Graduate & Professional
|
Graduate Readmittance Form
Breiseth Hall • 570-408-4235(T) • 570-408-7846 (F) • Email
       

Please fill in all the blanks below then hit ‘submit’  
to have your status updated, so that you can 
register online for your graduate classes.



 

 
First Name: **
Last Name: **

WIN Number:**

Major/Program Enrolled:**

Home Address: **

 
City/Town: **
State/Province: **
Zip/Postal Code: **
Telephone Number:**
 
 
Email Address: **
 
 
 
 
**Required Fields
 

 

Call 1-800-WILKES-U - Ext. 2000
For More Information.

 
 
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