Reactivation Form

Before submitting this form, we recommend you consult with your academic department to determine if you are eligible to return to your program. In order to avoid a possible late enrollment fee, this form should be submitted one month prior to the first day of class of the term for which you are returning. To review deadlines for the semester, including enrollment deadlines and the first day of class, please consult the standard university academic calendar.

After this form is submitted, the Registrar’s Office will consult with your academic program to determine your return eligibility.

Please complete all sections of this form. If you have questions or need additional assistance, please contact the KUMC Registrar’s Office at (913) 588-7055 or kumcregistrar@kumc.edu.

This reactivation is for:

First Name:

 

Last Name:

 

Email address:


 

Address:

 

City:

 

State:

 

Zip:


 

Have you moved in the last 12 months?

 

KU ID:

 

Telephone:

 

What is your department/degree that you are requesting for reactivation:

 

Last modified: Aug 04, 2014
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