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. *

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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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