THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG

Transcription

1 THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG Page 1 North Carolina A & T State University OFFICE OF THE REGISTRAR 1601 EAST MARKET STREET Greensboro, NC OFFICE: (option 4)/ FAX: Readmission Application for Undergraduates Readmits for Spring 2018 is Closed Your residency for tuition purposes determines your in-state or out-of- state status and may impact your admission, tuition, scholarship or financial aid eligibility. North Carolina residency for tuition purposes is governed by North Carolina state law. More information about North Carolina residency for tuition purposes can be found at Do you claim to be a North Carolina Resident? [Required] - I claim to be a North Carolina resident for tuition purposes. - I do not claim North Carolina residency for tuition purposes. I understand I will be charged the non-resident tuition rate if enrolled at a North Carolina state- supported institution. Page 2 If you claim to be a resident, you must complete the residency process with the Residency Determination Service (RDS) at You will receive a Residency Certification Number (RCN) which should be entered on to your readmit application or provided directly to the Registrar Office, when available. Please provide your RCN Number. [Required] If you do not provide your RDS number, you will be automatically be marked as out of state.* Undergraduate Readmission Application Today's Date: [Required] MM/DD/YYYY format Student ID [Required] Banner ID or SSN - can not contain any punctuation. - can not contain any spaces. - must contain at most 9 characters. Date of Birth: [Required] MM/DD/YYYY format Sex: [ ] Female [ ] Male Ethnicity Page 1 of 6 THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG

2 [ ] American Indian or Alaskan Native [ ] Asian [ ] Black or African American [ ] Hispanic or Latino [ ] Native Hawaiian or other Pacific Islander [ ] White [ ] Other Citizenship: [Required] Are you a citizen of the United States? If no, Permanent Resident Alien number or Visa Type: Full Legal Name: [Required] Last, First, Middle Name Used When Last Attended: Previous Names Home Address: [Required] Street, Apt, City, State, Zip Code Mailing address if different than above: Street, Apt, City, State, Zip Code Address: [Required] - name@myschool.edu Address: [Required] - name@myschool.edu Phone Number [Required] - must be digits long and may include only numbers, hyphens, and spaces. Semester and Year You Plan To Return: [Required] [ ] Spring 2018 (is closed) [ ] Summer 2018 (coming soon ) [ ] What semester and year did you first attend A&T? [Required] What semester and year did you last attend A&T? [Required] Page 2 of 6 THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG

3 Are you seeking a second degree [Required] If you answered YES, where did you obtain your first degree and what was your date of graduation? What is your intended major? [Required] Page 3 of 6 THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG

4 [ ] 0199-Undecided [ ] 0270-Ag Ed (Prof Serv) [ ] 0271-Ag Ed (Second Ed) [ ] 0111-Lab Animal Sci [ ] 0203-Animal Sci (Animal Ind) [ ] 0204-Animal Science [ ] 0065-Child Development [ ] 0179-Chld Dev:Erly Ed [ ] 0231-Fam & Con Sci (Fash Merch & Desn) [ ] 0247-Food & Nutr Sci (Food Sci) [ ] 0248-Food & Nutr Sci (Dietetics) [ ] 0103-Lanscape Arch [ ] 0210-Ag Sci (Plant Sci) [ ] 0260-Biological Engineering [ ] 0285-Ag Sci (Environ Hort) [ ] 0286-Ag Sci (Soil Science) [ ] 0017-Biology [ ] 0314-Comp Sci Ed (Bio Ed) [ ] 0025-Chemistry [ ] 0319-Comp Sci Ed (Chem Ed) [ ] 0045-English [ ] 0096-Speech [ ] 0160-Speech (Spch Path/Audio) [ ] 0303-English (Tech Writing) [ ] 0329-Second Ed (Engl Ed) [ ] 0334-Engl (Afro-Amer Lit) [ ] 0335-Engl (Creative Writing) [ ] 0051-History [ ] 0310-Lib Stud (Prelaw) [ ] 0330-Sec Ed (Hist Ed) [ ] 0306-Lib Stud (Interdisciplinary) [ ] 0309-Lib Stud (Business) [ ] 0311-Lib Stud (Women Studies) [ ] 0325 Lib Stud (Race, Class Culture) [ ] 0263-JOMC (Broadcast Prod) [ ] 0264-JOMC (Electronic Media & Jour) [ ] 0266-JOMC (Media Mgmt) [ ] 0267-JOMC (Print Jour) [ ] 0268-JOMC (Public Relations) [ ] 0282-Lib Stud (Afro-Amer Studies) [ ] 0283-Lib Stud (Inter'nat Studies) [ ] 0087-Mathematics [ ] 0223-Applied Mathematics [ ] 0331-Second Ed (Math Ed) [ ] 0332-Second Ed (Music Ed) [ ] 0088-Physics [ ] 0320-Comp Sci Ed (Phys Ed) [ ] 0333-Second Ed (Phys Ed) [ ] 0341-Atmospheric Sci & Meterology [ ] 0343-Physics (Engin Phys) [ ] 0344-Physics (Environ Geophy) [ ] 0345-Physics (Interdisciplinary Phys) [ ] 0346-Physics (Space Science) [ ] 0069-Political Science [ ] 0280-Criminal Justice [ ] 0080-Psychology [ ] 0073-Social Work [ ] 0074-Sociology [ ] 0312-Lib Stud (Cult Chng & Social) [ ] 0149-Musice (General) [ ] 0150-Music (Performance) [ ] 0216-Visual Arts, Design [ ] 0261-Professional Theatre [ ] 0305-Lib Stud (Dance) [ ] 0326-Second Ed (Art Ed) [ ] 0348-Visual Art Dsgn (Media Dsgn) [ ] 0220-Accounting [ ] 0228-Bus Ed (Voc Bus Ed) [ ] 0229-Bus Ed (Voc Bus Ed Data Pro) [ ] 0292-Bus Ed (Info Tech) [ ] 0028-Economics [ ] 0153-Finance [ ] 0396-Business Economics [ ] 0021-Business Admin [ ] 0151-Management [ ] 0245-Mgmt (Mgmt Info Syst) [ ] 0347-Mgmt (Entrepreneurship) Page 4 of 6 THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG

