Mills College by zn4qok8


									                                                              Mills College
                                            Application for Readmission to the EdD Program
       1.   Complete the information requested below and include a non-refundable application fee of $50 (payable to “Mills College”).
            Submit this form to Graduate Admissions, Mills College, 5000 MacArthur Blvd, Oakland, CA 94613 (510.430.3309, grad-
       2.   You will be contacted for an interview with a faculty member in the Educational Leadership program.
       3.   If you intend to apply for financial aid, please submit a FAFSA :
       4.   Any previous outstanding financial obligation to the College must be resolved before this application will be considered. Contact
            Collections (510.430.3180).
       5.   If you are an international student on a student visa, please contact the Division of Student Life (510.430.2130,
       6.   Students are readmitted under the catalog in effect at the time of their original admission.
       7.   The address listed on this form will be used to update your Mills permanent address on record.


Name: ______________________________________________ Term Applying for Readmission: _________________
       (last)          (first)          (middle)                                        (term/year)

Former Name (if changed since last attending Mills): ______________________________                                SSN: __________________

Permanent Home Address: ___________________________________________________________________________
                             (number and street)             (city, state)               (zip)

Permanent Phone Number: ____________________________ Local Phone Number: ___________________________

Email address: _____________________________________ Last Term Enrolled: _____________________________
Write a brief statement regarding your reasons for wanting to return to Mills and include with this form. Please describe your
reasons for leaving as well as any professional and/or academic work in which you have engaged during your time away from
Mills. This statement should be approximately two to three pages, or 500-750 words.

If you attended any colleges or universities during your absence from Mills please list them below. You are required to submit
official transcripts for all institutions attended before your application for readmission will be considered.

College or University Attended                                         Dates Attended                            Units Completed (Sem/Qtr)



Please arrange for at least one letter of reference to be sent to Graduate Admissions; you may use the reference form on the
website if you would like:

Student Signature: _________________________________________________ Date:____________________________
For Graduate Admission Office Use Only

___________________________________                         _____________________________________                       __________________
       Ed Leadership Chair Signature                               Ed Leadership Chair Print                                   Date
 Approved             Denied

CCs:        Division of Student Life; M Center (Records, Student Accounts, Financial Aid); Graduate Admissions         rev 6/08

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