Request for Readmission Form

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Page 1

This application is for Milligan College and Emmanuel Christian Seminary students who have not maintained continuous enrollment in one of Milligan’s degree programs following withdrawal from the institution, or following a period of not being registered for classes for one or more terms.

For the Doctor of Ministry and Certificate in Christian Ministries programs, continuous enrollment is defined as being enrolled in at least one (1) course during the past 12 months.

This application requires official transcripts from all institutions attended since being enrolled at Milligan or Emmanuel Christian Seminary. Students who have been academically or socially dismissed must also submit a letter presenting justification for readmission.

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Name and Contact Information

First Name

Middle Name

Last Name

Former Last Name(s)

SSN

Date of Birth

mm/dd/yyyy

Mobile Phone

Home Phone

Country

Mailing Address

City

State or Province

Zip/Postal Code

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Program Information

Describe your student level for the program to which you are requesting readmission.

To which graduate school are you requesting readmission?

To which undergraduate program are you requesting readmission?

What major are you working toward?

To which adult degree completion major are you requesting readmission?

To which Milligan College graduate program are you requesting readmission?

To which Emmanuel Christian Seminary program are you requesting readmission?

Enrollment

Please provide the Term/Semester and Year for which you were last enrolled at Milligan or Emmanuel.

Last Term

Last Year

Please provide the Term/Semester and Year for which you are requesting readmission.

Anticipated Start Term

Anticipated Start Year

Convictions/Previous Dismissals

Since last enrolled, have you been convicted of a felony?

Were you academically or socially dismissed from Milligan College or Emmanuel Christian Seminary?

Please submit a letter presenting justification for readmission.

Other Schools

Have you attended other colleges/universities since you were last enrolled with Milligan College or Emmanuel Christian Seminary?

Institution Name

Transcripts

Please submit your transcripts to:

Office of Admissions

P.O. Box 210

Milligan College, TN 37682

Transcripts

Please submit your transcripts to:

Office of Graduate and Professional Studies

P.O. Box 22

Milligan College, TN 37682

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I certify that all information given in this application is true and correct. If I am readmitted as a student and choose to enroll, I pledge to uphold the Christian values as reflected in Milligan's Lifestyle expectations.

My typed name below represents my agreement with this statement.

Electronic Signature

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