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Professional
Development Applicants May Skip This Step
APPLICANT: Please
provide the information requested below. Send this form with
appropriate fee to your college or university's registrar
early enough so that it will be returned DIRECTLY to you before
the deadline date. Return the transcripts unopened with your
application signature form in the envelope provided. Transcripts
that have been opened will not be considered official. Download
as many of these forms as you need transcripts from all institutions
attended.
Applicant's
Full Name:
Last:_______________________________________
First:____________________________ Middle:________________________
Maiden Name (if used during
attendance):_______________________________________________________
Dates of Enrollment:_________________________________
Degree/Year:___________________________
Field of Study:_____________________________________
University:_______________________________
Applicant's Cumulative Grade
Point Average:_______________ Social Security:_______________________
I hereby authorize the release
of my academic record and related material to Regent University.
Applicant's Signature:_____________________________
Date:_______________
REGISTRAR:
Please see instructions below. Please place this form in a sealed
envelope, sign your name across the envelope flap to ensure
confidentiality, and return the transcript to the applicant.
The person named above is applying
for graduate studies at Regent University. The applicant
cannot be considered without a complete academic record submitted
by the registrar of your institution. This academic
record should bear the institutional seal and registrar's
signature and include dates of enrollment, a year-by-year
listing of courses pursued, with the mark obtained in each
course, and the applicant's cumulative grade point average.
Verification of date of conferral and title of degree must
be included on transcripts, or on statements signed by an
authorized representative of the institution granting the
degree. If the educational system measures performance
by comprehensive examinations at yearly or other intervals,
we require records of all such examinations with ratings or
class achieved. If determined, give applicant's rank
in his/her class. Please include English translation
of foreign documents.
REGISTRAR:
Please enclose
an official copy of the applicant's transcript in the envelope
provided. Please sign the envelope with the transcript
enclosed after sealing it. The signed, sealed envelope
should be returned to the applicant who will mail it along
with his/her graduate application signature form. This
envelope MUST BE UNOPENED when received by Regent University,
School of Psychology and Counseling. If policy prevents
sending transcripts to the student, please send transcripts
to the following address:
Psychology
and Counseling Admissions Office - CRB 154
Regent University
1000 Regent University Drive
Virginia Beach, VA 23464-9800
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