Graduate Reactivation Request

The purpose of this form is to reactivate a previous admission in order to re-enroll as a graduate student at Old Dominion University.
Admitted students who never enrolled in classes should use the 'Defer Graduate Admission/Application' form.

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Name Name * First Last
Previous or Former Name(s)
University Identification Number (UIN) *
Must be 8 digits. Currently Entered: 0 digits.
Date of Birth (MM-DD-YYYY) Date of Birth (MM-DD-YYYY) / MM / DD YYYY
Email Address *
ODU Email
Phone Number Phone Number - ### - ### ####
Current Home Address Current Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
If you are associated with the military, please indicate your military affiliation.

If you are associated with the military, please indicate your military affiliation. Active Duty Reservist Retired Spouse Dependent Veteran Honorably Discharged

Graduate Reactivation Request

Graduate Reactivation Request

Page 1 of 5 - Personal Information