UM Readmit Application

01. Personal Information

02. Educational Information

03. Background Information

04. Financial Aid and Admission Statements

University of Mobile Readmit Application

5735 College Parkway | Mobile, Alabama 36613
251-442-2536 | registrarsoffice@umobile.edu

Name

Date of Birth

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Former Last Name (If Any)

Student ID

Social Security Number

Phone Number

Personal Email address

Address

Are you a U.S. Citizen?

Yes

No

Last Term Attended

Please select

Minor

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01. Personal Information

02. Educational Information

03. Background Information

04. Financial Aid and Admission Statements

University of Mobile Readmit Application

5735 College Parkway | Mobile, Alabama 36613
251-442-2536 | registrarsoffice@umobile.edu

List all colleges you attended after leaving the University of Mobile. Do not use abbreviations. We utilize The National Student Clearing House for all college attendees. Failure to give full and complete information may result in loss of credit of dismissal from the University of Mobile. If you attended another university since you last attended the University of Mobile, you will need to send those transcripts before your application will be considered.

Name of College Attended After Leaving the University of Mobile I

Address

Name of College Attended After Leaving the University of Mobile II

Address II

Name of College Attended After Leaving the University of Mobile III

Address III

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01. Personal Information

02. Educational Information

03. Background Information

04. Financial Aid and Admission Statements

University of Mobile Readmit Application

5735 College Parkway | Mobile, Alabama 36613
251-442-2536 | registrarsoffice@umobile.edu

Have you ever been arrested, formally accused or convicted to a crime, or pleaded guilty of a crime other than a minor traffic violation?

This information is needed for programs that require licensure.

Yes

No

Have you ever been placed on probation, suspended or dismissed from any school?

If yes, you must submit a letter of explanation addressed to the Registrar's Office via registrarsoffice@umobile.edu before your re-admit application will be considered.

Yes

No

Do you already have a degree?

Yes

No

If so, what is your degree level?

Are you a residential or commuter student

Residential

Commuter

What is your intended course load?

Full Time

Part Time

Are you seeking teacher certification?

Yes

No

Are you a Veteran?

Yes

No

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01. Personal Information

02. Educational Information

03. Background Information

04. Financial Aid and Admission Statements

University of Mobile Readmit Application

5735 College Parkway | Mobile, Alabama 36613
251-442-2536 | registrarsoffice@umobile.edu

AUTHORIZATION: The undersigned does hereby certify to the best of his/her knowledge; the information given in this application is correct and complete. Further, it is agreed the University has permission to verify any or all information given herein. It is also agreed the University shall be supplied copies of U.S. and State Income Tax Reports upon request. Any significant change in financial status will be reported to the University.

STATEMENT OF EDUCATIONAL PURPOSE / REGISTRATION COMPLIANCE

To the applicant for Federal Student Financial Assistance:

Section 484 of the Higher Education Act (20 U.S.C. 1091) requires that each recipient of a grant, loan or loan guarantee under the Pell Grant, Supplemental Educational Opportunity Grant, National Direct Student Loan, Guaranteed/Federal Insured Student Loan or Auxiliary Loan programs file a statement of education purpose stating that money attributable to such a grant, loan or loan guarantee will be used solely for expenses related to attendance or continued attendance at an institution of higher education. The amount of compensation received from employment under the College Work-Study Program is based on a student’s need for such funds to attend an institution of higher education; thus, earnings from that program must be used

solely for expenses related to attendance at such an institution. A student participating in the College Work-Study Program shall file a statement to that effect.

Furthermore it is a federal law (Public Law 97-252; Section 1113 of the Fiscal Year 1983 Defense Department Authorization ACT, 48FR15578-84) that a student is ineligible for student financial assistance provided through programs established under Title IV of the Higher Educational Act if the student is required to have registered with Selective Service and fails to do so.

CHECK THE STATEMENTS BELOW (Items 1-8), SIGN AND DATE

I CERTIFY that the information provided to the University of Mobile on my application(s) for financial aid is correct and complete

I CERTIFY that the University of Mobile has permission to verify any information used in determining my eligibility for financial aid.

I CERTIFY that any significant change in financial status will be reported in writing to the University of Mobile Office of Financial Aid.

I CERTIFY that I am not required to be registered with Selective Service.

I CERTIFY that I am registered with Selective Service.

I CERTIFY that I will use any funds I receive under the Pell Grant, Supplemental Educational Opportunity Grant, College Work-Study Program, Guaranteed Student Loan, Alternative Loan, PLUS Loan, Alabama Student Program, Alabama Student Assistance Program, Student Incentive Grant Programs solely for expenses connected with attendance at the University of Mobile.

I CERTIFY that I am not in default on any loan made under the National Direct/Defense Student Loan, Guaranteed Student Loan, Nursing Loan, Alternative Loan, Parent Loan Program (Title IV, HEA loan) for attendance at any institution.

I CERTIFY that I do not owe a refund on a grant received under the Pell Grant, Supplemental Opportunity Grant, Alabama Student Grant, Alabama Student Assistance Grant or State Student Incentive Program (Title IV, HEA grant) for attendance at any institution.

PLEASE REFER TO THE CATALOG FOR ALL ADMISSION AND FINANCIAL AID REQUIREMENTS:

By signing below:

• I am fully aware that the University of Mobile expects a high standard of academic performance and personal conduct from each student. I understand and agree with these principles and, if accepted for admission, I promise to abide by all rules and regulations of the University of Mobile.

• I understand that if any information on this form is found to be inaccurate or incomplete, it will be sufficient cause for my rejection or dismissal.

• If I choose to enroll, I understand it is my responsibility to read all University publications, including but not limited to the University of Mobile catalog and Student Handbook.

• I agree to conduct myself in accordance with the high standards of the University of Mobile and the established residence hall policies as set forth in the University of Mobile catalog, Student Handbook and other publications.

PLEASE ALLOW 14 DAYS FOR PROCESSING AFTER ALL THE REQUIRED DOCUMENTS HAVE BEEN RECEIVED BY OUR OFFICE.

Signature

Date

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Verification

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