Plan to Attend

Please let us know if you plan to enroll at CNU

First Name*

Middle Name

Last Name*

Email Address*

Birthdate*

Cell Phone Number*

Do you plan to attend Christopher Newport University?*

Yes, as a Non-Degree Seeking Student

Yes, as a Readmitted CNU Student

I plan to enroll at CNU beginning...*

Class Registration Information

Please choose up to four courses you are interested in taking at CNU. Non-degree seeking students are limited to 11 credit hours each term. Registration will occur on the business day prior to the start of the term. Please use the Schedule of Classes to select the courses in which you plan to enroll.

Course #1: List Subject, Course Number, and Section you are requesting:

Course #2: List Subject, Course Number, and Section you are requesting:

Course #3: List Subject, Course Number, and Section you are requesting:

Course #4: List Subject, Course Number, and Section you are requesting:

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

Please give the approximate date(s) of each incident, explain the circumstances and reflect on what you learned from the experience.*

Have you been the subject of any disciplinary action by your high school, college/university, or another educational institution?*

Yes

No

Please give the approximate date(s) of each incident, explain the circumstances and reflect on what you learned from the experience.*

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