Undergraduate International Student Application
* Complete every question. Required fields are marked with *.
* A next to the question provides additional information.
* A on the sidebar indicates that all required information has been completed for that page.
* Use the tab key or mouse to move through the fields.
* Current students may log in to Tigernet; some questions will be populated automatically.
* The form will automatically save when you move on to another tab by pressing the Next button.
* Once you submit your application, you will no longer have access to it.
Are you applying for the MSITM or PMBA program?
Please apply using the
Regional Center Graduate Application.
Main Campus International Student Application
*Please enter your name as it appears on your passport.
Last Name: (Family Name)
Confirm Email Address:
Personal Email Address:
Date of Birth:
African American (Black) - A person having origins in any of the black racial groups of Africa.
American Indian or Alaskan Native - A person having origins in any of the original peoples of North and South America (including Central America) who maintains cultural identification through tribal affiliation or community attachment.
Asian - A person having origins in any of the original peoples of the Far East, SoutheastAsia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Native Hawaiian or Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Do you have a Social Security Number?
State: (Province, Prefecture, District, Region)
Are you applying for our Undergraduate or Graduate program?
What year do you wish to enroll?
What term do you wish to enroll?
What program are you seeking?
Are you working with an agency/recruiter in your home country?
Recruiter's Contact Last Name:
Recruiter's Contact First Name:
Recruiter's Contact Phone Number:
Recruiter's Contact Email Address:
Country of Citizenship:
Country of Birth:
City of Birth:
Do you have a current U.S. VISA?
VISA Expiration Date:
Are you bringing your spouse and/or children with you?
Select the number of dependents:
Enter the information needed and press the Add button, the information will show up in the table below. If you need to add another entry you may press the Add button again. To update any entry you can do so by clicking on the Update button and once you are finished you can save it by clicking on the Add button. You can also view the entry details if available by pressing the Details button.
State of Institution:
Name of Institution:
You may have multiple contacts. However, only one is required.
Have you ever been convicted of a felony?
Certify your statements
I hereby certify that the above statements are true and correct to the best of my knowledge. I hereby submit this application for admission to Campbellsville University subject to the policies and procedures of the university.
Verify your application is complete
Each tab on the left side of the screen should have a next to it to indicate you have supplied all the required information. You will not be able to submit your application unless EVERY tab has a . You can go back to the page now and complete the required information, or log back in later and retrieve the application using the email and password you created when you started.