Enrollment Form

Thank you for submitting the Transfer Registration Form. You will receive via email a copy of your responses and a confirmation note with further information. If you have any questions, please contact The Transfer Center at transfer@cnu.edu or call us at (757) 594-7296.

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Please let us know if you plan to enroll at CNU.

Student's Legal Name:*

First Name Last Name

Date of Birth:*

Month Day Year

CNU Student ID: (if known)*

Email Address:*

Cell Phone Number:*

Do you plan to attend Christopher Newport University?*

Yes, as a Degree Seeking Student

Yes, as a Non-Degree Seeking Student

I do not plan to enroll at CNU. Instead, I plan to attend...

Please provide reasons why you will not be attending Christopher Newport University. (optional)

I plan to enroll at CNU beginning...*

Conduct Questions:

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential. Answering "yes" does not necessarily preclude enrollment.*
Yes No

Have you been the subject of any disciplinary action by your high school, college/university, or another educational institution?*
Yes No

I agree to inform Christopher Newport University in writing if I receive any disciplinary action from an educational institution or am charged or found guilty of any crime between submitting this form and enrollment. I understand that failure to report this information may result in the rescinding of an initial offer of admission and enrollment verification.*
I agree

Enrollment Form

Do you plan to attend Christopher Newport University?*

Class Registration Information:

Conduct Questions: