Enrollment Agreement for Admitted Students

Congratulations on your acceptance!

Please complete the enrollment agreement and pay the $50 enrollment deposit to reserve your place at Regent. The enrollment deposit will be applied as a credit to your student account. The enrollment deposit is not refundable once classes begin.

If you have questions about your enrollment deposit or next steps, please contact the Admissions office at 1-888-718-1222.

Student/Applicant's Information:
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First Name:^*

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Last Name:^*

Date of Birth:^*

Student ID (if known)

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Please pick one:^*
Yes, I plan to enroll at Regent University.

No, my plans have changed and I will not enroll
at Regent University.

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If you prefer to pay by check, please include the information from the required fields above with your payment by printing this page.
Write a check to:	Regent University
In the amount of:	$	50
Please mail to:	Regent University Central Enrollment Management 1000 Regent University Drive Virginia Beach, VA 23464

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Enrollment Agreement for Admitted Students

Congratulations on your acceptance!