Application for re-admission

VIC RE-ADMIT APPLICATION

BIOGRAPHICAL INFORMATION

PERMANENT ADDRESS

PERSONAL INFORMATION - FOR REPORTING PURPOSES ONLY

Virginia Intermont College does not discriminate either in the admission of students or in any of its policies, programs, or activities on the basis of race, religion, color, sex, national or ethnic origin, disability, sexual orientaion, or age
Are you Hispanic or Latino?
Regardless of how you responded to the prevous question, please select one
Gender(required)
Religious Affiliation
Are you the first person in your family to attend college?

EDUCATION INFORMATION

ENROLLMENT STATUS INFORMATION

Anticipated Academic Enroll Year and Term(required)
Enrollment Classification(required)
Enrollment Status(required)
Each student taking 12 or more credit hours is required to live on campus unless the student is living with a parent or legal guardian, is 21 years of age by the start of the fall semester, or has junior status.
I will live(required)
Intended Major(required)
2nd Major
Intended Minor

ATHLETIC INFORMATION

Are you interested in playing intercollegiate athletics for Virginia Intermont College?(required)
If so, which sport?

OTHER INFORMATION

Are you on academic/social probation at any other college?(required)
If yes, please provide a brief explanation.
Have you ever been convicted of a felony?
If yes, please provide a brief explanation
I give Virginia Intermont College permission to release my name, hometown, and major for publicity purpose(required)
I verify that the information provided on this form is true and accurate to the best of my knowledge, and I understand that both my application and my enrollment may become void if information found herein is determined to be false.

Admission