Reactivation of Application Form

Personal Information

First Name

Preferred First Name

Last Name

Email Address

Current Mailing Address

Country

Street

City

Region

Postal Code

Application Details

Intended Entry Term:

Have you registered for or completed college or university course work since previously applying to Eckerd College?

Yes

No

Please list the name of the institution:

School CEEB Code: (This field autocompletes based on the school name you enter above. If it does not autocomplete, please enter "000000")

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action?

Yes

No

Please provide a detailed explanation giving the date of violation, specifics of the situation, what consequences were given and what lessons have been learned.

Personal Statement

Please provide a personal statement addressing why you are now interested in Eckerd College and how your time was spent since previously applying.

Or, type or copy-and-paste your document here: