Fillable Printable University of Florida Application Form for Admission
Fillable Printable University of Florida Application Form for Admission
University of Florida Application Form for Admission
I will abide by the university's regulations concerning application deadlines and admission requirements. I certify that the information given in this
application is complete and accurate, and I understand that false or fraudulent statements within this application or residence statement may result
in denial of admission, disciplinary action, and invalidation of credits or degrees earned at the university. If admitted, I hereby agree to abide by
the policies of the Florida Board of Education and the rules and regulations of the university. Should any of the information I have given change
prior to my entry to the university, I shall immediately notify the University of Florida Ofce of Admissions. I understand that the $30 U.S. check
or money order that must accompany this application is a non-refundable fee.
Applicant's Signature Date
❑ Yes ❑ No
❑ Yes ❑ No
Failure to answer these questions will delay processing of your application. If your answer to any of the following questions is yes, you
must submit a full statement of relevant facts on a separate sheet attached to this form. You may be required to furnish the university with
copies of all ofcial documentation explaining the nal disposition of the proceedings.
Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of
misconduct at any educational institution?
If your records have been expunged pursuant to applicable law, you are not required to answer yes to these questions. If you are unsure,
whether you should answer yes, we strongly suggest that you answer yes and fully disclose all incidents. By doing so, you can avoid any risk
of disciplinary action or revocation of an offer of admission.
Have you ever been charged with a violation of the law which resulted in, or if still pending, could result in, probation,
community service, a jail sentence, the revocation or suspension of your driver's license?
- -
Instructions: Graduate Readmission applies to students who have attended the University of Florida as a graduate student, but have not enrolled
for two or more consecutive terms, including summer. Returning students must apply for readmission whether to the same or a dif ferent graduate
program. Readmission is not guaranteed. A $30 non-refundable processing fee is required. Mail this form with a $30 check or money order to the
University of Florida, Ofce of Admissions, PO Box 2946, Gainesville, FL 32602-2946. Phone: (352) 392-1365
* Social Security Number:
Current Mailing Address:
(include street and number, city, state and zip)
Permanent Mailing Address: (include street and number, city, state and zip)
Last/Family/Surname First/Given Name Middle
UFID:
-
Phone Number:
( )
-
E-mail Address:
Activity Location — include city and state From To
/ /
/ /
Indicate how you spent all time from last enrollment at the University of Florida. Use additional paper, if necessary.
❑ United States
❑ Other: _______________
Date of Birth: Citizenship:
_______/_______/_______
month day year
Non-U.S. citizens only: Are you a permanent resident alien?
❑ Yes. Attach a copy of both sides of your permanent resident alien card.
❑ No. What visa do you presently hold? ____________________________
Readmiss Graduate App 2012.Indd Rev. 3/12
Ofce Use Institution — include city and state
List all Colleges or Universities Attended. Use additional paper, if necessary.
/
/
/
/
Month Year
Month Year
From To
Major
Degrees
Will Earn
Degrees
Earned
Month Year
/
/
Date
UF is a recipient of federal dollars and is required by the federal government to solicit certain demographic information to meet federal reporting
requirements. Applicants are requested to provide this information voluntarily. This information will not be utilized in a discriminatory manner.
Ethnicity: Are you Hispanic? _____ Yes _____ No
How would you describe yourself? Choose one or more:
___ American Indian or Alaska Native ___ Asian ___ Black/African American
___ Hawaii Native or Other Pacic Islander ___ White
Readmission to Graduate School
Indicate the term and year you desire for readmission: Term (Summer A/C, Summer B, Fall, Spring): __________________ Year: _________
Indicate the college and program/major for readmission: College: _____________________________ Program/Major: ___________________
Select the degree you desire to obtain: ____ Master's ____ Engineer ____ Doctor ____ Specialist ____ PhD
What term and year was your last enrollment at UF? Term (Summer A/C, Summer B, Fall, Spring): ________________ Year: __________
What college and program/major were you last enrolled? College: ______________________________ Program/Major: ___________________
Application for Readmission
Graduate
Veteran Status: Are you a member or veteran of the U.S. military? _____ Yes: Active Duty _____ Yes: Veteran _____ No
If “Yes”, check the box to the right if you served on or after September 11, 2001
Are you eligible to receive VA educational benets as the spouse or dependent child of a veteran of the U.S. military? _____ Yes _____ No
❑
* The Federal Privacy Act of 1974 and Section 119.071(5)(a)2, 5(a)3 and 5(a)4 of Florida Statutes authorizes the university to require the disclosure of Social Security
Numbers by applicants and students for the purpose of identication and verication of student records, including registration, nancial aid and academic records and
for verication of identity in the provision of university services. The university does not use your Social Security Number for student identication. It is only used to
assign your UF student identication number (UFID).
