Admissions Application Reinstatement Form

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 NameLast 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*

MonthDayYear
Which enrollment semester did you originally choose on your UHC application?*

FallSpringSummer
Indicate the year originally chosen for enrollment on your UHC application:*

202320242025
I wish to update my UHC application to the following enrollment term:*

FallSpringSummer
Indicate the year you wish to update your UHC application enrollment term:*

2023202420252026
Have you logged into Self-Service to schedule classes for this term?*

YesNoUnsure
What type of student are you?*

FreshmanTransferReadmitMaster'sDoctoralCertificationHigh School/Dual EnrollmentVisiting/Non-Matriculating/Non-Degree
Intended Major:*
Signature*

Clear
Date:*

MonthDayYear
Date
Should be Empty: