Application for Re-Admission

"*" indicates required fields

This form is to be used by a student who is seeking readmission after one of the following:*

Exclusion from a course

Exclusion from Avondale

Administrative discontinuation

(Tick one only)

Avondale Student ID:

Name*

Given Name(s) Family Name/Surname

Personal Email Address*

Residential Address:*

Street Address City State Postal code Country

Contact Phone Number:*

Course in which you were previously enrolled:*

Course in which you are seeking to enrol:*

What impacted on your capacity to be successful with your study when you were enrolled?*

What strategies would you implement to ensure your success if your application is successful?*

Do you have any evidence to support your application? If so, list the evidence and attach all relevant documents to this application.*

Upload supporting documentation:

Drop files here or

Accepted file types: pdf, Max. file size: 5 MB.

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