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Readmission Interest Form
Have you previously been accepted and studied at Clinton? Have you stopped attending Clinton for at least one academic semester? Complete this form to learn more about our simple readmission process to prepare to register and return to Clinton Community College.
Questions with an asterisk (*) are required.
First Name*
Middle Initial
Last Name*
Former Name (if applicable)
Last four digits of Social Security Number*
Street Address / P.O. Box*
City*
State*
Zip Code*
Phone Number*
Email Address*
Since leaving Clinton, have you attended any other college or university?*
Since leaving Clinton, have you attended any other college or university?*
Yes
No
If yes, please list the names of any additional colleges attended since leaving Clinton
In the last semester you attended Clinton, were you academically dismissed?*
In the last semester you attended Clinton, were you academically dismissed?*
Yes
No
If yes, have you completed the Academic Appeal process and received permission to return?
If yes, have you completed the Academic Appeal process and received permission to return?
Yes
No
Since last attending Clinton, have you been dismissed from another college for disciplinary behavior reasons?*
Since last attending Clinton, have you been dismissed from another college for disciplinary behavior reasons?*
Yes
No
I understand I must clear all existing department holds on my student account. Existing holds may delay online registration.*
I understand I must clear all existing department holds on my student account. Existing holds may delay online registration.*
I agree
Into what degree program do you intend to enroll?*
Enrollment Type
Enrollment Type
Full Time (12+ credits per semester)
Part Time (1-11 credits per semester)
Unknown
Student Type
Student Type
On Campus and Online Classes
Online Classes only
In what semester do you intend to return?*
In what semester do you intend to return?*
Spring 2025 (January start)
Summer 2025 (June start)
Fall 2025 (August start)
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