Information for Residency Classication
Florida Residents: Complete this section in full if you claim Florida residency for tuition purposes. Attach required documentation (if any).
A copy of your and/or your parents’ most recent tax return or other documentation may be requested to establish dependence/independence.
Dependent: a person, whether or not living with his or her parent, who is eligible to be claimed by his or her parent as a dependent under the federal income tax code. Independent: a person who is at least 24 years
old, married, a graduate or professional student, a veteran, a member of the armed forces, an orphan, a ward of the court, or someone with legal dependents other than a spouse, per the U.S. Department of Education
for the purposes of federal aid eligibility. There may be limited cases where a person under the age of 24 years old may qualify as an independent student. Such students will be required to verify independence.
A copy of marriage certicate is required in all cases of a spouse claiming a partner’s residency.
A. I am an independent person and have maintained legal residence in Florida for at least the past 12 consecutive months.
B. I am a dependent person and my parent or legal guardian has maintained legal residence in Florida for at least the past 12 consecutive months.
C. I am a dependent person who has resided for ve years with an adult relative other than my parent or legal guardian, and my relative has maintained
legal residence in Florida for at least the past 12 consecutive months. (Required: Copy of most recent tax return on which you were claimed as a
dependent or other proof of dependency.)
D. I am married to a person who has maintained legal residence in Florida for at least the past 12 consecutive months. I now have established legal
residence and intend to make Florida my permanent home. (Required: Copy of marriage certicate and other documents required to establish residency.)
E. I was previously enrolled at a Florida state institution and classied as a Florida resident for tuition purposes. I abandoned my Florida domicile less
than 12 months ago and am now re-establishing Florida legal residence.
F. According to the U.S. Citizenship and Immigration Services, I am a permanent resident alien or other legal alien granted indenite stay and have
maintained a domicile in Florida for at least the past 12 consecutive months. (Required: USCIS documentation and proof of Florida residency status.)
G. I am a member (or the spouse/dependent child of) of the Armed Services of the United States, and am currently stationed in Florida on active military
duty pursuant to military orders, or whose home of record is Florida. (Required: Copy of military orders or DD2058 showing home of record.)
H. I am a full-time instructional or administrative employee (or the spouse/dependent child of) employed by a Florida public school, community college or
institution of higher education. (Required: Copy of employment verication.)
I. I am part of the Latin American/Caribbean Scholarship Program. (Required: Copy of scholarship papers.)
J. I am a qualied beneciary under the terms of the Florida Prepaid College Program (s.1009.98, F.S.) (Required: Copy of Florida prepaid recipient card.)
K. I am a U.S. citizen (or the spouse/dependent child of) living on the Isthmus of Panama and have completed 12 consecutive months of college work at
the FSU Panama Canal Branch. (Required: Copy of marriage certicate or proof of dependency.)
L. I am a Southern Regional Education Board’s Academic Common Market graduate student. (Required: Certication letter from state coordinator.)
M. I am a full-time employee of a state agency or political subdivision of the state whose student fees are paid by the state agency or political subdivision for
the purpose of job-related law enforcement or corrections training.
N. I am a McKnight Fellowship recipient. (Required: Verication from graduate studies.)
O. I am an active member of the Florida National Guard who qualies under s.250.10 (7) and for the tuition assistance program.
