South Alabama Application Form

Print Form University of South Alabama Undergraduate Readmission Application U.S. Citizens Office of the Registrar 390 Alumni Circle Suite 1100 Mobile AL 36688-0002 Phone - 251 460-6215 Fax - 251 460-7738 Email - registrar southalabama.edu PLEASE READ BEFORE COMPLETING APPLICATION v Returning applicants are students who were previously enrolled in courses at USA and have been absent from USA for at least one semester. If a student was suspended or dismissed from USA the suspension or dismissal must be cleared in order for the student to return. IMPORTANT INFORMATION FOR READMISSION v If you do not register for your original application term you must complete another application for the term you plan to readmit. v Financial Aid Applicants You must be a degree-seeking student at USA. You cannot readmit or register as non-degree seeking and receive financial aid. v Academic Bankruptcy Academic Bankruptcy is available only to eligible undergraduate students without a bachelor s degree who have not been enrolled at USA for one or more calendar years. contact the Registrar s Office at 251 460-6251. v Veterans If you are a veteran please contact the Office of Veteran Affairs 251 460-6230 for benefit information. COMPLETE THE APPLICATION INFORMATION ON THE REVERSE SIDE. BE SURE TO SIGN THE BOTTOM OF THE APPLICATION. UNIVERSITY OF SOUTH ALABAMA TERM/YEAR RETURNING TO USA Check One Only Spring January Fall August STUDENT NUMBER J00 LEGAL NAME PLEASE PRINT First Last SOCIAL SECURITY Year Summer May/June Middle BIRTH DATE Previous Name s Used / Your SSN is optional as an applicant to USA and is used for identification purposes only however the SSN is required when applying for financial aid. MAILING ADDRESS Street City State Zip Code COUNTY OF LEGAL RESIDENCY STATE OF LEGAL RESIDENCY Apt. V Financial Aid Applicants You must be a degree-seeking student at USA. You cannot readmit or register as non-degree seeking and receive financial aid. v Academic Bankruptcy Academic Bankruptcy is available only to eligible undergraduate students without a bachelor s degree who have not been enrolled at USA for one or more calendar years. contact the Registrar s Office at 251 460-6251. v Veterans If you are a veteran please contact the Office of Veteran Affairs 251 460-6230 for benefit information. COMPLETE THE APPLICATION INFORMATION ON THE REVERSE SIDE. BE SURE TO SIGN THE BOTTOM OF THE APPLICATION. UNIVERSITY OF SOUTH ALABAMA TERM/YEAR RETURNING TO USA Check One Only Spring January Fall August STUDENT NUMBER J00 LEGAL NAME PLEASE PRINT First Last SOCIAL SECURITY Year Summer May/June Middle BIRTH DATE Previous Name s Used / Your SSN is optional as an applicant to USA and is used for identification purposes only however the SSN is required when applying for financial aid. MAILING ADDRESS Street City State Zip Code COUNTY OF LEGAL RESIDENCY STATE OF LEGAL RESIDENCY Apt. U.S. CITIZEN International or Permanent Resident must reapply through the Office of International Students PHONE Current Work Cell ALTERNATE Cell It is important to include an active email address. Contact the Registrar s Office at 251 460-6251. v Veterans If you are a veteran please contact the Office of Veteran Affairs 251 460-6230 for benefit information. COMPLETE THE APPLICATION INFORMATION ON THE REVERSE SIDE. BE SURE TO SIGN THE BOTTOM OF THE APPLICATION. UNIVERSITY OF SOUTH ALABAMA TERM/YEAR RETURNING TO USA Check One Only Spring January Fall August STUDENT NUMBER J00 LEGAL NAME PLEASE PRINT First Last SOCIAL SECURITY Year Summer May/June Middle BIRTH DATE Previous Name s Used / Your SSN is optional as an applicant to USA and is used for identification purposes only however the SSN is required when applying for financial aid. MAILING ADDRESS Street City State Zip Code COUNTY OF LEGAL RESIDENCY STATE OF LEGAL RESIDENCY Apt. U.S. CITIZEN International or Permanent Resident must reapply through the Office of International Students PHONE Current Work Cell ALTERNATE Cell It is important to include an active email address. Please print legibly. EMAIL ADDRESS DOES YOUR PAWS PIN NUMBER NEED TO BE RESET Yes No RACE White Asian Black or African American MARITAL STATUS Married Unmarried Widowed Native HI/ Pacific Islander ETHNIC BACKGROUND Hispanic/Latino Not Hispanic/Latino American Indian/Alaska Native ADMIT TYPE Check One Only RETURNING COLLEGE Check One Only NON-DEGREE SEEKING DEGREE SEEKING Computer/Information Sci.