Oxford Program Application |
First Name: |
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Last Name: |
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Address: |
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City: |
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State: |
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Zip: |
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Daytime Phone: |
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Evening Phone: |
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What is the best time of day to call you? |
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*Email (*required): |
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| Which courses are you interested in? |
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Are you currently taking classes at Regent University? |
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If you are not a current Regent University student, please enter your university's name here and indicate your enrollment status. (You can skip the next 5 questions.) |
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| Do you need special accommodations for a disability? If yes, please list: |
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REGENT UNIVERSITY STUDENTS
- Please answer the following 5 questions: |
Which Regent University school are you enrolled in?
(Please list all schools if you are a joint degree student.) |
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On which Regent campus are you currently taking classes? |
Virginia Beach, VA
Online
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Are you a full time or part time student? |
Full Time
Part Time
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Have you talked to your advisor to confirm that these courses will be used toward your degree? |
Yes
No
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Who is your course advisor for your current Regent Program? |
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How do you plan on financing this study abroad experience?
(Please check all that apply.) |
Personal Funds
Loans
Scholarships
Other |
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Comments: |
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