Re-enrollment

Admin

Name and Identifiers:

First Name *

Middle Name

Last Name *

Email Address (Non-Miami) *

Date of Birth *

Previous Name

Unique ID or Banner ID number

Address:

Street Line1 *

Street Line2

City *

State/Province *

Zip/Postal Code *

Phone Number*

Other Colleges/Universities Attended:

Since last attending Miami did you register for undergraduate coursework (including on-line courses) at any other college or university?*

If you answer YES to the question above regarding registration at another college or university you must list each college/university in the space provided below AND provide an official transcript from each institution you list. (The address to which official transcripts should be sent will appear on the confirmation page after you have submitted your application.)

Academic Information:

(Note: Please make sure you select the appropriate program for the campus you will attend. For the Oxford campus you may only select Degree or Non-Degree. For the other campuses you may select Degree, Non-Degree, or Miami Online.)

Re-enrollment submission deadlines: Fall Semester-August 1, Winter Term-December 1, Spring Semester-January 10, Summer Term-April 15

Level: *

Campus You Attend*

Program *

Re-entry term*

Year *

Additional Information:

Since your last enrollment at Miami University have you been convicted of a criminal offense (other than a minor traffic offense) or are criminal charges currently pending against you? *

If you answer YES to the question above, you must submit a complete statement of explanation.

Since your last enrollment at Miami University have you been dismissed, suspended, or placed on probation for any NONACADEMIC reason by any high school, college or university (including suspension or dismissal under Ohio Revised Code 3345.22 and 3345.23-commonly called House Bill 1219)? *

If you answer YES to the question above, you must submit a complete statement of explanation.

Are you eligible for military education benefits?*

Are you an Ohio Resident?*

Have you lived in Ohio for the previous 12 consecutive months?*

The guidelines for residency and the application required are located at Residency Office at Miami University. For consideration submit an application with all required documents for review to the Residency Officer at Miami University.

Please offer any information in the space below regarding why you stopped attending Miami University.(Optional)