When do you expect to re-enter Rust College? *

Which year? *

What is your first name? *

What is your middle name? *

What is your last name? *

What is your student ID#?

What is your permanent mailing address? *

City? *

Zip code? *

What are the best phone numbers to reach you? *

What is your social security number? *

What is your date of birth? *

Where will you reside? *

What is your classification? *

What is your major? *

Who is your Academic Advisor?

When did you last attend Rust College? *

What was your reason for leaving? *

If you choose "Other," please be specific

Do you plan to apply for Financial Assistance? *

Have you attended another College or University? *

If yes, what is the name of the school?

When did you attend that school?
Please submit all academic transcripts from previously attended colleges/universities.

Statement - If admitted, I agree to follow the rules and regulations of Rust College during my attendance. *

Thank you for applying to be re-admitted at Rust College!
Please remember that students should not report to Rust College until an approval notice in writing has been received by him/her.
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