"Changing Lives... One Student at a Time"
Re-Entry/Re-Admit Action Plan
*Student ID
*Email Address
Date of Birth
*First Name
Middle Name
*Last Name
*Street Address (Include Apt. No.)
*City
*State
*Zip Code
*Primary Phone
*Phone Type
-Select-
Home
Cell
Work
Secondary Phone
Phone Type
-Select-
Home
Cell
Work
*Location Previously Enrolled at
--- Please Select ---
Alexandria Campus
Baltimore Campus
Falls Church Campus
Newport News Campus
Online Programs
Glen Allen (Richmond) Campus
Virginia Beach Campus
Woodbridge Campus
*Pick Location
--- Please Select ---
Alexandria Campus
Baltimore Campus
Falls Church Campus
Newport News Campus
Online Programs
Glen Allen (Richmond) Campus
Virginia Beach Campus
Woodbridge Campus
*Pick Program
--- Please Pick Location First ---
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I wish to re-enter/re-admit for:
---Select---
2019-Q2 (3/18/2019)
2019-Q3 (5/27/2019)
2019-Q4 (8/5/2019)
Please provide reason(s) which resulted in an administrative or student-initiated withdrawal:
Work
Medical
Financial Issues
Family Issues
Death of a loved one
Housing
Childcare
Other
How did you change the obstacles that resulted in your administrative or student-initiated withdrawal?
What is your action plan to prevent a withdrawal from occurring in the future? What steps do you believe are necessary to ensure future academic success and preparation for re-entry? (i.e. tutoring, time management, organizational skills, etc.)
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