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Intent to Return Form
Intent to Return Form
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Former students express their intent to return.
Applicant Information
First name
Middle name
Last name
Former name (if applicable)
First and last name previously used at UD
Date of birth
(mm/dd/yyyy)
Manually enter as MM/DD/YYYY
University ID
First 9 digits of your university ID, including leading zeros, NOT 10 digits. (e.g. 001234567, 101234567)
Permanent home address
City
State
Zip code
Country
United States of America
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Congo-Brazzaville)
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czechia (Czech Republic)
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (fmr. "Swaziland")
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Other
Pakistan
Palau
Palestine State
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone number
Non-UD email address
Academic Information
Re-entry term and year
Spring 2025
Summer 2025
What college / school are you returning to?
College of Arts and Science
School of Business
School of Engineering
School of Education and Health Sciences
What academic level you are returning to?
Undergraduate
Graduate
Doctoral
Were you a part of the UD Sinclair Academy (UDSA)?
Were you a part of the UD Sinclair Academy (UDSA)?
No
Yes
Have you taken any college level courses while you were not attending UD?
Have you taken any college level courses while you were not attending UD?
No
Yes
Have you requested official transcripts for those courses to be sent to UD?
Transcripts can be sent to transcripts@udayton.edu
Have you requested official transcripts for those courses to be sent to UD?
No
Yes
What date did you request your transcripts to be sent?
(mm/dd/yyyy)
List the college(s) and dates of attendance
College 1
College 2
College 3
Do you have additional colleges to add?
Do you have additional colleges to add?
No
Yes
College 4
College 5
Additional Information
Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in disciplinary action?
Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in disciplinary action?
No
Yes
Provide the name of each institution
Provide details that give the approximate date of each incident and explain the circumstances
The University of Dayton may choose to contact previous institutions to receive verification and confirmation of the information disclosed above. If a release of records does not exist with the institutions listed, the University of Dayton may contact you to receive a release of records and request your prompt compliance.
Have you ever been adjudicated guilty or convicted of a misdemeanor or felony?
Note that you are not required to answer “yes” to this question, or provide an explanation if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.
Have you ever been adjudicated guilty or convicted of a misdemeanor or felony?
No
Yes
Provide the city and state of each incident
Provide details that give the approximate date of each incident and explain the circumstances
Upload court records, police records, and other supporting documentation through Registrar's Secure Upload site
Failure to submit the appropriate documentation could result in the denial and/or delayed processing of your application.
https://go.udayton.edu/SupportDocUpload
Statement of Applicant
Electronic signature
I certify the information on this application is complete and correct. I understand any deliberate attempt on my part to conceal or modify any information is adequate cause for denial of this application for admission or dismissal from the university.
I hereby request readmission to the university and understand that the college into which I request this readmission has the final decision, as per University policy.
Electronic signature
I certify and agree
If you are submitting this form as a public requestor (you are not
signed in to TeamDynamix
with your UD username and password), additional fields will show below. Enter your
First Name
,
Last Name
, and
P
referred Email Address
where you would like to receive updates about this request.
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code