Undergraduate Petition for Readmisson to UC San Diego

Students dismissed from the University due to violations of University policy require the specific approval of the Chancellor, or their designee (University of California Policy on Student Conduct and Discipline, Section 105.06). Readmission after dismissal may be granted only under exceptional circumstances.

To petition for readmission to UC San Diego, please complete the form below.

Your Information

Please provide your information below, including your contact information.
Name Name First Last
PID
Maximum of 9 characters allowed. Currently Entered: 0 characters.
Your student ID, starting with an A (e.g. A12345678)
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
Case Information

Please tell us some details about the incident for which you were dismissed.
Incident Type:
IR Number:
Maximum of 14 digits allowed. Currently Entered: 0 digits.
Incident Report Number for your case, example: 01234-2009 or 01234-001-2009
Academic Term That Your Dismissal Went Into Effect:
Year Your Dismissal Went Into Effect:
Must be 4 digits. Currently Entered: 0 digits.
Example: 2020
Case Information

Please tell us some details about the incident for which you were dismissed.
Petition for Readmission Information

Using the Upload a File field below, please clearly and concisely identify your reasons for petitioning for readmission to UC San Diego and answer the following questions, including any supporting documentation:
1. a. Describe and explain the activities you have pursued since your dismissal. This may include, but is not limited to employment, education, and volunteer work. What have you learned from these experiences?
2. b. What steps have you taken to address the circumstances that led to your dismissal from the University? This must be a sustained effort over a significant period of time. It may include but is not limited to, counseling, treatment programs, and life experience.
3. c. How will the steps you have taken help you to avoid the behavior(s) that led to your dismissal?
4. d. What personal and professional goals have you formulated since your dismissal? Why is returning to the University of California, rather than another college or university, necessary to achieve these goals?
Upload a File(s)

Attach Files
Read and check each each of the following acknowledgements. Please sign and date below to acknowledge your understanding.

Read and check each each of the following acknowledgements. Please sign and date below to acknowledge your understanding. Your petition statement and any accompanying documents are true and accurate to the best of your ability. If you were dismissed less than 2 years ago, or previously petitioned for readmission less than 3 years ago, you may not be eligible to petition yet.
Type Your Full Name
Today's Date Today's Date / MM / DD YYYY

Undergraduate Petition for Readmisson to UC San Diego

Undergraduate Petition for Readmisson to UC San Diego

Your Information

Case Information

Case Information

Petition for Readmission Information