Note: Items marked with a red asterisk (*) are required.

...College Tracking: [webform_submission:values:tracking_notes_for_college]

...Conditions: [webform_submission:values:condition_details]

Return Quarter and Plan
Use ⌘-click on a Mac or CTRL-click on Windows to select more than one option.
Are you applying as an F-1 Visa student?
Contact Information
Your seven digit school ID number.
The first part of your email address.
Note that College Eight is now Rachel Carson College, and Collge Ten is now John R. Lewis College.
We prefer that you use your if it is still active (up to 12 months from departure). If your email address is no longer active, please provide an alternate email address (it will need to match the alternate email address on your portal).
When you last attended UC Santa Cruz
Were you on academic probation, subject to disqualification, disqualified or barred?
If you were not in good standing at the time you left UCSC, you must submit a letter to the Provost/Academic Standing Committee detailing the circumstances of your leave and more importantly, what steps you will be taking to get back into good standing.
One file only.
100 MB limit.
Allowed types: pdf, doc, xls, xlsx, jpg, png, jpg, docx.
Did you take a formal medical leave?
Did you leave for military deployment?
Attendance at other schools since your last enrollment at UCSC
Did you attend another UC?
Completed coursework will be on your unofficial transcripts. Please list any schools you have attended with dates during your time away from UC Santa Cruz ("DeAnza College, June 2016 - December 2016"). If you did not attend any other institutions during your absence, write "None" in the space below.
If you have any courses that are currently in progress, please list the institution and the course names here ("Cabrillo College - Math 7"). If you do not have any courses that are in progress, write "None" in the space below.
Transcript Uploads
Please upload any transcripts from coursework taken during your time away (please include enrollments for any progress work even if you have not yet been awarded grades).
Maximum 10 files.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, jpg, png, jpg.
Final Comments
Are there any other details that we should know that might impact your readmission? ("I plan on taking ENGL 102 at LAVC this summer" or "I will meet all the requirements of my bar/disqualification conditions")
I understand that this application process incurs a $70 processing fee and I agree to have it posted to my student account (unless I have already been granted an admissions fee waiver). I understand that this fee is applicable upon submission of this form, regardless of approval/denial outcome, and whether or not I attend.
I certify that I have carefully considered each question and that my statements are true and complete to the best of my knowledge. Furthermore, I understand that cancellation of my readmission may result if any information is found to be incomplete or inaccurate.
6 + 8 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.