Graduate Readmission Form

Background Information

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Reason for Readmission(Required):

This field is required.

Todays Date(Required):

This field is required.

Your Information

Please provide all information below:

Name

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Questions

Permanent Mailing Address(Required) This field is required.

Cell Phone Number(Required) This field is required.

Email address (Non-Lehigh)(Required) This field is required.

Semester you plan to return(Required) This field is required.

Are you a distance education student?(Required) This field is required.

Are you an international student?(Required) This field is required.

What academic department are you affiliated with?(Required) This field is required.

Supporting Documentation

Please provide electronic copies of any supporting information, including LINK HERE a completed SOS Petition Form if required. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Background Information

Your Information

Questions

Supporting Documentation

Submission