Robertson School of Government, Regent University

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OXFORD PROGRAM APPLICATION

Last Name:

First Name:

Address:

City:

State:

Zip:

Daytime Phone:

Evening Phone:

What is the best time of day to call you?

Email (required*):

Which courses are you interested in?

	Biblical and Qur'anic Law
	The Bible in Anglo-American Politics and Law
	Both

Are you currently taking classes at Regent University?

	Yes
	No

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)


	Full Time
	Part Time

Do you need special accommodations for a disability. If yes, please list:

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)

	School of Government
	School of Law
	School of Global Leadership & Entrepreneurship
	School of Psychology & Counseling
	School of Leadership
	School of Divinity
	School of Education
	School of Communication and the Arts
	School of Undergraduate Studies

On which Regent campus are you currently taking classes?

Virginia Beach, VA
Online

Are you a part time or full time student

Full Time
Part Time

Have you talked to your advisor to confirm that these courses will be used towards your degree?

Yes
No

Who is your course advisor for your current Regent Program?

How do you plan on financing this study abroad experience?
(Please check all that apply)

Personal Funds
Loans
Scholarships
Other

Comments:

The empires of the future are the empires of the mind.

-Sir Winston Churchill



Robertson School of Government 1000 Regent University Drive, Virginia Beach, VA 23464 1.888.800.7735 Contact Us \| ©2008