Uganda Study Abroad Program

Note that registration is complete when the $250 non-refundable deposit is received.

First Name
Last Name
City, State, ZIP
Day Phone
Evening Phone
Cell Phone
Social Security Number
Passport Number
Passport Expiration Date
Date of Birth
Male or Female
If you are not a citizen of the U.S., are you a permanent resident of the U.S.?  Yes - if yes, submit a copy of your permanent resident card to Mary Bunch.*
Country of Birth
Are you a Law Student
Regent Law Student
If "Law Student," Law School attending
No. of Semesters Completed by next June
Note: If you are a law student who is not attending Regent University School of Law, then please have your Dean's office mail a "Letter of Good Standing" on official school letterhead.
Pay Deposit Online Now
Pay by Check Later *
Amount $

*If applicable, send checks and permanent resident cards to Uganda Study Abroad Program, Attn: Mary Bunch, RH 225, Regent University School of Law, 1000 Regent University Drive, Virginia Beach, VA 23464.