Career Switcher Level II

With so many options, picking a major can be difficult. Let us help you find yours!

Name(Required)

First Last

Student ID(Required)

Primary Email(Required)

(Regent University)

Secondary Email

Phone Number(Required)

Program Type(Required)

School Division

HR Contact Name

First Last

HR Contact Email(Required)

Grade Level(Required)

Endorsement area(Required)

Employment Status(Required)

Start Date(Required)

Employing School(Required)

PRCS License Number

School contract/letter of intent

Drop files here or

Accepted file types: pdf, Max. file size: 20 MB.