Undergraduate/ Non-Academic Returning Reactivation Request

We are happy you decided to return to La Sierra University to complete your educational and career goals. Please complete this form to begin the process of reactivating your account. If you have never attended La Sierra University OR you have been gone longer than 1 year, you must submit an application here as a New (new degree) or Returning (same degree) Student

Demographic Information

La Sierra ID Number:

First Name

Middle Name

Last Name

Birthdate

Email Address

Mobile Phone

Contact Information

Do you have a new address? If so please update below.

Country

Street

City

Region

Postal Code

Academic Information

I am a former La Sierra Student who last attended in:

Quarter

Year

Quarter I plan to return*:

If you are changing your program/major (not MUPC or ESL), please let us know what you would like it to be.

Have you attended any other schools since you last attended?

Yes

No

If yes, please list below (you will need to request for transcripts to be sent in order to receive credit for coursework).

By checking this box, you consent to La Sierra University contacting you via email, phone, or text, including through automated or AI-assisted systems, to provide information about programs, admissions, and services. You may opt out at any time by emailing info@lasierra.edu. See our Privacy Policy for details.

Yes

No

Signature

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