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. If you did course work at another institution during your absence you need to submit official transcripts from that institution along with your application.

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 live on campus 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.: