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Graduate Education: Readmission Form

This document is a readmission form for the Massachusetts Institute of Technology (MIT) graduate program. It provides instructions for students seeking readmission after an absence of one or more terms from their degree program. The three-step process involves the student submitting the completed form to their home department for review. If approved, the department will send the form to the Office of Graduate Education, who will then reactivate the student's record in the admissions database. The form requests information from the student such as contact details, original entry date to the program, reason for withdrawal, and whether they are seeking financial aid upon readmission.

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M Rifky Farras
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60 views1 page

Graduate Education: Readmission Form

This document is a readmission form for the Massachusetts Institute of Technology (MIT) graduate program. It provides instructions for students seeking readmission after an absence of one or more terms from their degree program. The three-step process involves the student submitting the completed form to their home department for review. If approved, the department will send the form to the Office of Graduate Education, who will then reactivate the student's record in the admissions database. The form requests information from the student such as contact details, original entry date to the program, reason for withdrawal, and whether they are seeking financial aid upon readmission.

Uploaded by

M Rifky Farras
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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lllii

Massachusetts
MIT Graduate Admissions
lnstitute of Massachusetts lnstitute of Technology
Technology 77 Massachusetts Avenue, Building 35-338
Cambridge MA, 02139-4307
Office of Graduate Education 617-324-6730 [email protected]

Directions
Readmission Form
Submit this form if you wish to resume a degree program interrupted by absence of one or more terms (not counting the summer term). For
work leading to another degree in the same department or to a degree in another department, contact department and submit a new application.

Step 1: Student Step 2: Department Step 3: Office of Graduate


Submit completed form directly to your home department Department will review, and send completed form Education (OGE)
for review by email. lf reapplying after an absence of one by email to [email protected] or on paper to Building OGE will enter approved application
or more academic years submit on paper, and include a 35-338 (if check is included). Department will into the admissions database
$75 application fee, payable by check or money order to communicate with student about registration (Grade20) to initiate reactivation of
MIT Graduate Admissions. This fee is not refundable. procedures and requirements. student record.

MR.
Full L•g•I Neme Ms.
FAMILY NAME GIVEN NAMES IN FULL; UNOERLINE GIVEN NAME av WHICH vou PtlEFER TO 8E IOE"1Y"IEO.

2 Reply AddreH
No. STI\EET CITY STATE Z1PCOOE TELEPHONE

3 Home AddraH
No. STREET CITY STATE ZlPCooe TELEPHONE

4 Dete of Birth US Citizen? lf not, whet type of US vise do you hold?


MONTI!/ DAY(YEAA

5 MIT ID Number:

e Thit is an application for raadmluion to the dep•rtmant of D February D Juno D September 20 __

to specialize in tha field of: for tha d119ree of


SPECIFIC SUS-AREA IN THE OEPARTMENT S.M., PH.0., ETC

7 Data of origin•I entry to tha program Data of withdrawal:

8 Reasons for wlthdrawel:

9 Occupation since withdrawal:

10 Do you wish to be considered for financlal •id? D yes D no A student ans-ring afflrmatively will be contidered for each form of aid
adminittered by MIT for whlch he may be eliglble, includlng the award for Federal Traineethlp. In torna departmentt the student may hava
preference for one form of eid over another: lf you hava a prafarence, plaase indicata your order of cholca hare:
D AeH•rc:h Aulttantshlp D Teac:hlng Aul1tant1hip D MIT Fellowahlp or MJT Admlnlltared Federal TralnMlhlp or lndultrial Fellowshlp

Other fellowshipls) Support from an induttrlal, mllltary or othar employar


GMNAME GMNAMI:

Signature Data

Approved D Not Approvad O by D•t•


CHNIr. DePAJITMENT CoMMITTEE

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