College of Professional Studies Application for Re-Admission Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student Name *DU ID NumberEmail *Phone *Date of Birth *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLast term of attendance:Degree *--- Select Choice ---Bachelor of Arts Completion (BACP)Programs *--- Select Choice ---Communication ArtsHealthcare AdministrationInformation TechnologyOrganizational LeadershipTransportation and Supply ChainWhat year do you expect to re-renter? *What term do you expect to re-enter *--- Select Choice ---FallWinterSpringSummerDid you attend another institution during your absence? If yes, where?Explanation of absence and request to return:Signature * Clear Signature I certify that to the best of my knowledge the foregoing information is true and correct.SUBMIT
