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Personal Information

Name*
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Gender
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Mailing Address

mailing address*

Citizenship

Citizenship Status*

Ethnicity

Race*
Select all that apply:
Are you Hispanic/Latino?*
Regent University collects ethnicity information for statistical purposes only. Ethnicity is not considered in admissions or financial aid decisions.

Military and First Responder Affiliation

Do you currently work as a firefighter, EMS worker, rescue volunteer or a member of law enforcement?*
Are you affiliated with the US military?*

Academic Plans

Would you like to study on campus or online?*

Academic History

Have you previously been enrolled at Regent and received a grade (including a W)?*
Please enter a number less than or equal to 4.00

Supplemental Questions

Do you currently have an overdue balance at another college or university?*
Have you ever been convicted of a crime other than a minor/traffic or juvenile offense?*
Are there any criminal charges pending or expected to be brought against you?*
Have you ever been on academic/disciplinary or conduct related probation or been dismissed from any educational institution?*
I am comfortable learning from a Christian perspective.*
I will respect other students' points of view and perspectives even though I may disagree with them.*

Certification

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03/30/2025 MM slash DD slash YYYY
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