Application for Re-Admission - California Campus

Re-Admission Form - California

Personal Information

Life Pacific University Student ID (if known)

First Name

Last Name

Former Name(s) When Previously Enrolled

Birthdate

Email Address

Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

Location

Student Type

Semester of Re-Admission

Major

Approximate Dates of Last Attendance at Life Pacific University

Have You Attended Any Colleges/Universities Since Last Attending LPU?

List Any College/Universities Attended Since Last Attending LPU

(Official transcripts from each must be sent to applications@lifepacific.edu)

Were You Academically Dismissed from LPU?

Do You Have a Current Business Office Hold?

Signature

I confirm that all information in my application is accurate and true and that I give Life Pacific University permissions to verify any information included in this application. I also grant my school(s) and College(s) permission to release my transcript(s) to LPU. I waive my right to review or access letters and statements of recommendations submitted on my behalf.

Date

Application for Re-Admission - California Campus

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