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Millikin University - Decatur, IL
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Application for Readmission

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 * indicates a required field

First Name *

Last Name *

Student ID

If your name has changed, please provide any prior names as well

Birthdate *

Current Address *

City *

State *


Zip *

Cell Phone *

Home Phone *

Parent/Guardian Name

---Home Address

---Phone Number

Last semester of attendance at Millikin *


of

Academic status at the end of last semester you attended Millikin *


If you were on academic suspension or probation when you left, answer the next two questions.

---List specific reasons why you failed to meet satisfactory academic progress.

---What has changed and/or how will rectify the situation to make progress by the next evaluation?

Please list any colleges/universities you have attended since you have been away from Millikin (Official Transcripts Required)


From
to

From
to

I plan to enroll *

(Program, Status, Semester, Year)


for
of

Academic Program 1 *


Academic Program 2

(Optional)

Housing Plans *


Housing Address

Are you a financial aid candidate? *


Have you filed all appropriate aid forms? *


Do you have an outstanding bill at Millikin? *


If so, have you made arrangements for payment of that bill?


Please provide a statement indicating the reasons you wish to return to Millikin and what you've been doing since you left Millikin. *

Deadline for filing is 30 days pror to the first day of class.
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Millikin University - Decatur, IL
Millikin University - Decatur, IL
 
Millikin University - Decatur, IL
 Millikin University - Decatur, IL
Millikin University - Decatur, IL
Millikin University - Decatur, IL
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