Re-entry application form

Student Records

This form is for students who were suspended and are returning to PCC after an absence. See more about academic standards.

"*" indicates required fields

Unique ID

Name*

First Last

Email*

Phone*

PCC ID number

Why are you interested in returning to PCC?*

What term do you intend to return?*

What program or major will you pursue when you return to PCC?*

Explain the factors that contributed to your academic challenges during your last few terms at PCC*

Describe the specific actions you have already taken to resolve your academic challenges and will take upon your return*