Reading Area Community College

Reading Area Community College

Academic Reinstatement Application

This application must be completed and returned to the address below by the advised deadline. Email completed form to or

Mail to: Reading Area Community College, Administrative Secretary, Associate Vice President of Academic Affairs, P O Box 1706, Reading, PA 19603-1706

Attn: Ms. Sharon Shearer

I have been academically ☐ suspended or ☐dismissed. (Please check one)

Name (print clearly)

Present address: Click here to enter text.

City, State, Zip Code Click here to enter text.

Home phone number: Click here to enter text. E-mail:Click here to enter text.

Cell phone number: Click here to enter text. SS# or Student ID# Click here to enter text.

How long have you lived at your present address?Click here to enter text.

How many people live in your household? Click here to enter text.

Are you responsible for the care of any people in your household? ☐Yes ☐No If yes, explain:Click here to enter text.

Do you currently work? ☐Yes ☐No If yes, detail your average work schedule in the space below.Click here to enter text.

Did you complete and graduate from high school or receive a GED? ☐Yes ☐ No

Have you ever attended another college or training school beyond high school? ☐Yes ☐No

If yes, where and when?Click here to enter text.

Date of academic dismissal/suspension from RACC: Click here to enter text.

How many credits have you attempted at RACC? Click here to enter text.

Number of successful? Click here to enter text.

Number of unsuccessful? Click here to enter text.

What is your current grade point average? Click here to enter text.

List two areas you consider to be your strongest academic skill areas and explain why you believe they are strong. Click here to enter text.

List two areas you consider to be your weakest academic skill areas and explain why you believe they are weak.Click here to enter text.

What have you done since leaving RACC?Click here to enter text.

In a paragraph, explain your reasons for wanting to return to RACC, and what your plans are for completing your academic work at RACC (requirements, major, etc.)Click here to enter text.

Indicate any additional information you would like us to consider. Click here to enter text.

Click here to enter text.

Signature of applicant

Date Click here to enter text.