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Request for Reinstatement
Please use this form if you have been absent from Robert Morris University for four(4) consecutive semesters not including the summer session.
First  MI  Last 
Current Address 
 
 
City 
State 
Zip 
Home Phone 
Work Phone 
E-mail 
Citizen Status 
Date of Birth   mm/dd/yyyy
High School Graduation Year or 
Equivalent 
 yyyy
Previous Address 
Previous Name(s) 
 
Requesting Reinstatement for the Following: (place year in appropriate space)
 yyyy
 
Please select which degree / major you would like to re-enter under,
you will be notified if your choice is accepted:
Undergraduate Degree Graduate Degree

 
By checking this box, I hereby make my electronic signature. I have read and agree to all of the conditions of the electronic signature
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