I will abide by the university's regulations concerning application deadlines and admission requirements. I certify that the information given in this
application is complete and accurate, and I understand that false or fraudulent statements within this application or residence statement may result
in denial of admission, disciplinary action, and invalidation of credits or degrees earned at the university. If admitted, I hereby agree to abide by
the policies of the Florida Board of Education and the rules and regulations of the university. Should any of the information I have given change
prior to my entry to the university, I shall immediately notify the University of Florida Ofce of Admissions. I understand that the $30 U.S. check
or money order that must accompany this application is a non-refundable fee.
Applicant's Signature Date
❑ Yes ❑ No
❑ Yes ❑ No
Failure to answer these questions will delay processing of your application. If your answer to any of the following questions is yes, you
must submit a full statement of relevant facts on a separate sheet attached to this form. You may be required to furnish the university with
copies of all ofcial documentation explaining the nal disposition of the proceedings.
Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of
misconduct at any educational institution?
If your records have been expunged pursuant to applicable law, you are not required to answer yes to these questions. If you are unsure,
whether you should answer yes, we strongly suggest that you answer yes and fully disclose all incidents. By doing so, you can avoid any risk
of disciplinary action or revocation of an offer of admission.
Have you ever been charged with a violation of the law which resulted in, or if still pending, could result in, probation,
community service, a jail sentence, the revocation or suspension of your driver's license?
Instructions: Graduate Readmission applies to students who have attended the University of Florida as a graduate student, but have not enrolled
for two or more consecutive terms, including summer. Returning students must apply for readmission whether to the same or a dif ferent graduate
program. Readmission is not guaranteed. A $30 non-refundable processing fee is required. Mail this form with a $30 check or money order to the
University of Florida, Ofce of Admissions, PO Box 2946, Gainesville, FL 32602-2946. Phone: (352) 392-1365
* Social Security Number:
Current Mailing Address:
(include street and number, city, state and zip)
Permanent Mailing Address: (include street and number, city, state and zip)
Last/Family/Surname First/Given Name Middle
Activity Location — include city and state From To
Indicate how you spent all time from last enrollment at the University of Florida. Use additional paper, if necessary.
❑ United States
❑ Other: _______________
Date of Birth: Citizenship:
month day year
Non-U.S. citizens only: Are you a permanent resident alien?
❑ Yes. Attach a copy of both sides of your permanent resident alien card.
❑ No. What visa do you presently hold? ____________________________
Readmiss Graduate App 2012.Indd Rev. 3/12
Ofce Use Institution — include city and state
List all Colleges or Universities Attended. Use additional paper, if necessary.
UF is a recipient of federal dollars and is required by the federal government to solicit certain demographic information to meet federal reporting
requirements. Applicants are requested to provide this information voluntarily. This information will not be utilized in a discriminatory manner.
Ethnicity: Are you Hispanic? _____ Yes _____ No
How would you describe yourself? Choose one or more:
___ American Indian or Alaska Native ___ Asian ___ Black/African American
___ Hawaii Native or Other Pacic Islander ___ White
Readmission to Graduate School
Indicate the term and year you desire for readmission: Term (Summer A/C, Summer B, Fall, Spring): __________________ Year: _________
Indicate the college and program/major for readmission: College: _____________________________ Program/Major: ___________________
Select the degree you desire to obtain: ____ Master's ____ Engineer ____ Doctor ____ Specialist ____ PhD
What term and year was your last enrollment at UF? Term (Summer A/C, Summer B, Fall, Spring): ________________ Year: __________
What college and program/major were you last enrolled? College: ______________________________ Program/Major: ___________________
Application for Readmission
Veteran Status: Are you a member or veteran of the U.S. military? _____ Yes: Active Duty _____ Yes: Veteran _____ No
If “Yes”, check the box to the right if you served on or after September 11, 2001
Are you eligible to receive VA educational benets as the spouse or dependent child of a veteran of the U.S. military? _____ Yes _____ No
* The Federal Privacy Act of 1974 and Section 119.071(5)(a)2, 5(a)3 and 5(a)4 of Florida Statutes authorizes the university to require the disclosure of Social Security
Numbers by applicants and students for the purpose of identication and verication of student records, including registration, nancial aid and academic records and
for verication of identity in the provision of university services. The university does not use your Social Security Number for student identication. It is only used to
assign your UF student identication number (UFID).