Re-enrollment Application

If you have left Mitchell College for reasons other than an approved leave of absence you must complete a re-enrollment application in order to return to classes. If you enrolled in course work at another institution during your absence you must submit official transcripts from each institution attended.

First Name

Middle Name

Last Name

Former Name (while previously enrolled):

Mailing Address

Country

Street

City

Region

Postal Code

Home Phone

Mobile Phone

Email Address

Please confirm your email

Social Security Number

Birthdate

Gender

Last Semester Attended

Semester you wish to return:

Do you plan to be a resident student or commute?

Do you plan to take classes full time or part time?

Are You Planning On Filling Out The FAFSA?:

Intended Major:

College(s) / Universities attended since leaving Mitchell (an official transcript is required):

Reason(s) for Leaving Mitchell::

Please describe why you wish to return to Mitchell. Please include details on what you have been doing since you left Mitchell College: