Graduate Reactivation Application

This application is only to be used by previously enrolled IUP graduate students who have not been dismissed for academic or time-to-degree reasons. Those who have been dismissed must submit the standard Graduate Admission Application at: iup.edu/gradapply

You may request to have your IUP account reactivated by submitting the following information. All students, including those looking to return, are encouraged to communicate with their graduate coordinator. Information on programs and coordinators is available at: iup.edu/gradprograms

Important Security Notice:

IUP takes the safety and security of its students seriously. For this reason, identity verification may be required before your admission is finalized and your university student account is created. You may be asked to verify your identity at any point during the admission process. These verification steps are straightforward and mandatory and help protect students and the university from identity theft and cybercrime.

I acknowledge the above

Enter the program of your prior enrollment. You may only return to your original degree program with this application. To enroll in a different degree program, complete the application for admission at: iup.edu/gradapply

Prior Degree Program <View Active Programs>

If you are looking to return to a program not on this list, please email RMUTH@IUP.EDU for assistance.

Program Information

Reactivation Term

If you know your IUP ID, enter it here (optional):

Name

First Name *

Your legal first name, as it would appear on a birth certificate, official ID, or passport

Middle Name

Last Name *

Your legal last name, as it would appear on a birth certificate, official ID, or passport

Suffix

Preferred First Name

If different from your Legal First Name

Previous Last Name

This would be your maiden name or other last name you've used in the past

Biographical Information

Birthdate

Sex

I identify my gender as:

Citizenship Information

Primary Citizenship Country

Dual Citizenship Country

Select your country if you have Dual Citizenship. (Meaning you are a citizen of more than one country at the same time)

Are you a US Permanent Resident, DACA recipient, or individual without status?

Yes

Are you a Pennsylvania state resident?

How long have you lived in Pennsylvania (in years)?

What is your official state of permanent residency?

The Federal Privacy Act of 1974 requires that you be notified that disclosure of your Social Security number is voluntary and is not required to determine admission. Your Social Security number will be used to match your application with your SAT/ACT Test Scores and/or Financial Aid information so failure to provide it may affect your eligibility for financial aid and may delay decision of admission. Your Social Security number is also used to report your educational expenses to the Internal Revenue Service to verify any education-related deductions you may claim on your federal income taxes.

Social Security Number

(No dashes or spaces)

Privacy Protection Policy

Are you currently living in the U.S.?

Current Valid Visa Type

Action Required

In addition to completing this form to reactivate your IUP student status, you must also reach out to the Office of International Education at intl-education@iup.edu for assistance with immigration paperwork.

Are you living in Pennsylvania?

Contact Information

Personal Email Address

Home Phone

Mobile Phone

We will text you about:

• Missing application items

• Scholarship opportunities

• Important reminders and deadlines

I would like to receive important updates via text. (Standard text messaging rates apply)

Yes

Address

Country

Street

City

Region

Postal Code

Signature

To learn more about the European Union General Data Protection Regulation (EU GDPR) on collecting and processing personal data, please click here.

The electronic signature consists of your typed name. The signature is your confirmation that the application you have filled out seeking reactivation as a graduate student is your own work and the information is factually true. Typing in your name qualifies as your electronic signature.