Readmission to the College of Online and Continuing Education

Date Name SNHU ID: Home Phone Cell Phone Address Email Address Intended Major? When would you like to return to SNHU? Which will be your primary location? (Please check one.) Online Manchester Salem Nashua Seacoast Brunswick, ME

Please check all statements that apply: I am currently in the military or have military affiliation. I last attended Southern New Hampshire University in I was accepted to SNHU in I am currently enrolled in , and left in good academic standing. but did not enroll. classes as a non-matriculated student at SNHU.

I have attended another institution(s). Official copy of college transcript(s) needed.

Name of Institution Credits Earned GPA

Do you intend to apply for financial aid? Comments?

Yes

No

Signature FOR ADMISSION USE ONLY Readmitted on Comments:

Date