Re-Enroll – Remington360

STUDENT INFORMATION

First Name *

Last Name *

Middle Name

Email *

Phone *

Street Address *

City *

State *

Zip *

CAMPUS & PROGRAM INFORMATION

Expected Start Date

Campus *

Program (Baton Rouge Campus)

Program (Cleveland Campus)

Program (Dallas Campus)

Program (Fort Worth Campus)

Program (Greenspoint Campus)

Program (Lafayette Campus)

Program (Memphis Campus)

Program (Mobile Campus)

Program (Nashville Campus)

Program (Shreveport Campus)

Program (Webster Campus)

Program (Online Division)

CONFIRMATION & AGREEMENT

Please note that this document is not considered an official Enrollment Agreement. This online application is the starting point for gathering the necessary information required to become a full-time student at Remington College. The information being provided to Remington College is being collected and analyzed to determine your eligibility for re-enrollment. Should you qualify for admission, you will be asked to sign a formal Enrollment Agreement.

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