Brookline College Student Re-Entry Form | Pick Up Where You Left Off

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Welcome! This form is for former Brookline students to apply for re-entry into their previous program of study and to get answers regarding what they will need to do to re-enter their program. Please fill out the form below and a representative will contact you.

Name *

First

Last

Maiden or Other Name

Student ID - (If you do not remember your student ID please leave this field blank)

Primary Phone *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Previous Program Information

What Brookline Campus Did You Attend? *

What Program Were You Enrolled In Previously?

Last Date of Attendance (Your best guess is fine here)

When Would You Like To Restart Your Program?

Questions/Addiitonal Information You'd Like To Add?

Comment

Get Started

Complete this form and our Admissions department will contact you shortly with more information

I have read and agree to Brookline's privacy policy and understand how my personal information may be collected and used. By submitting this form, I agree that Brookline College may call and/or text me about educational services at the phone number provided, including a wireless number, using automated technology. Please note, this consent is not required to attend our institutions.