Re-entry Form

Country of Citizenship

Are you a Permanent Resident of the U.S.?

Yes

No

Visa type, if citizenship other than U.S.

Current Mailing Address

Country

Street

City

Region

Postal Code

Phone Type

Phone Number

Are you a resident of New York state?

Yes

No

How many years have you lived in New York State?

If you have have been a New York State resident for less than one year, how many months have you been a resident?

About Your Application: Spring semester decisions begin going out in October. Fall semester decisions begin going out in February. Summer is for Nursing programs only.

Semester You Expect to reenter UB:

It may not be possible to pursue the academic major you intend. Please refer to the Advising Directory to contact your intended program for more information.

I confirm that it may not be possible to pursue the academic major selected below

Academic Major

Attendance at UB

UB Start Date

UB End Date

Have you earned (or will you earn) a bachelor's degree before re-enrolling?

Yes (If yes, major choice must be different than that of your first degree.)

No

Did you earn a degree from the University at Buffalo?

Yes

No

Were you previously enrolled in EOP?

Yes

No

Academic Performance at UB

Were you previously dismissed from UB?

Yes

No

Was your academic average (GPA) at UB below 2.0?

Yes

No

Was your overall average (including transfer work) below 2.0?

Yes

No

If you answered YES to any of the above questions, you must complete the following. Incomplete applications will not be considered for review.

Please upload a clear and concise statement explaining the reasons you feel you should be readmitted to the University. Include the following:
a.) Reason for poor academics from your previous attendance. b.) What you have done since you've been away from UB that you feel will contribute to your success upon returning. c.) If you're allowed to return, your action plan to ensure a successful semester.

Please answer the following answers. Complete answers are required. You will need your UB transcript and transcripts from any other institutions you have attended before and or after UB. You will also need to use the Undergraduate Catalog to find information on the major you have chosen:

What are the courses needed for acceptance into the major noted on this form?

What is the grade point average for acceptance to this major?

Do you meet the criteria for admission to this major at this time?

Yes

No

What is your plan to meet admission criteria for this major?

Have you met with an academic advisor in the major you are considering?

Yes

No

Please include an academic plan for successfully completing this major.

It is recommended you do so in order to determine if the major you are considering can be completed due to your previous poor academic performance.

Additional Education Information

Have you actively served in the military since you last attended the University at Buffalo?

Yes

No

Please upload a copy of your DD214

Have you attended another college or university since your last matriculation at UB?

Yes

No

1. Name of College/University (Please request official transcript to be sent to the Office of Admissions)

Are you currently enrolled at this school?

Yes

No

Start Date

End Date

2. Name of College/University (Please request official transcript to be sent to the Office of Admissions)

Are you currently enrolled at this school?

Yes

No

Start Date

End Date

3. Name of College/University (Please request official transcript to be sent to the Office of Admissions)

Are you currently enrolled at this school?

Yes

No

Start Date

End Date

Have you been dismissed from a college or university for disciplinary reasons since you last attended UB?

Yes

No

All students who reenter UB are subject to the UB Curriculum, UB's current general education program. Information about the UB Curriculum can be found at buffalo.edu/ubcurriculum. This may impact your remaining requirements. It is highly recommended that you discuss your requirements and this petition with your academic advisor, especially if you plan to pursue a subsequent degree. Visit advising.buffalo.edu to find your advising unit. You may include a recommendation from an advisor in your intended major as part of your application. The State University of New York at Buffalo complies with HEW regulations set forth in Title IX of the Higher Education Amendments of 1972. In accordance with federal and state laws, no person in whatever relationship with the State University of New York at Buffalo shall be subject to discrimination on the basis of age, religion or creed, color, disability, national origin, race, ethnicity, sex or marital or veteran status. Additionally, New York former Governor Mario Cuomo's Executive Order 28 and the University Board of Trustees policy prohibit discrimination on the basis of sexual orientation.

It is recommended that you file this application as early as possible. Although absolute deadlines vary from semester to semester, the following filing dates are suggested:
Fall semester - July 1
Spring semester - December 1
Should you be readmitted, please review the following checklist prior to course registration.

certification

I certify that the statements made on this application are complete and correct; and I understand that falsification of this application will be grounds for its denial or, if I am accepted, for dismissal from the University at Buffalo.