High School Attestation

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REQUEST INFORMATION

I,
Name*
First Last
(legal name), have applied for admission to the College of Arts & Sciences at Regent University. I understand that one requirement for admission to Regent University is graduation from a high school or successful passing of a high school equivalency exam.
I hereby certify that:*
- I graduated from high school.
- I earned a high school equivalency.
Type of Equivalency (GED, HiSET, etc.)*
Name of High School*
Address of High School*
City State / Province / Region Country
Date of Graduation*
MM slash DD slash YYYY
Student Information
Legal Name During High School
First Last
Date of Birth
MM slash DD slash YYYY
If for any reason this attestation of high school graduation or high school equivalency completion is found to be false or untrue, I understand that I will not have met an admissions requirement of Regent University, and I will not be considered a regular student, and, thus, will be subject to immediate dismissal from Regent University.

I understand that if this attestation is found to be false or untrue, all Title IV financial aid and any state or institutional financial aid that was distributed on my behalf must be refunded to the appropriate source and that I will be responsible for payment to Regent University for any and all money refunded.

By my signature below, I attest that the information provided above is true and correct to the best of my knowledge. Further, I authorize Regent University to contact my high school or high school equivalency exam administrators to confirm the accuracy of the above information.
Email*
Date*
Signature*
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Signature
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Phone
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