* Complete every question. Required fields are marked with *.
* Use the tab key or mouse to move through the fields.
* The form will automatically save when you move on to another tab by pressing the Next button.
* A on the sidebar indicates that all required information has been completed for that page.
* Once you submit your application, you will no longer have access to it.
* International students: Use the Main Campus International Student application.
Are you in the country on an F-1 Visa?
Are you applying for the Undergraduate or Graduate Program?
Mobile Phone Number:
Confirm Email Address:
Are you a citizen of the United States?
Do you currently reside in the United States
Social Security Number:
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.
Please list the State, Name, and Degree Received at all Higher Educational Institutions you attended. (ie- Previous Colleges, Universities etc.)
Please list the State, Name, and Degree Received at all Educational Institutions you attended. (ie- High School, Previous Colleges, etc.)
State of Institution:
Name of Institution:
Did you receive a degree from this institution?
Graduation Year (or last year attended):
Click Add to Submit the School entered. (Not clicking add will result in an incomplete application)
OR Have you obtained a GED?
*You may have multiple contacts. However, only one is required.
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.
Some program offerings are dependent on the start date. If you do not see your intended program as an option, select a different start date.
When would you like to begin your studies?
What month do you plan on starting?
What degree are you seeking?
Are you currently employed?
Who is current employer?
Have you ever been convicted of a felony?
How did you hear about us?
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.
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.