University of the Virgin Islands

CHECK ONE

__ St. Croix

Division of Enrollment Management - Admissions and New Student Services

__ St. Thomas

ENROLLMENT CONFIRMATION & DEPOSIT FORM

Official use only

For Admitted Students Only.

Instructions: This form must be returned with a $100.00 (U.S.) non-refundable Enrollment Deposit Fee. Please include your name and social security number on the check or money order made payable to the "University of the Virgin Islands"; do not send cash. In order to facilitate plans for orientation, registration and enrollment, all admitted students are required to submit this Enrollment Confirmation & Deposit Form by July 15, for the Fall Semester or by December 1, for the Spring Semester. The $100.00 deposit will be applied to tuition and fees for the semester in which you intend to enroll, as indicated below.

Name

___________________________________________________________

Social Security # _________________________

Mailing Address

_________________________________________________

Telephone #____________________________

_________________________________________________

E-mail Address__________________________

City

State

Zip Code

Parent(s) Name(s)

_______________________

/_________________________

Address________________________________

Mother

Father

Enrollment Decision: I plan to enroll for the Fall Semester 20____ (Aug.- Dec.) Spring Semester 20____(Jan.- May)

Student Type: _New Freshman _Transfer Student _Re-admitted student _Previously enrolled Part-time at UVI _Graduate Student

Housing: Housing is available for students who plan to pursue full-time studies, only.

__ I plan to live on Campus and have submitted the Housing Application and Deposit. Check one: _ _ St. Thomas __ St. Croix

__ I do NOT plan to live on campus

For more information on Student Housing, call (340) 693-1110 for the St. Thomas Campus or (340) 692-4194 for the St. Croix Campus

Enrollment Status:

Class Scheduling Preference:

__ I intend to enroll full-time. (12 credits or more)

__ I prefer day classes.

__ I intend to enroll part-time. (11.5 credits or less)

__ I prefer evening classes.

Although your class scheduling preference can not be “guaranteed,” every attempt will be made

to meet your preference depending on curriculum requirements and availability of classes.

Additional Information

Has anyone in your family graduated from UVI? If yes, indicate Name: ________________________________Relationship_________________

Have you ever participated in:

_Choir _Band/Orchestra _Basketball _Netball _Softball _Track & Field _Soccer _Tennis _Volleyball

_Student Council _Drama/Theater _other activities__________________________________________________________________

Will you require special services to accommodate a disability? __ Yes __ No If yes, explain_________________________________________

PLEASE READ AND SIGN I understand:

1) that acceptance is valid for one academic year as indicated in my acceptance letter, however, the Enrollment Deposit is applicable only to the

semester I indicated above. If I do not register during that year, I must reapply for admission and resubmit the enrollment deposit fee.

2) that the Health form, including proof of immunization, must be completed and returned to the University of the Virgin Islands prior to

registration or moving on campus. Mail to: Student Health Services, St. Thomas Campus or Student Health Services - St. Croix Campus

Student Signature

_________________________________________

Date _______/_______/_______

White-Admissions

#2 John Brewer's Bay, St. Thomas, V.I. 00802-9990

RR 02-Box 10,000, Kingshill, St. Croix, V.I. 00850

Canary-Housing

Pink-Freshman

TEL: (340) 693-1150 * Fax: (340) 693-1155

TEL: (340)692-4158 * Fax: (340) 692-4115

Green-Accounting

Visit us at http://www.uvi.edu

Revised 7/2002