Readmission Application

* Please allow several business days for processing and review of your readmission application. It is recommended that you submit a readmission application by August 1st to return in the fall semester and December 31st to return in the spring semester.

NOTE: ACADEMIC REGULATIONS REGARDING RE-ADMISSION:

Students will follow the requirements of the current catalog upon readmission. Individual requests to follow the requirements of earlier catalogs will be reviewed by the dean of the student’s college. You may qualify for Fresh Start (formally known as grade amnesty) if you were here at least two years previously with GPA lower than 2.5 - Please consult the online Catalog.

Degree Type

2nd Undergraduate

Graduate

Undergraduate

Legal First Name

Chosen First Name

Legal Middle Name

Legal Last Name

Legal Maiden Name

Date of Birth

Sex

Your Email Address

Current Permanent Address

Country

Street

City

Region

Postal Code

Mobile Phone

Home Phone (if different than mobile phone)

United States Residency Status

Acquired through citizenship of a parent, and naturalization, a process in which an immigrant applies for citizenship and is accepted.

Non-citizens of the U.S. who are lawfully living in the U.S. permanently under legally recognized and lawfully recorded permanent residence as an immigrant. Lawful Permanent Residents are also known as “permanent resident alien,” “resident alien permit holder,” and “Green Card holder.”

Please enter Permanent Resident Card Number

Primary Citizenship

Dual Citizenship

UMassD Student ID Number (if known)

Last 4 digits of SSN

Current Visa Type

Current Visa Number

Do you intend to transfer your visa?

Yes

Do you intend to apply for a US visa

Yes

Intended US Visa Type (Not currently held)

U.S. Military Status

Applying for benefits?

Last Semester Attended (if known):

Semester you are applying for:

Summer 2026 (begins in mid-May 2026)

Fall 2026 (begins in Sept 2026)

Winter 2027 (3 wk intersession begins in Jan 2027)

Spring 2027 (begins in Jan 2027)

I am applying for

Undergraduate On-Campus School

Graduate On-Campus School

Online and Continuing Education

Major you are requesting:

Please select second concentration for the Liberal Arts program. Must be different than initial selection.

Do you have an approved leave of absence?

Was it a medical leave?

A student who was on an approved Medical Leave may return to the University to continue their studies when they meet certain provisions.

You will need to communicate directly with Health Services (if on a Physical Health Medical Leave) or the Counseling Center (if on an Emotional Health Medical Leave) and provide the appropriate department with documentation of your readiness to return from your healthcare provider.

If you have an approved leave of absence, you will NOT be charged the Readmission Fee. This leave is valid for a period no longer than two calendar years

Did you attend another college/university after leaving UMassD?

Yes

DeleteCollege/University _ID_
School Name School CEEB Level of Study

Add Another College/University

Please provide OFFICIAL transcripts – send directly to Registrar’s Office Attn: Stephanie LeBlanc at stephanie.leblanc@umassd.edu

You may choose to include a brief statement regarding the circumstances when you left, and how you plan to succeed moving forward. If your UMass Dartmouth GPA was below a 2.0 this is strongly recommended.

PLEASE COMPLETE THE RESIDENCY INFORMATION . THIS DETERMINES THE WAY YOUR TUITION WILL BE CALCULATED.

Residency Information

Do you believe you may qualify for the Massachusetts in-state tuition rate?*

Yes

Massachusetts regulations state that "residency is not acquired by mere physical presence in Massachusetts while the person is enrolled in an institution of higher education.

To be classified as a resident, an enrolled student must live in Massachusetts as a "traditional resident" (not a student) for approximately 12 months immediately preceding their enrollment to UMass Dartmouth.

Applicants may be required to submit documentation to support a residency classification claim. Residency classification may be based using submitted documentation.

For more information: Regulations governing the residency status of students for tuition purposes

Since when have you lived at your current permanent address?

Are you or will you be 24 years of age or older at the start of the semester?

Yes

“Parent” shall mean

a) the person’s father and mother, jointly;

b) if the person’s father is deceased, the person’s mother; if the person’s mother is deceased, the person’s father;

c) if a legal guardian has been appointed by a court having jurisdiction, the legal guardian;

d) if neither the father or mother is living and no legal guardian has been appointed, the person who then stands in loco parentis to the person;

e) if the father and mother are divorced, separated or unmarried, the parent who has been awarded legal custody of the person; or if legal custody has not been awarded, the parent with whom the person lives. With respect to any adopted student, the word “adoptive” should be inserted before the words “father” and “mother” wherever used.

Please indicate a parent or legal guardian is a Massachusetts resident.

Please describe

Since when has this parent/legal guardian lived at his/her current address?

Is your parent/legal guardian a US citizen?

Yes

What is your parent/legal guardian country of citizenship?

What is you parent/legal guardian U.S. citizenship type?

If the parent is a visa holder, choose visa type.

Is your parent/legal guardian US Armed Services active duty or a veteran?

Yes

Are you a legally emancipated individual? (And add instructional text below)

“Emancipated person,” for the purposes of residency classification for tuition, shall mean a person who has attained the age of 18 years and is financially independent of his or her parents, or if under 18 years of age,

(a) whose parents have entirely surrendered the right to the care, custody, and earnings of such person and who no longer are under any legal obligation to support or maintain such person; or

(b) a person who is legally married; or

(c) a person who has no parent. If none of the aforesaid definitions apply, said person shall be deemed an “unemancipated person.”

I meet the definition of an emancipated individual

Yes

Applicants who are legally emancipated will be required to provide evidence of this status to Admissions and/or the Office of Financial Aid.

I am an eligible participant in the New England Board of Higher Education's Regional Student Program.

Yes

Applicant must have eligible residency status in Rhode Island, New Hampshire, Connecticut, Maine, or Vermont to receive the regional tuition rate as part of this program.

Personal Disclosure Documentation

Personal Disclosure Question #1

*Have you ever had disciplinary action taken against you at an educational institution?

Answer "Yes" if you have ever been found responsible for a disciplinary violation at an educational institution that you have attended from the 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?

Yes

Please attach a file describing the dates and circumstances surrounding the incident(s).

Personal Disclosure Question #2

*Have you ever been convicted of a felony or other crime?

Note: You are not required to answer “yes” to the criminal history question if the criminal adjudication or conviction:

(1) has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.
(2) was a first conviction for misdemeanor drunkenness, simple assault, speeding, minor traffic violations, or disturbance of the peace.
(3) any conviction of a misdemeanor where the conviction occurred more than five years prior to the date of this application, unless you were sentenced to imprisonment upon conviction of the misdemeanor, or you have been convicted of another criminal offense within the five-year period.

Yes

Please attach a file describing the dates and circumstances surrounding the incidents(s).

To the best of my knowledge and belief, the information I have provided above is complete and accurate, and any records submitted are correct and official. I understand that failure to disclose any required information could result in the denial of admission or retroactive administrative withdrawal from the university without refund or course credits.

Signature

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Date

Payment Due