Enrollment Deposit for On-campus Undergraduate Programs

Student/Applicant's Information:

Name*

First Middle Last

Date of Birth*

Email Address*

Student ID (if awaiting admissions decision, enter ‘Pending’)*

Your student ID begins with a "B" and includes eight numbers. Please contact your admissions counselor 1.888.718.1222 or undergrad@regent.edu if you can't locate your student ID. If you are awaiting an admissions decision, enter “Pending”.

Enrollment Information:

For which program did you apply?*

Traditional (on-campus, traditional semester)

Online (8-week courses)

Please submit your Enrollment Agreement here for Online/Evening (8-week courses).

Please pick the year*

Please pick the semester*

Fall A - starting in August

Spring C - starting in January

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Please pick the semester*

Fall A - starting in August

Fall B - starting in October

Spring C - starting in January

Spring D - starting in March

Summer E - starting in May

Summer F - starting in June

Please indicate if you will reside in campus housing at Regent*

First-year students who reside outside of a 25-mile radius from Regent are required to live on-campus in the Commons unless they submit a Housing Appeal Form. Transfer undergraduate students are not required to live on-campus.

Yes, I will be residing in campus housing at Regent

No, I will not be residing in campus housing at Regent

Will submit housing application & deposit later

Housing Information:

Please choose the option that best describes you*

First-year traditional undergraduate (freshman)

Transfer traditional undergraduate (the upcoming academic year may be your first year at Regent but you have previously attended another undergraduate institution)

Non-traditional undergraduate (25 years old or older)

Please choose your gender*

Male

Female

Housing Preference

Please rank the following options (by rearranging them in the order of preference).

Shared Studio (2 residents)
Shared One Bedroom (2 or 3 residents)
4 bedroom suite or "quad" (4 residents have private bedrooms that open to a common living room, kitchen and 2 shared bathrooms)

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Housing Preference:*

Please rank the following options (by copying them and then pasting in the appropriate boxes below):

Shared Studio (2 residents)
Shared One Bedroom (2 or 3 residents)
4 bedroom suite or "quad" (4 residents have private bedrooms that open to a common living room, kitchen and 2 shared bathrooms)

First Choice

Second Choice

Third Choice

Housing Preference

Please rank the following options (by rearranging them in the order of preference).

Regent Commons - Shared Studio (2 residents)
Regent Commons - Shared One Bedroom (2 or 3 residents)
Regent Commons - 4 bedroom suite or "quad" (4 residents have private bedrooms that open to a common living room, kitchen and 2 shared bathrooms)
Regent Village - Shared Two Bedroom (2 residents in each bedroom / 4 total residents)

Hidden

Housing Preference:*

Please rank the following options (by copying them and then pasting in the appropriate boxes below):

Regent Commons - Shared Studio (2 residents)
Regent Commons - Shared One Bedroom (2 or 3 residents)
Regent Commons - 4 bedroom suite or "quad" (4 residents have private bedrooms that open to a common living room, kitchen and 2 shared bathrooms)
Regent Village - Shared Two Bedroom (2 residents in each bedroom / 4 total residents)

First Choice

Second Choice

Third Choice

Fourth Choice

Housing Preference:*

Option 1 requires a housing deposit of $350. Option 2 requires a housing deposit of $500.

Option 1 - Shared ($350 deposit)

Option 2 - Single Occupancy ($500 deposit)

*housing deposits are due after housing placement established.

Single Occupancy 2 bedroom/2 bathroom (Unfurnished-Single Occupancy, upstairs)-$5,645/semester

Housing Preference

Please rank the following options (by rearranging them in the order of preference).

Phase I: 2 bedrooms / 1 bath (downstairs) Phase I: 2 bedrooms / 1 bath (upstairs)
Phase I: 2 bedrooms / 1 bath (FURNISHED, 1 resident in each bedroom, downstairs)
Phase I: 2 bedrooms / 1 bath (FURNISHED, 1 resident in each bedroom, upstairs)
Phase II: 2 bedrooms / 2 baths (upstairs only)
Phase II: 3 bedrooms / 2 baths (families with children only, all assignments are downstairs)

Hidden

Housing Preference:

Please rank the following options (by copying them and then pasting in the appropriate boxes below):

Phase I: 2 bedrooms / 1 bath (downstairs)
Phase I: 2 bedrooms / 1 bath (upstairs)
Phase I: 2 bedrooms / 1 bath (FURNISHED, 1 resident in each bedroom, downstairs)
Phase I: 2 bedrooms / 1 bath (FURNISHED, 1 resident in each bedroom, upstairs
Phase II: 2 bedrooms / 2 baths (upstairs only)
Phase II: 3 bedrooms / 2 baths (families with children only, all assignments are downstairs)

First Choice

Second Choice

Third Choice

Name of Requested Roommate

Desired Occupancy Date

Untitled*

By selecting this box, I agree to all terms of the On-Campus Student Housing Agreement.

Untitled*

By selecting this box, I confirm that I have read, understand and agree to abide by the Residence Life Handbook while a Regent University student housing resident.

Enrollment Deposit

Price:

Enrollment Deposit

Price:

Housing Deposit

Price:

Housing Deposit

Price:

Housing Deposit

Price:

Acknowledgements (trad)*

By selecting this box, I acknowledge the following schedule for refund of semester student housing fees once I have accepted a key for my student housing assignment:
- 1st & 2nd week of classes = 100% refund of semester student housing fees
- 3rd & 4th week of classes = 50% refund of semester student housing fees
- After 4th week of classes = No refund of semester student housing fees

Total

Click "Submit" below to make your payment online with a credit/debit card or an eCheck.

Federal Disclosure: We agree not to use any pre-dispute agreement to stop you from being part of a class action lawsuit in court. You may file a class action lawsuit in court, or you may be a member of a class action lawsuit even if you do not file it. This provision applies only to class action claims concerning our acts or omissions regarding the making of the Federal Direct Loan or the provision of us by educational services for which the Federal Direct Loan was obtained. We agree that the court has exclusive jurisdiction to decide whether a claim asserted in the lawsuit is a claim regarding the making of the Federal Direct Loan or the provision of education services for which the loan was obtained.

If you have questions about your enrollment deposit or next steps, please contact the Admissions office at 1.888.718.1222.

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Student/Applicant's Information:

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