Undergraduate Readmit Application

Biographic Information

Start term I am re-applying for:

First Name

Nickname (Preferred First Name)

Middle Name

Last Name

Email Address

Phone Number

Birthdate

Social Security Number

Country of Citizenship

Mailing Address

Country

Street

City

Region

Postal Code

Academic Program

Dates I attended Cal Lutheran

From

Colleges Attended after leaving Cal Lutheran

Did you attend any colleges after leaving CLU?

Yes

College 1 Name

Start Date

End Date

College 2 Name

Start Date

End Date

College 3 Name

Start Date

End Date

Responses Required

What was your primary reason for leaving CLU?

What have you been doing since you left CLU?

Is there anything else you think we should know?

Certification

I understand that I must file all credentials for admission before registering for another semester at California Lutheran University.
I am not presenty under disqualification from any other institution.
I hereby certify that the information on this application is true to the best of my knowledge. all documents or other materials which relate to my application for admission become property of California Lutheran University. If accepted to CLU, I agree to abide by all the rules and regulations set forth by the university.

Signature (Please type your name)

Interaction Code