Application Status

Desired date of enrollment:

Are you a U.S. Citizen or are you a permanent resident of the United States?

Which program are you interested in?

Academic major or career interest:

Entrance Information











Personal Information

Last Name*
First (given) Name* Middle Name Preferred Name
*As printed on Visa, (if applicable)  
Mailing Address
City County State CountryPostal Code
       May we send you text messages?    
Contact Phone Cell Phone
E-mail Address
What is the best way to reach you?
- -
Month Day Year
Social Security Number Date of Birth Gender Hometown Newspaper
Religious PreferenceName of ChurchChurch AddressCityStatePostal Code
Country of Birth Country of Citizenship Type of Visa/Visa Number (If Applicable)

How did you first learn about University of the Cumberlands?

What influenced you to apply to University of the Cumberlands?

Did either of your parents attend college?

Do you plan to paricipate in intercollegiate athletics?

Which sport? Have you been in contact with the coach?

Campus Housing Information

Do you plan to live in campus housing? All full-time students are required to live in university housing unless you meet one of the criteria for exemption.

In order for a student to live off campus, one of the following criteria must be met. The student must be/have:
1. married;
2. living locally with a parent or guardian;
3. disabled person as defined by Section 504 of the Rehabilitation Act of 1973 and required, as an accommodation, exemption from this policy.
(Housing/Exemption information will be sent to you at a later date.)

Family Information

With whom do you reside? 

Parent's Address (Complete only if you live with your parent(s))
Father's Full NameMother's Full Name
Mailing Address, Street, P.O. Box Or Rural Route
Same as mine
Mailing Address, Street, P.O. Box Or Rural Route
Same as mine
CityStateCountryPostal CodeCityStateCountryPostal Code
Home Phonecell PhoneHome Phonecell Phone
E-Mail Address E-Mail Address

Attended/Graduated from University of the Cumberlands (Cumberland College)?
If yes, date:

Attended/Graduated from University of the Cumberlands (Cumberland College)?
If yes, date:

Complete only if you live with someone other than your parents

The person listed below is

If nearest relative, what is relationship to you?


Last Name
First (Given) NameMiddle
Mailing Address, Street, P.O. Box Or Rural Route Same as mine
CityStateCountryPostal Code
Home PhoneCell PhoneE-Mail Address

Educational Information

List the high school from which you were or will be graduated.

High School AttendedDate/Year of Graduation
School AddressCityStateCountryPostal Code
School Phone Guidance Counselor

List all colleges and universities previously attended or currently enrolled in, beginning with the last insitution attended, including University of the Cumberlands (Cumberland College). Failure to list ALL institutions previously attended or currently enrolled in, may result in loss of credit and dismissal from the university. We must receive a certified transcript with an official seal and signature from each college or university attended, regardless of whether credit was earned.

CollegeAddressDates Attended
CollegeAddressDates Attended
CollegeAddressDates Attended
CollegeAddressDates Attended

Academic Honors

Check all boxes that apply:

Extracurricular and Community Activities

In addition to your academic background, the acceptance and scholarship committee would also like to know about your involvement in school, community, or church activities. Using the space provided, please list your principal extracurricular, personal, volunteer, community, and family activities and hobbies.

Which activities would you be interested in participating at University of the Cumberlands?

Confidential Information

The following questions are an iMportant part of your application process. Failure to complete any item below will result in your application being considered incomplete. You must answer both questions below before you can submit your application.

Are you currently on probation, parole, or under restriction with any court, or have you ever been convicted of a crime other than a traffic violation? (If yes, you will receive a questionnaire to complete and return.)

Has any academic or disciplinary action been taken against you at any secondary school or institution of higher education you have attended? (If yes, please provide an explanation below.)

You are about to submit your application electronically to University of the Cumberlands. There is no application fee.

I understand that, in completing my application, the Office of Admissions may receive confidential recommendations from various individuals, and I agree that I will not have access to those documents; neither will University of the Cumberlands release the same to third parties.

I hereby certify that all statements in the application are complete and true and acknowledge that my admission and continuing status at University of the Cumberlands are conditional upon such completeness and truthfulness.

If accepted as a student, I pledge to uphold the Christian values which are the foundation of University of the Cumberlands. I will conduct myself in a manner which will reflect positively upon myself, my peers, and my university. I consent to the use of my name and my picture in university media.

I pledge to uphold the guidlines of the University of the Cumberlands, which are outlined in the student handbook.

Please enter your name below as you would sign an official signature.


You must answer both Confidential Information questions before you can submit your application.