New Student Application

Personal Info

Contact Info

Please enter your information as found on your Drivers License or Birth Certificate

First Name

Middle Name

Last Name

Suffix

Maiden Name (if applicable)

Preferred Name

Email

Phone Country Code

Mobile Phone

###-###-####

Home Address

Country

Street

City

State

Zip Code

Primary Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship

Email

Home Phone Country Code

Parent Home Phone

###-###-####

Mobile Phone Country Code

Parent Mobile Phone

###-###-####

Is the address of your Parent/Guardian same as above?

Yes

No

Parent/Guardian Address

Country

Street

City

State

Zip Code

Would you like to add a second Parent/Guardian?

Yes

No

Secondary Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship

Email

Home Phone Country Code

Parent Home Phone

###-###-####

Mobile Phone Country Code

Parent Mobile Phone

###-###-####

Is your parent/guardian currently employed at Southern Virginia University?

Yes

No

Is the address of your Parent/Guardian same as above?

Yes

No

Parent/Guardian Address

Country

Street

City

State

Zip Code

Contact Preferences

Would you like to receive emails about your application and other updates from the University?

Yes

No

Would you like to receive text messages about your application and other updates from the University?

Yes

No

How would you prefer to be contacted by admissions?

Call

Text

Academic Information

Entry Term

When do you plan to attend Southern Virginia University?

Secondary Education

High School Information

Name of High School

If your high school doesn't appear in the look up, please type in its name above.

High School Grad Year

Cumulative GPA (Unweighted)

I was HomeschooledI acquired a GED

GED Score

GED Test Date

Homeschool Grad Year

College Readiness Testing

Have you taken the ACT?

YesNo

ACT Score

Have you taken the SAT?

YesNo

SAT Score

Why Southern Virginia University

Why would you be a good fit for Southern Virginia University?

Your answer should be no more than 500 characters and free from grammatical and spelling errors.

Code of Conduct

The University’s Code of Conduct is based on the Restored Gospel of Jesus Christ and His commandment to Love One Another, and is grounded in the Church’s 13th Article of Faith: “We believe in being honest, true, chaste, benevolent, virtuous, and in doing good to all.” We invite and welcome all who will sincerely strive to live by these principles and shared commitments to one another.

Faithful

Be trustworthy and keep promises
Live a chaste and virtuous life, including abstaining from sexual relations outside of marriage
Abstain from alcohol, tobacco, marijuana, vaping, and any form of substance abuse

Honest

Be honest in all things
Obey the law and follow university policies
Do not cheat, steal, or plagiarize

Kind

Be kind and treat all people with dignity and respect
Use clean language free from profanity, vulgarity, and discriminatory speech
Do not abuse, bully, harass, or discriminate against others

Dress Code

Our dress and appearance should be clean, respectful, and appropriate for the occasion.

I have read the Code of Conduct and Dress Code of Southern Virginia University and appreciate that it is a privilege to be part of a community that strives to live by these principles.

Yes

I acknowledge that violations of the Code of Conduct or Dress Code that are deliberate, repeated, or egregious will result in referral to the Office of the Dean of Students and may result in appropriate action from the University.

Yes

On my honor as a student at Southern Virginia University I will sincerely strive to live by the University’s Code of Conduct and Dress Code.

In place of your signature, please type your full legal name.

Legal

Disclosure

Have you ever been subject to verbal or written disciplinary action for scholastic or other reasons, such as formal or informal Title IX infractions, in any of the schools you attended? (e.g. informal or formal reprimand, suspension, dismissal, etc.)

YesNo

Have you ever been arrested or convicted of any offense, excluding minor traffic or parking violations?

YesNo

Title IX Statement

It is the policy of Southern Virginia University to prohibit discrimination on the basis of sex in any of its educational programs or activities. This policy is in accordance with Title IX of the Education Amendments of 1972.

Prohibited sex discrimination covers sexual harassment including sexual violence. Sexual harassment is conduct that is sexual in nature and is sufficiently severe, persistent, and pervasive that it adversely affects a student’s ability to benefit from the University’s activities or educational programs or creates a hostile or abusive educational environment. Sexual harassment may include rape, sexual assault, sexual battery, sexual coercion, unwanted touching, dating violence, and sexually motivated stalking.

If you encounter what you believe is unlawful sexual harassment or sex-based discrimination, please contact the University Title IX Coordinator, Stephanie Hardy, at 540-261-4090 or email stephanie.hardy@svu.edu.

Additional information regarding the reporting of sexual violence, the resources that are available to victims of sexual violence, and grievance procedures is set forth at https://catalog.svu.edu/policies/title-ix . Southern Virginia University's Report a Concern page can be found at https://svu.edu/report-a-concern

Payment Information

Credit Card Information

First Name on Credit Card

Last Name on Credit Card

Credit Card Number

CVV

Expiration Date Month (MM)

Expiration Date Year (YYYY)

Payment Amount

+ Add a discount code

Discount Code

Billing Address Information

Billing Country

Billing Street

Billing State

Billing City

Billing Postal Code

If your country does not have a postal code, please enter '0'.

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