Former NWU Student Reactivation Form

This form serves to initiate the reactivation of any former NWU student pursuing an undergraduate or graduate degree.

If you’re a former student who left in good academic and disciplinary standing, you are immediately qualified to return to NWU. If your circumstance involved a medical withdrawal, disciplinary suspension, or academic suspension/dismissal, your reactivation will need approval by additional administrators or committees in order to re-enroll. You must clear any hold with the university before you can register. Returning student registration information is provided after your reactivation form is approved. The admissions staff is happy to assist you to return to NWU.

Personal Background

Name

First

Middle

Last

Suffix

Preferred First

Other Last Names Used

Address

Permanent Address

Country

Street

City

Region

Postal Code

Do you have another address you would like to include?

Address

Country

Street

City

Region

Postal Code

Type

Email Address

Current Email

Telephone Numbers

Primary Phone

Type

Do you have another phone number you would like to include?

Primary Phone

Type

Biographical Information

Sex

Preferred Pronouns

Birthdate

Citizenship Information

Primary Citizenship

Dual Citizenship

Residency Status

U.S. Permanent Resident

We are comitted to protecting your privacy.

Upon receiving the secure transmission of your Social Security Number, it is immediatly encrypted. Only the last 4 digits of your Social Security Number are available in plaintext for identification and account matching purposes. Your Social Security Number is available for decryption only by those officials who oversee the automated loading of personal information into student information systems, and only for that limited purpose.

Our databases are actively monitored and are firewalled to ensure the protection of your personal information, and we employ all industry-standard safeguards.

Social Security Number

Privacy Protection Policy

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American: A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), who maintains cultural identification through tribal affiliation or community attachment.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions. View Definitions

Are you Hispanic or Latino? (Optional)

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member: (Optional)

Program Information

Reactivating For Term

Do you want to continue in the same program/major you were previously enrolled in?

Reactivating Program Type

New Reactivating Program Type

Would you like to be assigned to the same advisor you had previously?

Advisor Request
(please indicate who you would like your advisor to be, or leave blank if undecided. This request is not guaranteed.)

Graduate Reactivation Program

Traditional Undergraduate Major

Other Institutions Attended

Have you attended another college or university since leaving Nebraska Wesleyan

School Name

Start Date

End Date

Add Another

School Name

Start Date

End Date

Add Another

School Name

Start Date

End Date