Campbell University RTP Campus Morrisville NC

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I hereby apply for undergraduate admission to Campbell University beginnning:
TERM YEAR

PERSONAL INFORMATION
Last Name
First Name
MI
Gender
Marital Status
Maiden Name (if applicable)
Social Security # - -
Date of Birth
Place of Birth
Race/Ethnicity
Religious Affiliation (if applicable)
Name of current employer
Have you ever been convicted of a felony?
If yes, please describe:
Are you a U.S. Citizen?
If not, are you a Permanent Resident?
Native Country
Permanent Address
Street/Box Address
City
County
State
Zip
CONTACT INFORMATION
Local Address
Street/Box Address
City
County
State
Zip
How long have you lived at this address?
State of Legal Residence
Home Phone # - -
Cell Phone # - -
Work Phone # - -
Email
MILITARY INFORMATION
Are you an active duty family member?
Are you currently on active duty?
Guard/Reserve?
MOS/NER
Select Branch of Military (if applicable)
Rank
Grade
ETS/EAS Date
EDUCATION
Do you plan to apply for federal financial aid?
Do you plan to use Veterans Education Benefits?
Do you have a high school diploma?
If not, do you have a GED?
If yes, where did you attend high school?
Name of school
City
State
Zip
Date of Graduation/Last Attended
Do you already hold a college degree?
If yes, please specify:
What is your proposed degree from Campbell?
What is your proposed major from Campbell?
Are you visiting from another institution?
If yes, please give Home College/University

List ALL schools attended since high school.

How did you find Campbell University RTP? If other, please specify:

I CERTIFY THAT THE INFORMATION GIVEN IS COMPLETE AND ACCURATE.

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Campbell University RTP Extended Campus Application for Admission (All sections must be completed)

Campbell University RTP Extended Campus
Application for Admission
(All sections must be completed)