Application for Readmission

Applicant Information

Have you attended any other institutions after leaving Morehouse College?

Yes

First Name*

Middle Name

Last Name*

Birthdate*

Social Security Number

Email Address(Personal)*

Mobile Phone Number

Home Phone Number

Mailing Address*

Country

Street

City

Region

Postal Code

Which ethnic or racial group do you identify yourself with?

Do you identify as Hispanic or LatinX?

Citizenship*

Marital Status

Preferred Start Term*

Intended Major*

Parent/Guardian Information (Optional)

Parent/Guardian Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Address

Country

Street

City

Region

Postal Code

Essay

Please write a brief essay on the following: What were the circumstances of your discontinued degree work? Please discuss the reason for your return and any changes that have occurred during your departure from the college.*

Additional Information

Have you ever been suspended or placed on probation during your matriculation at Morehouse?*

Yes

Please explain the circumstances of your suspension or probation.

Have you ever been charged with a criminal offense? (Not including charges which resulted in a verdict of not guilty or a complete dismissal.) *

Yes

Please explain the circumstances surrounding your criminal offense.

Have you ever been convicted of a felony?*

Yes

Please explain the circumstances of your felony conviction.

By submitting this form, I certify that the above statements are true. I understand that Morehouse College reserves the right to rescind any offer of admission to a student providing false information.