Request for Readmission Distance Learning and Online and Evening

Please complete the form fully to be considered for readmission to William Penn University's Online and Evening program. A personal essay may be requested after your previous file is reviewed.If you have any questions please contact the Office of Admissions at 1-800-779-7366 ext. 1 or email.

Did you attempt any college credits at another institution after leaving William Penn?

Yes
No

You must fill out the regular Application for Admission instead of this form.

Name (as it appears on official documents)*

First Middle Last Suffix

WPU Student ID#

Preferred Name

Former/Maiden Name (of different from above)

First Middle Last Suffix

Birthdate*

Gender

Female
Male

Cell Phone

Home Phone

Preferred Phone Number

Cell
Home

Email*

Secondary Email

Permanent Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Marital Status*

Single
Married
Divorced
Widowed

Spouse's Name

Religious Affiliation

Place of Employment

Employment Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Will you be applying for Tuition Assistance/ Tuition Reimbursement from your Employer?

Yes
No

Have you served in the U.S. Military?*

Yes
No

Are you dependent on someone who served in the U.S. Military?

Yes
No

Do you intend to apply for military or veteran's educational benefits?

Yes
No

What is your current military status or the veteran's status if you are a dependent?

Active Duty
National Guard/Reserve
Veteran

I am a*

U.S Citizen
U.S. Permanent Resident
Foreign Citizen

I wish to apply for*

Preferred Learning Style

Online
Blended

Enrolling for*

Do you plan to apply for financial aid?*

Yes
No

Note: To be considered for grants, loans, work-study, and scholarships you will need to complete the Free Application for Federal Student Aid. This form may be obtained through your high school guidance office or through the William Penn University Office of Admissions. It is also available online at www.fafsa.ed.gov.

Are you living with your parents?

Yes
No

Last semester at WPU

Email

This field is for validation purposes and should be left unchanged.