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Academic Background Questionnaire for Readmission Applicants

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Source
Please provide your name*
First Middle Last
Please provide the email address you used when applying for admission*
Please provide your date of birth*
MM slash DD slash YYYY
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Thinking back on your prior academic experience, please describe your overall grade performance. NOTE: Applicants to master's programs should reflect on their bachelor's degree and applicants to doctoral programs should reflect on their master's degree.
- 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)

To move forward with the readmission process, you are required to provide insight into why you were unable to complete your program during your previous time of study at Regent.*
In 250-300 words, please provide us with a clear timeline of events explaining why you were unable to finish your program and why you desire to return now. This explanation will accompany a request to extend your program time limit. The submission of this information does not guarantee readmission.
Reflect on your prior academic journey at Regent.*
Returning to your prior academic degree requires perseverance, among many other things. Please share insight into your preparation for resuming courses and how you plan to be successful should you be readmitted. (150-250 words)

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 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.
Acknowledgement of Admissions Policy and Certification of Answers Given*
- By checking this box and submitting this questionnaire, I certify that I have reported my Regent academic history to the best of my knowledge and understand that 91�� may use this information to determine my eligibility for readmission before the receipt of my official transcripts at their sole discretion. I acknowledge that it is the policy of 91�� 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 readmission 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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Generous transfer policy — transfer up to 90 credit hours
Up to 75% of a bachelor’s degree or up to 49% of a graduate degree

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EQUAL OPPORTUNITY POLICY FOR STUDENTS 91�� does not discriminate on the basis of race, color, sex, national or ethnic origin, disability, age or veteran status in admissions, treatment or access to its programs and activities, or in the administration of educational policies, scholarships, loan programs, athletics or other University programs. In addition, Regent does not discriminate based on religion, except as necessary to comply with Regent’s Standard of Personal Conduct and Statement of Christian Community and Mission. Telephone Consumer Protection Act (TCPA) Terms & Conditions By submitting your information and telephone number through the above “Request Information” form and clicking “Learn More” to request information (“Inquiry”), You agree that 91�� (“Regent”) and all of its related corporate entities, agents, independent contractors, assigns, and successors may call You through the use of any dialing equipment (including a dialer, automatic telephone dialing system, and/or interactive voice recognition system) and/or artificial or prerecorded voice or message, even if You are charged for the call or message. You expressly agree that such automated calls may be made by Regent and/or its related corporate entities, agents, independent contractors, assigns, and/or successors to any telephone number (including numbers assigned to any paging, cellular, or mobile service, or any service for which You are charged for the call) You have provided previously or may provide in the future in connection with Your Inquiry. You expressly consent to such automated calls. With such consent, You specifically waive any claim You may have against Regent and/or its related corporate entities, agents, independent contractors, assigns, and/or successors for the making of such calls, including any claim under federal or state law and specifically any claim under the Telephone Consumer Protection Act, 47 U.S.C. § 227. You also expressly agree that this provision applies to the use of text messaging. You expressly consent to the receipt of text messages from Regent and all of its related corporate entities, agents, independent contractors, assigns, and successors at any telephone number (including numbers assigned to any paging, cellular, or mobile service, or any service for which You are charged for the call) You have provided previously or may provide in the future in connection with Your Inquiry. You are not required to accept this consent to obtain any good or service.

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