Request for Readmission
 
Personal Information:      
         
First Name:     Middle Name:   (optional)
 
Last Name:     Date of Birth:   (MM/DD/YY)
 
FIT ID Number: @ (Do not use SS#) Gender: Female Male
 
Contact Information:
 
FIT Email Address:  
   (Your FIT email will be used for all correspondences)
 
Secondary Email:   (optional)
 
Home Phone Number:    
 
Daytime Phone:   (optional)
 
Permanent Address:   (Street & Number)
 
City:   State/Province:  
 
Zip/Postal Code:   Country:  
 
Indicate the mailing address below (where you would like to receive mail) if different from the above permanent address.
Mailing Address:   (Street & Number)
 
City:   State/Province:  
 
Zip/Postal Code:   Country:  
 
Citizenship:

 
Are you a U.S. citizen?

Yes

 No

If no,

 country of birth:  
         
If you are a U.S. permanent resident (Green Card holder),  
please provide your A-Number:
         
If not a U.S. permanent resident, provide current status in the U.S.  
         
Will you require an I-20/F-1 visa to attend FIT?     Yes No
         
FIT Degree Information:

Abbreviations Table
         

Major to which you were previously admitted at FIT:
 
Intended Major for readmission:
 
Re-entering Semester:  
 
Desired Semester Status:
 
Indicate the last semester you were admitted to a degree program at FIT:
           
Are you currently enrolled as an admitted degree student at FIT? Yes No 
           
Where you previously in an opportunity program such as EOP, SEEK, HEOP? Yes No
           
Please list any institutions you have attended since you last enrolled at FIT:
 
 
           
Please review the accuracy of the information above before clicking the submit button.
After submitting your request for readmission, print a copy of the confirmation page for your records.