Academic Background Questionnaire

Please answer the following questions to aid the admissions committee in rendering a decision regarding your application for admission to Regent University.
Please provide your name*
First Middle Last
Please provide your date of birth*
Date Format: MM slash DD slash YYYY
Please provide the email address you used when applying for admission.*
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)

Please be sure to answer each of the following questions as thoroughly as possible, while also proofing your responses to best reflect your writing ability.
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.*

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.

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.