Re-Admission Application Form(Special Round)

Re-Admission of        year       semester

Personal Data

on the Student Record

College/Dept

Major

Student ID

Name of Applicant

(Signature)

Year

Current Address

E-mail

Date of Birth

(YYYY/DD/MM)

Phone

Date of Admission

(YYYY/DD/MM)     Admitted to                  major

Reason for Dismissal

Date of Dismissal :                                         (YYYY/DD/MM)

Reason for Dismissal(check the box) :

□ Dismissed transfer students

(general transfer, undergraduate transfer, military commission)

□ Dismissed students who changed their affiliations

□ Students dismissed due to academic warnings and 2 years or more

have passed since dismissal date

□ Voluntarily dismissed students

□ Students dismissed due to exceeding the maximum semester limit

Grade

&

Enrollment

GPA of total credits earned(       /       ) 100 point scale(        / 100 )

Academic warning(s) :         times in total

The number of semesters you've attended :        semesters in total

◎ Notice on personal data collecting and use

Personal data is collected and used without your consent, pursuant to the Article 15, Paragraph 1),

Subparagraph 2), of the Personal Data Protection Act.

Purpose(s) of Collection and Use	Items to be collected	A ground law	Period of Retention and Use
Re-Admission	College/Dept,Major,Student ID, Name of Applicant,Year,Current Address,E-mail,Date of Birth,Mobile Phone,Date of Admission,Student Record Info(Dismissal,Grade,Enrollment),Academic Plan	the Article 29-2, Higher Education Enforcement Decree	Application Documents: 10 years Student Record: semi-permanent

[Guardian’s Information]

Name of Guardian

(Signature)

Phone

Relationship to the student

◎ Notice on personal data collecting and use

Personal data is collected and used without your consent, pursuant to the Article 15, Paragraph 1),

Subparagraph 2), of the Personal Data Protection Act.

Purpose(s) of Collection and Use	Items to be collected	A ground law	Period of Retention and Use
Re-Admission	Name of Guardian, Phone	the Article 29-2, Higher Education Enforcement Decree	Application Documents: 10 years

[Attachment]

Official Transcript, 학적증명서(Certificate of academic record issued in korean only),

Petition for Re-admission, Academic Plan, Written Oath

20   .     .     .

President of Yonsei University

Petition for Re-admission

Dept/Major :

Student ID :

Name :

20   .     .     .

Petitioner :             (Signature)

Academic Plan

Dept/Major	Department Major			Student ID			Name
Semesters Attended		Total Credits Earned		Required Graduation Credits

Classification		Courses already completed		Courses to be completed
		Course Title	Credit	Course Title	Credit
Liberal Education	University Basic
	Uinversity Requisite (including RC requisite,대학교양)
	Elective
	Total
	University College Confirmation : (Signature)
Major	Basic
	Requisite
	Elective
	Total
Recommendation of Major Chair
Major Chair's Confirmation : (Signature)

* Please write down the specific academic plan(including course titles) from re-admission to graduation.

* Recommendation should include comments on the student’s academic plan.

Written Oath

1. If re-admission get accepted, I will observe the statutes of the university and the student's duties so as not to bring disgrace on the honor of the university.

2. I am fully aware that my re-admission can be cancelled if any of the submitted documents include false information.

3. If I violate the statutes of the university or bring disgrace on the honor of the university while attending university, I will accept punishment by the university statutes.

4. I am fully aware that I will be dismissed by the university statutes if I am found to be attending another university/college after my re-admission is accepted.

5. I am fully aware that re-admission is allowed only once and re-admission is not allowed ever again even though the acceptance got cancelled due to failure to pay tuition.

20   .     .     .

Applicant   :                                  (Signature)

President of Yonsei University