Graduate/Undergraduate Application

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Simple Form

International Graduate/Undergraduate Application

Are you currently a Campbellsville University Student?
If yes, please list your student ID number:
What program do you plan to study?
When do you plan to begin?
What will be your Major?
Minor:
Did you find us through a recruiting Agency?
If yes, specify which agency/recruiter’s name:
If no, are you receiving another scholarship/grant?
Please Specify:
Name
Date of Birth:
Gender:
Country of Birth:
Country of Citizenship:
Upload a copy of your Passport page:
Marital Status
If married, are you bringing your spouse and/or children with you?
Upload a copy of your and your spouse/children passport page (if applicable):
Do you currently have a USA visa?
What Kind?
Visa Expiration Date:
Permanent Mailing Address
Email Address
Confirm Email Address:
Home Phone
Cell Phone
Most recent TOEFL / IELTS (if available):
Date Taken:
ACT or SAT score for student who is a native
English speaker (Please specify):
Name of Secondary School (High School):
Country of Secondary School:
Graduation Date:
Grade/Mark Average:
Upload a COPY of your high school transcripts
(Native language AND English translation):
Name of any colleges or universities attended:
Date Attended:
Number of College/University credits earned:
Grade/Mark Average:
Please upload a copy of your college/university
transcripts (Native Language AND English):
Religious Affiliation:
Disclosure:
Have you ever been convicted (determined guilty) of a criminal act?
If you selected "yes" above, please explain it:
Signature:
Name:
Today's Date: