REGENT UNIVERSITYSCHOOL OF COMMUNICATION & THE ARTS
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NON-DEGREE APPLICATION FORM

  

Please u se this form to apply for admission to the School of Communication and the Arts if you are not seeking a degree.

All fields marked with an asterisk (*) are required.

Contact Information

*Full Legal Name:
Maiden Name:
*Present Mailing Address:
*E-mail Address:
*Home Phone:
Work Phone:
Cell Phone
Fax Number:

This information is being required as a matter of legal reporting requirements applicable to Regent University. It will not be taken into account in any admission or academic decision, nor in the administration of any program at the University.
*Date of Birth:
*Social Security Number:
*Gender:
Marital Status:
Number of Dependant Children:
*Residency:
*Ethnic Origin:
Church/Religion:
Denomination:
Country of Birth:
*Country of Citizenship:
If not a U.S. citizen, are you a permanent resident of the United States? Yes No
If presently in the U.S., Date of Entry:
If presently in the U.S., Present INS Status:
If English is not your first language, TOEFL Test Date:

Academic Background

Please list all institutions attended since high school:

Institution State Major Degree GPA

The previous degree is required for enrollment (e.g. the BA for MA, and MA for PhD).

Computer Literacy Survey

All applicants must complete the computer literacy survey.
*Check here if you've completed the computer literacy survey.

Clergy Recommendation

All applicants are required to submit a clergy recommendation form (PDF). The form can be downloaded, printed and submitted via regular mail.

Mailing address for clergy recommendation form:
Central Enrollment Management, 1000 Regent University Drive, Virginia Beach, VA 23464.

*Check here if you've downloaded the clergy recommendation form.

Registration Start Term

Term I plan to start classes:
I plan to take courses:
Year I plan to start classes:
Grading Option:
Credit Option: Graduate Credit (Applicable transcript required.)
Audit Only (Half tuition cost; faculty permission required.)
Transcript Status:
My BA/BS transcripts for MA credit or MA transcripts for Ph.D. credit are:
Date Mailed or to be Mailed:

Referred By

What prompted you to complete this application?
Please be specific:

Philosophy of Education

In applying for these courses and sending this application form electronically I certify that I have read and understood the Philosophy of Education (PDF) and that I will receive an education in accordance with the stated Philosophy of Education. I further certify that I will submit myself to the Standard of Personal Conduct (PDF) throughout the time of my enrollment as a student.

*Check here to indicate that you have read, understood and agree to the Philosophy of Education, Nondiscriminatory Policy, and the Standard of Personal Conduct.

Personal History

*Were you ever on academic/disciplinary probation or dismissed from any educational institute? No Yes
*Were you ever convicted of a crime other than a minor traffic or juvenile offense? No Yes
*Are there any criminal charges pending or expected to be brought against you? No Yes
*Have you ever been the subject of a court martial hearing? No Yes
*Have you ever been dishonorably discharged from military service? No Yes

If you check "yes" to any of the questions above, please provide a detailed explanation here:

Application Fee

You may pay the $40 non-refundable application fee through the mail by personal check or money order. Or you can pay here the fee online using a credit card.

*Fee payment status:
*Date paid:

Mailing address for transcripts and application fee:
Central Enrollment Management, 1000 Regent University Drive, Virginia Beach, VA 23464.

Signature

I hereby apply to the Regent University School of Communication and the Arts as a non-degree seeking student. I affirm that, to the best of my knowledge, all of this information is complete and accurate.

*Enter your full name:
*Date:
 
 

1000 Regent University Dr., Virginia Beach, VA, 23464 |1-888-777-7729 | © 2008