University of the Virgin Islands 
Access and Enrollment Services/Registrar’s Office 
SELECT CAMPUS: 
❑ St. Thomas 
❑ St. Croix 
 
 
 
ENROLLMENT CONFIRMATION AND DEPOSIT FORM 
 
We know you will make a great addition to the Buccaneer family!  Confirm your enrollment at the University of the Virgin Islands 
by paying your $100 (USD) enrollment deposit. 
  
This Enrollment Confirmation and Deposit form must be returned with your Deposit Fee of $100.00 (USD) and is required of all new 
students in order to facilitate planning, course scheduling, advising and registration, and new student orientation. 
 
Please include your name and student ID number on the check or money order made payable to the “University of the Virgin Islands”; 
do not send cash.  You can also contact the Cashier’s Office at (340) 693-1437 (St. Thomas) or (340) 692-4160 (St. Croix) to pay the 
fee by phone. Mail/Email your completed form and/or $100 (USD) deposit to:    
 
 
Orville E. Kean Campus - Mailing Address (STT): Registrar’s Office ⚫ #2 John Brewer’s Bay ⚫ St. Thomas, VI 00802-9990 
Albert A. Sheen Campus - Mailing Address (STX): Registrar’s Office ⚫ RR1 Box 10,000, Kingshill ⚫ St. Croix, VI 00850-9781 
Email: registrar@uvi.edu  
 
NAME 
STUDENT ID (Provided in acceptance letter) 
MAILING ADDRESS (PO Box or Street Number) 
CITY/STATE/ZIP 
PHONE NUMBER 
EMAIL ADDRESS 
NAME OF EMERGENCY CONTACT 
RELATIONSHIP OF EMERGENCY CONTACT TO YOU 
EMERGENCY CONTACT ADDRESS 
EMERGENCY CONTACT PHONE NUMBER 
 
 
ENROLLMENT DECISION:  
 
 
 
 
STUDENT TYPE: 
 
I plan to enroll for the:  
 
 
 
 
 
❑ Certificate Student 
 
 
 
 
 
 
❑ Readmitted Student 
❑ Semester___________ 
Year__________  
 
 
 
 
 
PLEASE READ AND SIGN 
   I Understand That: 
 
I am confirming my intent to enroll by making an enrollment deposit of $100.00. If I register as expected, the deposit will be 
credited to the tuition charge for that semester.    If I do not request a deposit refund by May 1st for the Fall semester or 
December 1st for the Spring semester and do not enroll as intended, the enrollment deposit will be forfeited and cannot 
be used to offset any other charges I may have incurred at UVI. 
 
The Student Health form, including proof of immunization, must be completed and returned to the appropriate campus 
Student Health Services Office prior to registration or moving on campus. 
 
 
STUDENT SIGNATURE:    
  DATE:  _______________________________________ 
SIGN
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