Admissions Application Reinstatement Form
Please submit this form if you would like to change the semester you intend to enroll as indicated on your application to the University of Holy Cross. Your UHC application is active for one academic year (fall through summer), and reinstatements are active for one academic year. If you intend to apply for a new academic year, a new UHC application must be completed at uhcno.edu/apply.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Student ID Number
*
Example: 000-XX-XXXX
Social Security Number
*
Example: XXX-XX-XXXX
Birth date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
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Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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2009
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Which enrollment semester did you originally choose on your UHC application?
*
Fall
Spring
Summer
Indicate the year originally chosen for enrollment on your UHC application:
*
2023
2024
2025
I wish to update my UHC application to the following enrollment term:
*
Fall
Spring
Summer
Indicate the year you wish to update your UHC application enrollment term:
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2024
2025
2026
Have you logged into Self-Service to schedule classes for this term?
*
Yes
No
Unsure
What type of student are you?
*
Freshman
Transfer
Readmit
Master's
Doctoral
Certification
High School/Dual Enrollment
Visiting/Non-Matriculating/Non-Degree
Intended Major:
*
Please Select
-Accounting
-Addictions Counseling (AS)
-Addictions Counseling (BS)
-Applied Behavioral Sciences
-Biology
—Biology: General Biology track
—Biology: Cell & Molecular Biology track
—Biology: Pre-Dental Hygiene track
—Biology: Pre-Dentistry track
—Biology: Pre-Medicine track
—Biology: Pre-Optometry track
—Biology: Pre-Pharmacy track
—Biology: Pre-Physical Therapy track
—Biology: Pre-Physician Assistant track
—Biology: Pre-Veterinary Medicine track
—Biology: Secondary Teacher Certification track
-Business Administration
—Business Administration: Healthcare Management track
—Business Administration: Management track
—Business Administration: Marketing track
—Business Administration: Accelerated Organizational Management track
-Catholic Theology
-Counseling
—Counseling: Clinical Mental Health specialization
—Counseling: Marriage, Couple, & Family specialization
—Counseling: School Counseling specialization
-Counseling: Counselor Education & Supervision
-Culinology
-Educational Leadership
-Elementary Education
—Elementary Education: Secondary Education (6-12) alternative certification in biology, business, English, French, general science, mathematics, social studies, and Spanish
-English
-Executive Leadership
-General Studies
-Health Sciences
—Health Sciences: Diagnostic Medical Sonography track
—Health Sciences: Pre-Public Health track
—Health Sciences: Pre-Occupational Therapy track
—Health Sciences: Pre-Audiology track
—Health Sciences: BS completion option
-Humanities
—Humanities: English concentration
—Humanities: Philosophy concentration
-Juvenile Counseling
-Liberal Arts
-Management
—Management: Healthcare Management track
—Management: Human Resource Management track
-Neurodiagnostic Technology
-Nursing
-Psychology
-Radiologic Technology
-Social Counseling
-Teaching & Learning
—Teaching & Learning: ESL track
—Teaching & Learning: Instructional Leadership track
—Teaching & Learning: Reading Specialist track
—Teaching & Learning: Religious Education track
—Teaching & Learning: Special Education track
-Theology
—Theology: Elementary Religious Education track
—Theology: Secondary Religious Education track
CERTIFICATION
-Certification-Only: Elementary Education Grades 1-5
-Certification-Only: Secondary Education Grades 6-12 (certification in biology, business, English, French, general science, mathematics, social studies, or Spanish)
-Certification-Only: Elementary Education Grades 1-5 with an Add-On in ESL
-Certification-Only: Secondary Education Grades 6-12 (certification in biology, business, English, French, general science, mathematics, social studies, or Spanish) with an Add-On in ESL
-Certification-Only: Elementary Education Grades 1-5 with an Add-On in Special Education Mild/Moderate Grades 1-5
-Certification-Only: Secondary Education Grades 6-12 (certification in biology, business, English, French, general science, mathematics, social studies, or Spanish) with an Add-On in Special Education Mild/Moderate Grades 6-12
-ESL Add-On Certification
-Special Education Mild/Moderate Add-On Certification
-Post-Master Reading Specialist Add-On Certification
-Post-Master Educational Diagnostician Add-On Certification
Signature
*
Date:
*
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Month
-
Day
Year
Date
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