Re-Admit Application - University Campus

Please note that this is for our main campus which is located at the following address:

33701 State Road 52
St. Leo, FL 33574

If you are interested in our center location or online, please copy this link into your browser:

https://www.saintleo.edu/application-change-form

Student ID Number

Date of Birth

First Name

Last Name

Has your contact information changed since last attending?

Mailing Address

Mailing City

Mailing State

Mailing Zip

Home Phone

Mobile Phone

Email Address

Housing Status

Term Start

Start Year

Campus Academic Program

What is your Military Status?

What is your (or family members) branch of service?

Are you eligible for military benefits?

YesNo

Please confirm which benefits

Have you attended any other institutions since last attending?

Please list all institutions attended

Have you previously been arrested for a misdemeanor or Felony?

Please explain in detail

Have you been the subject of any disciplinary action for conduct at a previous institution?

Please explain in detail

Have you been suspended, dismissed, expelled or forced to withdraw from a previous institution for disciplinary reasons?

Please explain in detail

By signing your digital signature, you understand that the information you are providing is correct.

Contact Information