Uganda Study Abroad Program

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

First Name
Last Name
Address
City, State, ZIP
Day Phone
Evening Phone
Cell Phone
E-mail
Social Security Number
Passport Number
Passport Expiration Date
Date of Birth
Male or Female
Citizenship
Country of Birth
Are you a
Regent Law J.D. Student
Regent Law M.A. Student
Regent Law LL.M. Student
Non-Regent Law J.D. Student
If "Non-Regent Law J.D. Student," Law School attending
No. of Semesters Completed by this 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 $
   

Applicants should not make airplane reservations until they are instructed to do so by the program director.