of my knowledge. I understand that falsification or omission of any information I provide could result in the denial of admission or retroactive dismissal from the University without refund or course credit. I authorize any schools, colleges, or universities I previously attended to release personal and/or academic information to Stevenson University. Should Stevenson University need to release any of the preceding information to third-parties as part of a scholarship competition/selection, I consent to such and waive those protections afforded by the Family Educational Rights and Privacy Act of 1974.

Electronic Signature*

Date*

Admission to the University and the University’s scholarship/loan programs is determined without regard to race, color, sex, religion, national or ethnic origin, or handicap. The University complies with all applicable laws and federal regulations regarding discrimination and accessibility due to the condition of handicap, age, veteran status, and otherwise.

In compliance with the USDOE Crime Awareness and Campus Security Act of 1990, information regarding crime prevention, law enforcement authority of SU Security, policies concerning reporting of campus crimes and crime statistics for the last three years may be obtained from the SU Security Office.