Penn State Office of the University Registrar
Undergraduate Reinstatement 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 $35.00 non-refundable reinstatement fee will be required to complete this application.

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 be sent to the
Undergraduate Admissions Office

Have you ever been dismissed or suspended for disciplinary reasons from secondary school, Penn State, or any other institution, OR are you ineligible to return to a prior institution due to a dsciplinary matter?

Is there an unresolved or pending disciplinary matter at a prior institution?

Have you ever pled guilty or no contest to, participated in a presentencing diversion program for, and/or been convicted of a criminal offense, OR are there criminal charges pending against you at this time?
Reinstatement Request:
View Degree/Major Information

Revised: 11/05/2013