Re-Admission Application Form

Applying for the 1st/2nd semester of 20     academic year readmission

[Personal Data on the Student Record]

College

Major

Student ID

Year

Name

(Signature)

Date of Birth

(YYYY/DD/MM)

Address

Phone No.

E-mail

Date of Admission

(YYYY/DD/MM)     Admitted to                  major

Reason for Dismissal

Date of Dismissal :                                         (YYYY/DD/MM)

Please check your reason for dismissal:

Failed to complete enrollment or course registration during the designated period

Failed to return after the allowed leave of absence period expired

Poor academic standing with three or academic warnings and 2 years or more have passed since dismissal date

Voluntarily dismissed students

Failed to complete the graduation requirement within the maximum semester limit

Admission & Change of Affiliation

Please check if you’re fall into any of the following cases:

Transferred: general transfer, transferred for 2nd bachelor’s degree

Changed affiliation or major

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,Major,Student ID, Year,Name,Date of Birth,Address,Phone No.,E-mail,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

[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 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.

5. 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: 20 . . . Department Chair: (signature)