5 [ ] 0102-Supply Chain Mgmt [ ] 0336-Marketing (Sales) [ ] 0139-Elementary Education [ ] 0304-Sport Sci & Fitness Mgmt [ ] 0375-Bioengineering [ ] 0011-Architectural Engineering [ ] 0185-Civil Engineering [ ] 0170-Computer Science [ ] 0042-Electrical Engineering [ ] 0296-Computer Engineering [ ] 0313-Interdisciplinary Gen Engineering [ ] 0104-Industrial & Syst Engineering [ ] 0060-Mechanical Engineering [ ] 0066-Nursing [ ] 9066-Pre-Nursing [ ] 0288-Motorsport Tech (Motorsport) [ ] 0388-Applied Engin Tech [ ] 0389-Applied Engin Tech (Indust Mgmt) [ ] 0094-Occupational Safety & Health [ ] 0156-Construction Mgmt [ ] 0387-Geomatics [ ] 0338-Electronics Technology [ ] 0339-ECT (Comp Tech) [ ] 0340-ECT (Info Tech) [ ] 0157-Graphic Comm Sys See question below [Required] Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution? See question below [Required] Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? [Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.] Do you have any criminal charges pending against you? [Required] See question below [Required] Have you entered a plea of no contest or nolo contendere, or an Alford plea, to a misdemeanor, felony, or other criminal charge; or received a deferred prosecution or prayer for judgment continued for a such charge; or otherwise accepted responsibility for such a crime? Have you received any type of discharge from military service "other than an honorable discharge"? [Required] - Currently Serving - Honorably Discharged -Never Served If your education was or will be interrupted, indicate here and provide details [Required] Page 5 of 6 THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG

6 Terms and Conditions Checkbox [Required] If you answered "yes" to any of the questions above (21-26), please explain the circumstances below. You must notify the Registrar's Office in writing of any criminal charge, any disposition of a criminal charge, or any school, college, or university disciplinary action against you. Your failure to do so will be grounds to deny or withdraw your readmission, or dismiss you after readmission. [ ] I Agree Explanation Please explain the circumstances Official Transcripts [Required] If you attended another university/college after your last attendance at A&T, please have official transcripts mailed to: North Carolina A&T State University, Office of Undergraduate Admissions, 1601 East Market Street, Greensboro, NC [ ] I Agree Payment: [Required] Please mail the $35.00 readmission fee (check or money order) to: North Carolina A&T State University, Office of the Registrar, 1601 East Market Street, Greensboro NC [ ] Check [ ] Money Order [ ] Certification: [Required] By signing this application, I agree to abide by the policies and regulations of North Carolina A&T State University and to the best of my knowledge, the information I have given is true. I understand that any misrepresentation of facts on the application will be cause for refusal of readmission or suspension from the university. Electronic Signature: Page 6 of 6 THIS WEBSITE IS CLOSED ALL READMITS APPLICATION WILL BE HANDLE BY GOING TO CFNC.ORG