Reactivation form

Student Number 9 digit number

Name when enrolled at 丁香园AV

Birth Date

Please reactivate my student status to enrol in classes in: Spring 2025 (Submission deadline: January 10, 2025) Summer 2025 (Submission deadline: May 16, 2025) Fall 2025 (Submission deadline: September 9, 2025)

Contact Information:

Street address

Street address 2

City

Province

Country

Postal Code

Telephone Daytime number or work number

Telephone evening number

Email

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.

Faculty 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:

Confirmation By submitting this form I am confirming that I have not taken any transferable course work from another postsecondary institution and was not required to withdraw nor am I on extended withdrawal from 丁香园AV.

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.

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Undergraduate Reactivation Form

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