Special Student Application Form

Special Student Application Form

Please select:

I have applied to Rollins before and want to apply again.

I have previously attended Rollins and have been away at least one academic year.

I have a Bachelors Degree and want to earn a second Bachelors Degree.

I am Non Degree Seeking Student but want to earn credits.

I am Non Degree Seeking Student but want to audit a class (no credit).

Rollins College Reactivation Form

Continuing/Returning Application for Admission

Special Student Application for Admission

Enrollment Plans

When to you plan to enroll?

Fall 2024

For which enrollment term did you most recently apply?
(If you applied prior to the Fall 2020 term, please email admission@rollins.edu)

Are you reapplying as a First-Year student or a Transfer student?

First-Year

Transfer

Would you like to be reconsidered as Test Optional?

You can visit the Rollins Admission Website for more information on this option.

Intended Major

Personal Details

First Name

Middle Name

Last Name

Preferred First Name (if different from above)

Birthdate

Email Address

Home Phone Number

Cell Phone

Can we send you important information and updates by SMS text message to this number?

Yes

No

Address Details

Permanent Address

Country

Street

City

Region

Postal Code

Is your mailing address the same as the one listed above?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship Details

Are You a U.S. Citizen?

Yes

No

Are you a Permanent Resident in the U.S.?

Yes

No

If you are not a U.S. citizen or permanent resident, please list your country of citizenship.

Race and Ethnicity

If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage. No information you provide will be used in a discriminatory manner.

Are you Hispanic or Latino?

Yes

No

High School Education

High School

Graduation Year

Post High School Education (beginning with the current/most recent)

Colleges Attended, including when you attended Rollins. (full or part time, beginning with the current/most recent)

Most Recent College

Institution 1

From:

Month

Year

To:

Month

Year

Did you attend a previous college?

Yes

No

Previous College (if applicable)

Institution 2

From:

Month

Year

To:

Year

Month

Transcript Request

As a returning Rollins student, we would like to save you time in accessing required transcript files. Please select yes or no to allow us to access your Rollins transcript and previous Rollins academic records.

Yes, I grant permission.

No, I do not.

Post-High School Activities

We will require additional details of your post-high school activities (choose method).

Enter details here

Email a resume to admission@rollins.edu

Both

Description of what you accomplished following high school and what you are currently doing.

Personal Statement

Please explain the reasons you are applying to return to Rollins College.

Personal Statement

Please explain the reasons you are applying as a special student to Rollins College.

Declarations

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended, whether related to academic misconduct or behavioral misconduct that resulted in your probation, suspension, removal, dismissal or expulsion from the institution?

Yes

No

Please explain the circumstances and provide approximate dates of each incident.

Have you ever been convicted of a misdemeanor, felony, or other crime?

Yes

No

Please explain the circumstances and provide approximate dates of each incident.

Electronic Signature

Please confirm your submission by typing you full name in the box below.

Today's Date:

Applications for admission are considered on the basis of the qualifications of each applicant without regard to race, color, creed, age, sex, disability, or national origin.