P. I am an active duty member (or the spouse/dependent child of) of the Armed Services of the United States attending a public college or university
within 50 miles of the military establishment where the member is stationed, if such a military establishment is in a county contiguous to Florida.
Q. I am an active duty member (or spouse/dependent child of) of the Canadian military residing or stationed in this state under the North American Air
Defense (NORAD) Agreement, attending a public college or university within 50 miles of the military establishment where the active duty member is stationed.
R. I am a U.S. citizen living outside the U.S. who is teaching at a Department of Defense Dependent School or in an American International School and
who has enrolled in a graduate-level education program that leads to a Florida teaching certicate.
S. I am an active duty member (or spouse/dependent child of) of a foreign nation’s military who is serving as a liaison ofcer. I am residing or stationed in
Florida and attending a public college or university within 50 miles of the military establishment where I am stationed.
I do hereby swear or afrm that the above-named student meets all the requirements indicated in the checked category above for classication as a Florida resident for
tuition purposes. I understand that a false statement in this afdavit will subject me to penalties for making a false statement pursuant to 837.06, Florida Statutes.
6. ( )
1. Name of Student: 2. UFID:
3. Name of person claiming Florida residency: 4. Claimant’s relationship to student:
5. Claimant’s permanent legal address:
Rev. 3/12
Date
Signature (in ink)
Signature (in ink) of person claiming Florida residency as listed on Item #3 above
Date
Claimant’s telephone number
A Florida resident for tuition purposes is a person who has, or a dependent person whose parent or legal guardian has, established and maintained legal
residency in Florida for at least 12 consecutive months preceding the rst day of classes of the term for which Florida residency is sought. Residence in Florida
must be as a bonade domicile rather than for the purpose of maintaining a residence incident to enrollment at an institution of higher education.
To qualify as a Florida resident for tuition purposes, you must be a U.S. citizen, permanent resident alien or legal alien granted indenite stay by the U.S.
Citizenship and Immigration Services. Other persons not meeting the 12 month legal residence requirement may be classied as Florida residents for tuition
purposes only if they fall within one of the limited special categories authorized by the Florida Legislature and the State Board of Education. All other persons are
ineligible for classication as a Florida resident for tuition purposes.
Living in or attending school in Florida will not, in itself, establish legal residence. Students who depend on out-of-state parents for support are
presumed to be legal residents of the same state as their parents. Residence for tuition purposes requires the establishment of legal ties to the state of
Florida. Students must verify that they have broken ties to other states if the student or, in the case for dependent students, his or her parent, has moved
from another state.
Non-Florida Residents: I understand that I do not qualify as a Florida resident for tuition purposes for the term to which I have applied. I also understand that if I
should qualify for Florida residency in some future term, I must le the required documentation prior to the beginning of that term.
UFID
If mailed separately, send to University of Florida, Ofce of Admissions, PO Box 114000, 201 Criser Hall, Gainesville, FL 32611-4000
Street / PO Number / Apartmen
t
City State
Zip
7. Date claimant began establishing legal Florida residence and domicile: / /
8. Claimant’s voter registration State: Number: County
9. Claimant’s driver’s license State: Number:
10. Claimant’s vehicle registration State: Tag Number:
11. Non-U.S. citizen only Resident alien number:
Issue Date: / /
Issue Date: / /
Issue Date: / /
Issue Date: / /
Person claiming residency must complete this section in full.
Documents supporting the establishment of legal residence must be dated, issued, or led 12 months before the start of the term.
Additional documentation also may be requested. All documentation is subject to verication.
