Reactivation form for undergraduates

(Graduate students: please see Extension and Readmission.)

Student number:

Name when enrolled at SFU:

Birthdate:

Please also include the following information:

First name:

Middle name:

Last name:

Street address

Street address 2

City:

Province/State:

Country:

Postal Code:

Telephone (days/work):

Telephone (evenings or other):

Email address:

If you did not complete all of your former programs (eg, BA in Arts and Social Sciences), we will reactivate that former program. If you wish to change to another program, the change must be approved by the appropriate Faculty or department/school.

If you have completed all your programs ie, graduated), select the Faculty you are now applying for. Your new program must be authorized by the appropriate Faculty or department/school. In the meantime, you will be placed in a non-degree program in the Faculty you have checked below.

Applied Sciences

Arts and Social Sciences

Business

Communication, Art and Technology

Education

Environment

Health Sciences

Science

If you anticipate that a family member, friend, or representative will be enquiring on your behalf about your application and you wish that person to have access to that information, we require your written permission before releasing any personal information.

For the period from today until the start of the term to which I am applying, I hereby consent to the release of information concerning my application for admission to:

Please give access to: (full name)

Relationship to you:

By submitting this form I am confirming that I have not taken any course work from another postsecondary institution and was not required to withdraw nor am I on extended withdrawal from Simon Fraser University.

I certify that all statements on this application are true and complete. I consent to the disclosure of information on this form to other education institutions when necessary to verify my qualifications. If the authenticity of the information I have submitted cannot be verified, I consent to the notification of this fact to member institutions of the Association of Universities and Colleges of Canada. I understand failure to provide my consent, or any misrepresentation, may result in cancellation of my reactivation status.

Freedom of Information and Protection of Privacy

If you have any questions about the collection and use of this information please contact Student Services at urecords@sfu.ca.