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Application for Readmission

Personal Information

Legal Name

Title: *

First Name: *

Initial:

Nickname:

Last Name: *

Suffix:

Have you used other names that may appear on college transcripts?:

Yes

Prior Name(s) on Transcripts: *

Permanent Address

Street Address: *

City: *

State: *

Zip: *

County:

Do you have a local address that is different from your permanent address?: *

Yes

Local Address

If different from your permanent address

Street Address: *

City: *

State: *

Zip: *

County:

Contact Information

Email Address: *

Home Phone: *

Include area code: nnn-nnn-nnnn

Work Phone:

Include area code: nnn-nnn-nnnn

Cell Phone:

Include area code: nnn-nnn-nnnn

Fax:

Include area code: nnn-nnn-nnnn

Race/Ethnicity

Federal law requires Spring Hill College to gather the following information regarding the ethnicity and race of its students. Since the law only requires educational institutions to report aggregate totals for each category, Spring Hill College will never report information on individuals; your information will be kept strictly confidential. This information is for statistical purposes only and will not be used in the admissions decision.

Are you of Hispanic or Latino descent?: *

Yes

Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture

Please select one or more of the following racial categories to describe yourself: *

Residence Options

I plan on living: *

On Campus

Off Campus

Unless exception is granted by the Vice President of Student Affairs, all undergraduate students who do not live with parents within a reasonable commuting distance of the College are required to live on campus. Graduate and Continuing Studies students must live off campus.

Off Campus Residence

With whom will you be living?: *

Relationship of person (people) you will be living with: *