PLEASE PRINT
(Copy of both sides of card required)
PROGRAM DIRECTORY
Fisher School of Accounting 352-273-0200 warrington.u.edu/fsoa
College of Agricultural and Life Sciences 352-392-1963 cals.u.edu
M.E. Rinker Sr. School of Building Construction 352-273-1150 www.bcn.u.edu
Warrington College of Business Administration 352-392-2397 warrington.u.edu
College of Dentistry 352-273-5955 www.dental.u.edu
College of Design, Construction and Planning 352-392-4836 www.dcp.u.edu
College of Education 352-392-0726 www.coe.u.edu
College of Engineering 352-392-6000 www.eng.u.edu
College of Fine Arts 352-392-0207 www.arts.u.edu
School of Forest Resources and Conservation 352-846-0850 www.sfrc.u.edu
College of Health and Human Performance 352-392-0578 hhp.u.edu
Center for Latin American Studies 352-392-0375 www.latam.u.edu
College of Journalism and Communications 352-392-0466 www.jou.u.edu
Levin College of Law 352-273-0890 www.law.u.edu
College of Liberal Arts and Sciences 352-392-0780 www.clas.u.edu
College of Medicine 352-273-7990 www.med.u.edu
School of Natural Resources and Environment 352-392-9230 snre.u.edu
College of Nursing 352-273-6400 con.u.edu
College of Pharmacy 352-273-6312 www.cop.u.edu
College of Public Health & Health Professions 352-273-6214 www.phhp.u.edu
College of Veterinary Medicine 352-294-4272 www.vetmed.u.edu
Distance Learning 352-392-1711 www.distantlearning.u.edu
For additional information, contact the Ofce of Admissions, at www.admissions.u.edu or call 352-392-1365.
Instructions for the applicant:
Please complete this section of the Referral for Readmission identical to the information completed on the Application for Readmission.
Contact the department regarding additional materials that may be required. The Ofce of Admissions will detach this referral form
and forward it to the proposed department for a decision on your readmission to the University of Florida.
Current Mailing Address: (include street and number, city state and zip)
Permanent Mailing Address: (include street and number, city, state and zip)
Date of Birth: Citizenship:
/ /
month day year
Legal Name: Last/Family/Surname First/Given Name Middle * Social Security Number:
Non-U.S. citizens only: Are you a permanent resident alien?
❑ Yes. Attach a copy of both sides of your permanent resident alien card.
❑ No. What visa do you presently hold? ______________________________
UFID:
_
Phone Number:
( )
–
E-mail Address:
❑ United States
❑ Other: _______________
_ _
Referral for Readmission
Graduate
Select a decision, obtain the authorized signature(s) and return this form to the Ofce of Admissions, PO Box 114000, 201 Criser Hall.
Please send the applicant notication of the decision.
The appropriate signature(s) are required for readmission to the University of Florida.
All applicants who meet requirements and standards will be considered equally for admission to any academic program, regardless of race,
color, religion, gender, marital status, beliefs, age, national origin, sexual orientation or physical or mental disabilities.
___ Approved readmission to prior program (requires department signature)
___ Approved readmission to a new program (requires department and college signatures)
___ Cancelled (requires departmental signature)
___ Denied (requires departmental signature)
Signature of Authorized Department Representative
Signature of Authorized College Representative
Instructions for the Department
Date
Date
Readmission for Graduate School
Indicate the term and year you desire for readmission: Term (Summer A/C, Summer B, Fall, Spring): __________________ Year: _________
Indicate the college and program/major for readmission: College: _________________________ Program/Major: ______________________
Select the degree you desire to obtain: ____ Master's ____ Engineer ____ Doctor ____ Specialist ____ PhD
What term and year was your last enrollment at UF? Term (Summer A/C, Summer B, Fall, Spring): ________________ Year: __________
What college and program/major were you last enrolled? College: ______________________________ Program/Major: ___________________
Veteran Status: Are you a member or veteran of the U.S. military? _____ Yes: Active Duty _____ Yes: Veteran _____ No
If “Yes”, check the box to the right if you served on or after September 11, 2001
Are you eligible to receive VA educational benets as the spouse or dependent child of a veteran of the U.S. military? _____ Yes _____ No
❑
* The Federal Privacy Act of 1974 and Section 119.071(5)(a)2, 5(a)3 and 5(a)4 of Florida Statutes authorizes the university to require the disclosure of Social Security
Numbers by applicants and students for the purpose of identication and verication of student records, including registration, nancial aid and academic records and
for verication of identity in the provision of university services. The university does not use your Social Security Number for student identication. It is only used to
assign your UF student identication number (UFID).
