Request to Re-enroll Form
OFFICE OF REGISTRATION & RECORDS
ALL of the following conditions must be met in order to use this form.
If you do not meet ALL of the conditions below, please contact the Office of Admissions to apply for full admission.
You are not a student in Dentistry, Law, Medicine, Pharmacy, Graduate Biological Sciences, Graduate Theater, Counselor
Education, or Conservatory (must audition if out more than one semester). If you are a student from one of the programs
mentioned above please contact the academic unit directly for information on how to re‐enroll.
You have not attended another institution since leaving UMKC and you left UMKC in good academic standing within your
academic unit. If you have attended another institution, you must reapply for admission using the general admission
You are a graduate student and have not been out of your program for more than two (2) consecutive semesters (not including
summer), or you are an undergraduate student and have not been out of your program for more than three (3) consecutive
semesters (not including summer).
You wish to re‐enroll in the same academic unit and same degree program in which you were previously enrolled.
NOTE: You cannot be re‐admitted to a program in which you have already earned a degree. If you wish to change your major
you will need to resubmit a new application by visiting www.umkc.edu.
You were not enrolled previously as a Visiting/Community or Continuing Education Student.
Please Print or Type
Student ID number ____________________________________________________ Date of birth _________________________
Last four digits of your Social Security Number ______________________________
Last First Middle Other
Current mailing address ________________________________________________________________________________________
City ______________________________________________________ State _____________ Zip ______________________
I wish to re‐enroll for term: Fall Spring Summer Year: ______________________________
Last term attended UMKC: Fall Spring Summer Year: ______________________________
Previous major and academic unit ________________________________________
I meet ALL of the above stipulations and understand that my readmission is based upon my eligibility to re‐enroll as determined by
my academic unit.
Signature____________________________________________________________ Date _______________________________
This form may be returned to the either the Admissions Office (101 AC) or the Registration & Records Office (115 Administrative
Center) or faxed to 816‐235‐5513. Please allow two business days for processing.
For office use only:
The Board of Curators and the University of Missouri‐Kansas City are committed to the policy that
there shall be no discrimination on the basis of race, color, creed, sex, age, national origin, disability Processed by:
or Vietnam era veteran status. The Director of Affirmative Action is responsible for all relevant
programs and can be contacted in Room 356 of the Administrative Center, (816) 235‐1323. Date: