Benedict College - Intent to Enroll
Please complete this form and submit your required fees. It is very important that you submit your fees to secure your space for August 2019. All required information must be filled in. Please visit the Admissions page to register for our Tiger Prep days this summer for assistance with submitting documents and Financial Aid. Should you have any questions, please call us at 803-705-4910.

By submitting this form, you agree that you have reviewed this information and you certify that the information provided is true and accurate to the best of your knowledge. Completing the Intent to Enroll form means you intend to attend Benedict College for the Fall 2019 semester.

Benedict Student ID#: *
Your answer
Name (Last Name, First Name): *
Your answer
Home Address (Street, City, State and Zip): *
Your answer
Student Email Address: *
Your answer
Preferred Contact #: *
Your answer
Gender Identity: *
Date of Birth: *
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What is your intended academic major? Check one. *
Required
Have you paid the $50 Admissions Fee and the $100 Housing Fee? *
Check the following option(s) that best describes your housing preference. *
Required
Do you have health insurance? (policy information must be shared with the Health Center)
Please indicate any dis/abilities that require technical accommodations (e.g. blindness, deafness, ADHD). *
Your answer
Have you submitted your Health Form? (This document is required before you will be allowed to live on campus.) *
Required
Are you making a payment today? This form can be submitted without a payment. *
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