Enrollment Confirmation Form

In order to best prepare for your arrival on our campus, we need to ask you to confirm your enrollment plans. Your completion of the following form will allow us to better anticipate your needs and to ensure that your enrollment at Belhaven University represents the first step in a remarkable educational experience.

To secure your place in class, please submit the following Confirmation to Enroll form and your $100 enrollment deposit as soon as possible. While you will receive additional information from us, your completion of the following form and the submission of your tuition deposit will allow us to prepare for you! As always, should you have questions about your enrollment at Belhaven University please feel free to contact your admission counselor at 800.960.5940 or admission@belhaven.edu.

Student First Name *
Student Last Name *
Street Address *
City *
State *
Zip *

Yes! I accept your offer of admission to Belhaven University. My $100 enrollment deposit is in the mail.

Yes! I accept your offer of admission to Belhaven University. I will submit my enrollment deposit of $100 on, or before [date].

Please reserve my place at Belhaven University. I am uncertain about my final enrollment plans at this time.

Thank you for your offer of admission; however, I have decided to attend [name of college].

If you would prefer to use a credit card for your enrollment deposit, submit this form and follow the instructions on the confirmation page.

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