College of Liberal Arts Re-Entry Form Date Last name: * First name: * Student I.D. # * Email (non-Drew) * (The email we can send a response to your request) Permanent Address (Street, City, State, Zip Code) Phone * Were you previously registered with our Disability Services office? * Yes No Anticipated Semester Return: * Spring Fall January Summer Have you taken credits elsewhere in your absence from Drew and if so how many? * Type of Leave you are returning from: Disciplinary (3) Financial Medical (4) Voluntary Please provide a detailed explanation of your reason for leaving and state what has occurred in the time you have been away from Drew * Please review the following checklist for re-entry: Footnotes: 1- Students returning after more than one year leave must Petition the Committee on Academic Standing 2- If you were on a required leave, you must be approved by the Committee on Academic Standing. Your re-entry application will be forwarded to the Committee by the Registrar. 3- Must be approved by the Dean of Campus Life and Student Affairs 4- Must be approved by the Dean of Campus Life and Student Affairs If you are returning from a medical leave, you must submit verification from a medical professional, indicating that you are receiving continued treatment for your medical condition (when applicable) and are well enough to return to school and reside on campus. Uploading Files. Please Wait.