Reactivation Request Form
Registrar & Enrolment Services
LANGARA ID:
DATE:
STUDENT NAME:
PHONE NO:
EMAIL:
Reactivate my:
Career Studies/Limited Enrolment Program (specify):
University Studies/Open Enrolment (Arts and Science) Program (specify below)*
For the (specify) semester:
Spring (Jan –Apr) 201__
Summer (May-Aug) 201__
Fall (Sept-Dec) 201__
*IMPORTANT: Arts and Science students – Check one of the following programs to reactivate your application:
Faculty of Arts:
Faculty of Science:
Faculty of Social Sciences and Management:
Associate of Arts Degree
Associate of Arts Degree
Associate of Arts Degree
Arts General
Canadian Studies
Classical Studies
Creative Writing
English
Environmental Studies
Family Studies
Latin American Studies
Peace and Conflict Studies
Philosophy
Women’s Studies
Science General
Health Sciences
Mathematics
Social Sciences General
Aboriginal Studies
Asian Studies
Commerce and Business Studies
Geography
History
Political Science
Psychology
Associate of Science Degree
Science General
Bioinformatics
Chemistry
Computer Science
Ecology
General Biology
Health Sciences
Associate of Science Degree
Associate of Science Degree
Dietetics
Diploma in Arts and Science
Mathematics
Molecular/Microbiology
Physics
Environmental Studies
Diploma in Arts and Science
General (Social Sciences)
Asian Studies
Commerce
General (Arts)
Canadian Studies
Classical Studies
Environmental Studies
Family Studies
Latin American Studies
Diploma in Arts and Science
Peace and Conflict Studies
Women’s Studies
Diploma
Diploma
General (Science)
Biology
Health Sciences (Arts)
Health Sciences (Science)
General Education (Social Sciences)
Note: Please update your address online via
myLangara if you have recently changed your address
Bioinformatics
General Education (Science)
Diploma
Kinesiology
Leisure Studies
General Education (Arts)
Citation
Citation
Environmental Studies
Ecology
Foundations in Health Studies
SPECIALIZED SUPPORT SERVICES
ABORIGINAL STUDENTS
Do you identify yourself as an Aboriginal Person?
DISABILITY SERVICES INFORMATION
Yes
No
Select one of the three options that best describes your Aboriginal Identity:
First Nations
Metis
Inuit
Check this box if you would like information on Disability Services
mailed to you.
Visit our website at http://www.langara.bc.ca/student-services/disabilityservices for information on how to access Disability Services including
important deadlines.
PREVIOUS ACTIVITY
CHECK MAIN ACTIVITY DURING PAST YEAR (Choose one only)
1.
Attended Secondary School
5.
Employed
CHECK WHERE ACTIVITY OCCURRED
1.
In B.C.
2.
Attended College
6.
Unemployed, seeking work
2.
In a province other than B.C.
3.
Attended University
7.
Unspecified
3.
In a country other than Canada
4.
Attended another educational institution
Student’s Signature
Reactivation Request Form: J: Student/Publication/Forms/Reactivation/reactivate-application.docx