Readmission Signature Page
Your application to The University of North Carolina at Pembroke has been submitted, however, your application will NOT be processed until we have received a signed
copy of this form.
Print two copies of this page, one for your records and return the other (signed and dated to the Office of the Registrar).
If you attended any other academic institution since your last enrollment with UNC Pembroke, you must send official transcripts from your previous institution(s) to the Office of the Registrar.
Application Fee Waiver
The University of North Carolina at Pembroke will waive the admissions application fee for military service members who provide documentation for service completed with the Armed Forces of the Unites States. This is NOT for dependents. This waiver is provided to service members who provide valid documentation such as the military service record, discharge papers (DD214) or military ID.
Send your signed and dated signature page along with a check or money order for the non-refundable fee of $25.00 to:
The University of North Carolina at Pembroke
Office of the Registrar
PO Box 1510
Pembroke, NC 28372-1510
Telephone: (800) 949-UNC Pembroke
I certify that the information I have given on this application is complete and correct. Any willful misrepresentation of fact may be cause for withdrawal of my application from consideration, cancellation of admissions or registration, or suspension from the university.
I here by acknowledge that providing my Social Security number is voluntary, is requested by the institution solely for administrative convenience and record-keeping accuracy, and is required only to provide a personal identifier for the internal records of the institution.
I hereby acknowledge that the institution may verify the information set forth herein from sources accessible under law to the institution but that the institution may divulge the contents of the application only as permitted under the Family Educational Rights and Privacy Act of 1974 if I am, or have been, in attendance at this institution.
Print name: __________________________ Signature: ______________________________ Date: _________
Signature of parent or guardian (if under 18): ______________________________________________________ Date: _________
The University of North Carolina at Pembroke and all of its constituent institutions are committed to equality of opportunity. There shall be no discrimination within the university against applicants, students, or employees on the basis of race, color, religion, gender, age, disability, or national origin, consistent with the provisions of applicable state and federal law.
This publication is available in alternative formats upon request. Please contact Disability Support Services, DF Lowry Building, 910.521.6695.