Reinstatement Application – Student Development

Kalamazoo College Student ID number: *

Legal Name: *

First Middle Last

Current Address: *

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

Phone:

Email *

Permanent Mailing Address:

For all correspondence, if different from current address above.

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

Previous Attendance at Kalamazoo College

Academic Year:

(example: 2016-2017)

Quarters Attended:

Fall
Winter
Spring

Academic Year:

Quarters Attended:

Fall
Winter
Spring

Academic Year:

Quarters Attended:

Fall
Winter
Spring

Previous Major(s):

Former Academic Advisor:

Questions

Why do you wish to resume your academic work at Kalamazoo College? *

Please address your reasons for leaving, your activities while away from college, and how you and the circumstances have changed:

Term and Year you are seeking to return to K: *

Colleges/Universities Attended *

List name, address, and dates of attendance for all colleges/universities attended while away from Kalamazoo College. Failure to do so may forfeit your application. *Students who left the college on academic probation may be required to show successful completion of coursework at another institution while away from the College:

Acknowledgement *

I acknowledge that it is my responsibility to understand and complete all course requirements of the College and the rules and regulations governing the general conduct of all members of the College community.

Signature *

Reinstatement Application Form

Previous Attendance at Kalamazoo College

Questions