Having the ability to predict enrollment is an important task for any school’s recruiting team. The purpose of this study was to identify significant factors that can be used to predict the spatial distribution of enrollments. As a case study, we used East Tennessee State University (ETSU) pharmacy school, a regional pharmacy school located in the Appalachian Mountains. Through the application of a negative binomial regression model, we found that the most important indicators of enrollment volume for the ETSU pharmacy school were Euclidean distance, probability (based on competing pharmacy schools’ prestige, driving distance between schools and home and tuition costs), and the natural barrier of the Appalachian Mountains. Using these factors, together with other control variables, we successfully predicted the spatial distribution of enrollments for ETSU pharmacy school. Interestingly, gender also surfaced as a variable for predicting the pharmacy school’s enrollment. We found female students are more sensitive to the geographic proximity of home to school.