LIU 
APPLICATION FOR UNDERGRADUATE READMISSION 
2 John Brewer’s Bay, St. Thomas, VI 00802 - 9990   •   Tel: (340) 693-1160   •   Fax: (340) 693-1167
RR #1 Box 10,000, Kingshill, VI 00850-9781   •   Tel: (340) 692-4158   •   Fax: (340) 692-4115
Email: registrar@uvi.edu   •   Website: www.uvi.edu
This Application is for students who previously matriculated at the University of the Virgin Islands and are reapplying for admission 
to  complete a degree. Applicants must submit a complete application along with a non-refundable $15.00 (USD) application fee.
Campus: □ St. Croix    □ St. Thomas    □UVI Online
UVI On-ground start semester: □Spring (January) 20___  □ Fall (August) 20 ___
UVI Online start term: □ Jan 20            □Mar 20               □May 20           □Aug 20             □Oct 20
Student UVI ID#____-____-____   Social Security No.  _____-____-____ 
 Date of Birth: _____ / ____ / ____ 
 Gender: Female □ Male □ Other □ 
Status: Citizenship: ☐ U.S.A.   Naturalized U.S. # ________________   Permanent Resident#_________________   ☐ Other ____________ 
Ethnicity: Are you of Hispanic or Latin Origin: Yes □ 
 No □  
Race: Please choose one or more from the following: 
☐African American/Black     ☐ American Indian/Alaskan     ☐ Native Hawaiian/ Pacific Islander     ☐ Asian     ☐ White     ☐ Other __________________
Name   ___________________________________________________________________________________________  
Other name your UVI record may be listed under ____________________________________________________________ 
Address   __________________________________________________________________________________________      
 Street  
                    Apt#  
                      City                              State 
               ZIP CODE 
□Check here if your address has changed since you last attended the University of the Virgin.
Home Telephone  
Cell Phone  
Email address ___________________________________________________________________________________________________ 
First term attended  
 
    Last term attended  
_ 
Intended Major _____________________
Minor: _____________________
Previous Major_______________________________
Associates (2 Year): □AA    □AS   □AAS     Bachelors (4 Year):  □BA     □BBA     □BS  (see UVI majors at uvi.edu/academics/programs/index.html)
 List all schools you attended after leaving UVI (please have official transcripts forwarded to the Office of the Registrar) 
List all schools in chronological order 
Dates of Attendance 
From 
To 
Month / Year 
Month / Year 
1 
2 
3 
1.
Have you ever been suspended or dismissed for academic reasons from another academic institution? Yes □      No □
2.
Have you ever been placed on disciplinary probation, been suspended or dismissed for disciplinary reasons from another
academic institution?  Yes □      No □
 
3.
Have you ever been convicted of a crime, other than a traffic violation?    □ Yes*   □ No  
If yes:     □ Felony   or   □ Misdemeanor     * an official police report is required to be submitted
I certify that all information provided is accurate and complete I further understand that the University of the Virgin Islands 
reserves the right to amend or rescind any acceptance, if it is discovered that I have withheld or falsified any information. 
Signature _________________________________________________________________  Date________________________ 
UVI does not discriminate on the basis of sex, handicap, race, national origin, religion or political belief in any of its educational 
programs and activities, including employment practices and its policies relating to recruitment and admission of students. 
DO NOT WRITE BELOW THIS LINE 
Transfer Institution Credits/GPA 
UVI Credits Earned/GPA 
STUDENT INFORMATION 
INSTITUTION INFORMATION 
SIGN