Re-Admission Application Form

Re-Admission of        year       semester

Personal Data

on the Student Record

College/Dept

Major

Student ID

Name

(Signature)

Year

Current Address

E-mail

Date of Birth

(YYYY/DD/MM)

Phone

Date of Admission

(YYYY/DD/MM)     Admitted to                  major

Reason for Dismissal

Date of Dismissal :                                         (YYYY/DD/MM)

Reason for Dismissal(check the box) :

□ failure to complete their enrollment during the designated period

□ failure to return after the allowed leave of absence period expires

□ Dismissed transfer students

(general transfer, undergraduate transfer, military commission)

□ Dismissed students who changed their affiliations

□ Students dismissed due to academic warnings and 2 years or more

have passed since dismissal date

□ Voluntarily dismissed students

□ Students dismissed due to exceeding the maximum semester limit

Grade

&

Enrollment

GPA of total credits earned(       /       ) 100 point scale(        / 100 )

Academic warning(s) :         times in total

The number of semesters you've attended :        semesters in total

◎ Notice on personal data collecting and use

Personal data is collected and used without your consent, pursuant to the Article 15, Paragraph 1),

Subparagraph 2), of the Personal Data Protection Act.

Purpose(s) of Collection and Use	Items to be collected	A ground law	Period of Retention and Use
Re-Admission	College/Dept,Major,Student ID, Name of Applicant,Year,Current Address,E-mail,Date of Birth,Mobile Phone,Date of Admission,Student Record Info(Dismissal,Grade,Enrollment),Academic Plan	the Article 29-2, Higher Education Enforcement Decree	Application Documents: 10 years Student Record: semi-permanent

[Guardian’s Information]

Name of Guardian

(Signature)

Phone

Relationship to the student

◎ Notice on personal data collecting and use

Personal data is collected and used without your consent, pursuant to the Article 15, Paragraph 1),

Subparagraph 2), of the Personal Data Protection Act.

Purpose(s) of Collection and Use	Items to be collected	A ground law	Period of Retention and Use
Re-Admission	Name of Guardian, Phone	the Article 29-2, Higher Education Enforcement Decree	Application Documents: 10 years

[Attachment]

Official Transcript, 학적증명서(Certificate of academic record issued in korean only),

Petition for Re-admission, Academic Plan, Written Oath

20   .     .     .

To the President of Yonsei University

Petition for Re-admission

Student ID :

Name :

20   .     .     .

Petitioner :             (Signature)

Written Oath

1. If re-admission get accepted, I will observe the statutes of the university and the student's duties so as not to bring disgrace on the honor of the university.

2. I am fully aware that my re-admission can be cancelled if any of the submitted documents include false information.

3. If I violate the statutes of the university or bring disgrace on the honor of the university while attending university, I will accept punishment by the university statutes.

4. I am fully aware that I will be dismissed by the university statutes if I am found to be attending another university/college after my re-admission is accepted.

5. I am fully aware that re-admission is allowed only once and re-admission is not allowed ever again even though the acceptance got cancelled due to failure to pay tuition.

6. I am fully aware that the academic records(Period of attendance, Academic warning(s), Earned credits, Grades. etc.) before dismissal remain.

20   .     .     .

Applicant   :                                  (Signature)

To the President of Yonsei University

Academic Plan                      [for UIC student]

Affiliation	Underwood International College Major:			Student ID #			Name
Semesters attended		Total credits earned			Required graduation credits

※ Please write down the details of completed courses and the study plan until the graduation semester after re-admission based on the graduation     requirements.

Category		List of Graduation Requirement Courses & Completed Courses			Courses to be completed
		Course Title	Credit	Check for completion	Course Title	Credit
Common Curriculum	CC
	RC requisite
	UICE
	TOTAL		(1)
CC Chair: (signature)
Category		List of Graduation Requirement Courses & Completed Courses			Courses to be completed
		Course Title	Credit	Check for completion	Course Title	Credit
Major	Basic
	Requisite
	Elective
	TOTAL		(2)			(5)
General Elective	※ Please write down the other credits except CC & major		(3)		Example: General Elective ** credits scheduled to register	(6)
Subtotal			(1+2+3)			(4+5+6)
[For Department Chair]
I, hereby confirm that I conducted personal consultation regarding the applicant’s academic plan. Date of Counseling: 2020. . . Department Chair: (signature)