Penn State University Office of the University Registrar
Penn State's Home Page Office of the Registrar's Home Page
Undergraduate Re-enrollment Form

Please fill out this online form, print (using "Print Form" button below), sign and return
the form to the Registrar's Office of the campus at which you plan to enroll.

A $20.00 non-refundable re-enrollment fee will be required to complete this application.


     OR     
Permanent Residence:  (Confirmation letter will be sent to this address.)

ex: 800-234-5678 or (800) 234-5678
 

Since you last enrolled at Penn State, have you attended another college or university?
If you answered Yes, please arrange for an official transcript to:
Undergraduate Admissions Office, 201 Shields Building, University Park, PA 16802
 

Since you last enrolled at Penn State, have you been dismissed/suspended for disciplinary reasons from any other institution?
 

Since you last enrolled at Penn State, have you pled guilty or no contest, participated in a presentencing diversion program and/or been convicted of a criminal offense, or are there criminal charges pending against you at this time?
 
Re-enrollment Request:
View Degree/Major Information
   
Degree:


Revised: 11/05/2013