MATC: Readmission Application

Student Re-Admission Application

Please complete this form if you are a former student that has been away from the college for two or more semesters.

You will be contacted by an Admissions representative for next steps. If you have any questions please contact Admissions at apply@matc.edu

CURRENT STUDENTS: PLEASE DO NOT SUBMIT THIS FORM TO CHANGE YOUR PROGRAM.

Please meet with your pathway advisor to discuss program changes. Your pathway advisor will submit your program change request.
ID/SS#
Name*

First NameLast Name
Former Name,if Applicable
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
TelephoneNumber*

Area CodePhone Number
Additional Phone Number

Area CodePhone Number
Email Address
Program Name:*
Program Number:*
Check the website for a listing of Academic Programs that will include program name, number and admission requirements.
Start Semester*
Attention Healthcare program students:
Healthcare program students must complete this Background Check Acknowledgement Form.
Date

MonthDayYear
If you have any questions please contact the Admissions office at: apply@matc.edu
Email
example@example.com
Should be Empty:

Attention Healthcare program students: