Miscellaneous Payment Form

Please use the following for convenient, online payment using a credit card or an EFT from a checking or savings account. If you would prefer to pay by check, please include this information with your payment to the Business Office. Our mailing address: Regent University Business Office, 1000 Regent University Drive, Virginia Beach, VA 23464.

All fields are required unless otherwise noted.

Student/Applicant's First Name:


Student/Applicant's Last Name:


Student ID:

  (if known)

Student/Applicant's DOB:

  (MM/DD/YYYY)

Street Address:


City/State/Zip:


Email:


Re-enter Email:


Level:

(???)

Type:

(???)

Select School/Program:


Payment Type:

Application Fee (non-refundable) (???)
Enrollment Deposit (non-refundable) (???)
Diploma Replacement ($30)
Transcript Request ($10)
Student ID Replacement
Student Housing Deposit - Regent Village Roommate Apartment (non-refundable)
Student Housing Deposit - Regent Village Single Occupancy or Family Apartment (non-refundable)