Re-Matriculation Form

INSTRUCTIONS: For Former Undergraduate Students Only. Complete this form to have your matriculation reinstated if you plan to: 1) complete an unfinished undergraduate degree; or 2) pursue a second undergraduate degree. A $50 non-refundable re-matriculation fee will be charged to your account (even if no registration occurs).

IMPORTANT:

If you attended another college since leaving Stockton, you will need to apply through the Office of Admissions.

If you are interested in returning for a nursing degree, contact the Nursing Program directly for information about admission. At Stockton the nursing program is a limited, competitive, and fall semester entry only program with special admission requirements.

If you are not pursing a degree and plan to take only a few courses, you will need to complete the Non-Matriculated Student Application.

If you have been dismissed, you will need to contact the Office of the Provost at appeals@stockton.edu to request reinstatement.

Please allow approximately 10 business days for processing. Once the form is processed, account information and instructions for course registration will be sent to the email provided.

Personal Information

Please enter you personal information. Fields with an asterisk are required.

Student ID:Your Z-Number, if known.

First Name:*

Last Name:*

Middle Initial:

Date of Birth:*dd/mm/yyyy

Street Address:*

City*

State*

Zip code:*

E-Mail:*

Reason for Re-matriculation*

I am planning to complete an unfinished undergraduate degree

I am planning to pursue a second undergraduate degree

Re-Matriculation Date and Program Information

Please enter the re-matriculation semester, year, degree, and program information.

Semester*

Year*Ex:2020

Degree Type*

Program / Major*Ex: Psychology

Have you ever been convicted of a misdemeanor, felony or other crime?*

Yes

If you answered “yes” to the question above, please enter the approximate date of the incidents and explain the circumstances.

Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade forward, whether related to academic misconduct or behavioral misconduct that resulted in your probation, suspension, removal, dismissal or expulsion from the institution?*

Yes

If you answered “Yes” to the question above, please enter the approximate date of the incident(s) and explain the circumstances.

By submitting this form you understand that re-matriculation is subject to the current curriculum and pre-requisite requirements described in the University Bulletin and that all information on this form is accurate.