Steps to take:

  • Fill out and sign the form. Don’t forget to read and check the two boxes below the signature line.
  • If you are an NCAA athlete at Longwood, the Athletic Academic Support Coordinator’s signature may be required.
  • Submit your form to the Office of the Registrar.

Submission Information

Submit the completed form, with the appropriate signatures to the Office of the Registrar by:

  • Scanning and emailing it to
  • Hand-delivering it, with your photo ID, to Brock Hall 112
  • Faxing it to (434) 395-2252
  • Mailing it to:

    Longwood University
    Office of the Registrar
    201 High Street
    Farmville, VA 23909
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