CHECK ONE
! St. Croix
! St. Thomas
Official use only
Name ___________________________________________________________Social Security # _________________________
Mailing Address
_________________________________________________Telephone #____________________________
_________________________________________________E-mail Address__________________________
City
State
Zip Code
Parent(s) Name(s) _______________________/_________________________Address________________________________
 Enrollment Decision:    I plan to enroll for the Fall Semester 20____ (Aug.- Dec.)   Spring Semester 20____(Jan.- May)  
 Housing:  Housing is available for students who plan to pursue full-time studies, only.
           ☐ I plan to live on Campus and have submitted the Housing Application and Deposit. Check  one: 
☐ St. Thomas  ☐  St. Croix    
           ☐ I do NOT plan to live on campus 
Enrollment Status: 
Class Scheduling Preference:
    
 ☐  I intend to enroll full-time. (12 credits or more) 
    ☐ I prefer day classes.
    
 ☐  I intend to enroll part-time. (11.5 credits or less)
    ☐ I prefer evening classes.                               
Has anyone in your family graduated from UVI?   If yes, indicate Name: ________________________________Relationship______________
Have you ever participated in:
          
☐ Choir    ☐ Band/Orchestra   ☐ Basketball    ☐ Netball     ☐ Softball     ☐ Track & Field   ☐ Soccer  ☐ Tennis    ☐ Volleyball  
☐ Student Council  ☐ Drama/Theater  ☐ other activities______________________________________________________________
 Will you require special services to accommodate a disability?    ☐ Yes    ☐No    If yes,  explain____________________________________
PLEASE READ AND SIGN   I understand:
       semester I indicated above.  If I do not register during that year, I must reapply for admission and resubmit  the enrollment deposit fee.
 2)   that the Health form, including proof of immunization, must be completed and returned to the University of the Virgin Islands prior to 
       registration  or moving on campus.  Mail  to: Student Health Services, St. Thomas Campus or Student Health Services - St. Croix Campus
    
Student Signature     _________________________________________
Date  _______/_______/_______
White-Admissions
Canary-Housing
Pink-Freshman 
Green-Accounting
Division of Enrollment Management - Admissions and New Student Services
ENROLLMENT CONFIRMATION & DEPOSIT FORM
RR 02-Box 10,000, Kingshill,  St. Croix, V.I. 00850
Although your class scheduling preference can not be “guaranteed,” every attempt will be made 
 Student Type:   ☐ New Freshman ☐ Transfer Student  ☐ Re-admitted student ☐ Previously enrolled Part-time at  UVI  ☐ Graduate Student
For more information on Student Housing, call (340) 693-1110 for the St. Thomas Campus or (340) 692-4194 for the St.  Croix Campus
Mother
Father
TEL: (340)692-4158 # Fax: (340) 692-4115 
University of the Virgin Islands
 1)   that acceptance is valid for one academic year as indicated in my acceptance letter, however, the Enrollment Deposit is applicable only to the 
Revised 7/2002
  Visit us at http://www.uvi.edu
Instructions: This form must be returned with a $100.00 (U.S.) non-refundable Enrollment Deposit Fee.
Please include
your name and social security number on the check or money order made payable to the "University of the Virgin Islands"; do not
send cash.
In order to facilitate plans for orientation, registration and enrollment, all admitted students are required to submit
this Enrollment Confirmation & Deposit Form by July 15, for the Fall Semester or by December 1, for the Spring Semester. The 
$100.00 deposit will be applied to tuition and fees for the semester in which you  intend to enroll, as indicated below.
Additional  Information
to meet your preference depending on curriculum requirements and availability of classes. 
#2 John Brewer’s Bay, St. Thomas, V.I.  00802-9990
TEL: (340) 693-1150 # Fax: (340) 693-1155