Enrollment Intent

Contact ID

Opportunity ID

In order to confirm your enrollment at RBC, please complete this form and submit your $75 enrollment deposit. If you choose to enroll, this deposit will be credited toward your semester tuition. Students are eligible to submit the enrollment deposit upon receipt of their acceptance to Richard Bland College. Please note, we will not begin your matriculation process until we have received this deposit. We encourage you to submit your enrollment deposit as soon as possible to confirm your enrollment. Deposits are not refundable.

If you feel that you qualify for a tuition deposit waiver, please email apply@rbc.edu or call 804.862.6249. We are more that happy to help.

If you wish to be considered for on-campus housing, please complete the RBC Housing Application.

First Name

Last Name

Intent to Enroll

I intend to enroll at Richard Bland College.

What are your living preferences?

Residential (on-campus housing)Commuter (not living on campus)Online (taking all courses online)

In accordance with federal law, all educational institutions must notify students who may enroll or are currently enrolled in degree programs that may lead to professional licensure or certification that their specific degree program either fulfills the educational requirements for licensure or certification, does not fulfill licensure or certification requirements, or has not been determined to fulfill licensure or certification requirements. RBC has not made any such determination for any US state/territory for specific degree programs.

I acknowledge receipt of the disclosure above from Richard Bland College

Payment Information

Name on Card

Billing Email

Card Number

Code

Billing Information and Address

First Name

Last Name

Address Line 1

Address Line 2

City

State/Province

Postal Code

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Contact Information