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School of Psychology and Counseling
Admissions Questionnaire

Admissions Questionnaire

Supplemental Questionnaire for School of Psychology & Counseling – Doctoral

Please answer the following questions to aid the admissions committee in rendering a decision regarding your application for admission to Regent University.
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Please provide your name*
First Middle Last
Please provide your date of birth*
MM slash DD slash YYYY
Please provide the email address you used when applying for admission.*
Financial Preparedness
Do you intend to apply for federal financial aid (FAFSA)?*
- Yes
- No
Do you intend to use GI funding from the Department of Veterans Affairs?*
- Yes
- No
Do you intend to use your own benefit or a benefit transferred from a spouse or parent?*
- Self
- Spouse/Parent
Please select the type of VA Benefit that you intend to use.*
Essay
Please answer each question with the minimum word requirement indicated, offering the most important details you would want the committee to consider in their review.
The mental health education programs include licensure & non-licensure degrees. How do you intend to use this non-licensure Ph.D. program to prepare you for work and/or ministry contexts? (4-5 sentences)*
In at least 5-6 sentences, please provide a statement of intent that describes your personal motivation or calling in pursuing a Ph.D. in Counseling and Psychological Studies degree.*
In no more than 100 words, provide a brief description of the potential dissertation topic for your dissertation project.*
In no more than 150-200 words, name the authors you have read and briefly discuss the research of these authors who have most impacted your scholarly thinking up to this point.*
Additional Information
Do you currently have a hold or balance at another institution?*
- Yes
- No
How much is owed?*
- $1 - $500
- $501 - $3,000
- $3,001 or more
Are you actively enrolled in a payment plan to address hold or balance?*
- Yes
- No
Have you ever been convicted of a crime other than a minor/traffic or juvenile offense?*
- Yes
- No
Upon submission you will receive an email directing you to provide further explanation on your response.
Are there any criminal charges pending or expected to be brought against you?*
- Yes
- No
Upon submission you will receive an email directing you to provide further explanation on your response.
Have you ever been on academic/disciplinary probation or been dismissed from any educational institution?*
- Yes
- No
Please select which type of academic standing.*
- Academic Probation
- Academic Dismissal
Have you ever been subject of a court martial or dishonorably discharged from the military?*
- Yes
- No
Upon submission you will receive an email directing you to provide further explanation on your response.
Untitled*
- By checking this box I indicate that I have read and understand the following:
Regent University’s MA in Human Services, MA in Pastoral Counseling, MS in General Psychology and PhD in Counseling & Psychological Studies programs do not lead to licensure. These programs are designed for those seeking a non-licensure career path. These programs are not designed for preparation for or licensure as psychologists, professional counselors or marriage & family therapists.
Certification
Acknowledgement of Admissions Policy and Certification of Answers Given*
- By checking this box and submitting this questionnaire, I certify that I have reported my grades to the best of my knowledge and understand that Regent University may use this information to determine my eligibility for admission prior to the receipt of my official transcripts at their sole discretion. I acknowledge that it is the policy of Regent University that all applicants must submit official transcripts from all colleges and high schools attended, and any decision of admission afforded to me does not change the transcript requirement. I understand that my official transcripts will be used to confirm all self-reported grades and other course information provided here, and any false statements made by me in the self-reporting of my grades may invalidate further consideration for admission or result in rescinding of the offer of admission, if applicable. I further certify that all of the responses in this questionnaire are my own work, without the assistance of others.
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As an applicant to one of our graduate or doctoral programs, you have already completed a previous degree or will prior to your enrollment with us, if admitted. Thinking back on your most recent or current degree program, please describe your overall grade performance.
- I earned A’s in almost all classes (typically 3.5-4.0 GPA)
- I earned mainly B’s and a few C’s in classes (typically 2.75-3.4 GPA)
- I earned mainly C’s in my classes (typically 2.0-2.74 GPA)
- I earned mainly D’s or failing grades (typically 0.0-1.9 GPA)

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