Social Security Number
Why does Piedmont need my SSN?
Race (Choose one or more)
Military Service Information
Have you, a spouse, or parent ever served in the United States Armed Forces?
Do you reside outside of the United States?
Address Line 1
Address Line 2
Mobile Phone Number
Home Phone Number
Would you like to be contacted by an admissions representative through text messaging?
Anticipated Enrollment Information
What academic year do you plan to begin your studies?
What term do you plan to begin your studies?
What program of study are you interested in?
What type of student are you?
How do you plan to attend classes?
Will you be a resident or commuter?
If you are a visa holder, what is your visa type?
If you have an international agent, please enter their information here
Do you expect to participate in athletics in college?
Please list all previously attended academic institutions (including high schools and colleges) beginning with the most recently attended. If you were home schooled or have a GED, please enter "N/A" in the required fields below.
Name of School/College
City of School/College
State of School/College
Were you home schooled?
Do you have a GED?
Add additional schools or colleges?
Enter information for additional schools or colleges and select "Add School/College" for each.
Are you on academic/social probation at any other college?
Please explain the circumstances around your probation if applicable
Have you ever been convicted of a felony?
Please explain the circumstances of your felony conviction if applicable
Have you used illegal drugs?
List last date of drug use
I have read and agree to respect the Statement of Faith and Mission Statement of the university.
I agree to abide by the following Code of Conduct as set forth by the university and understand that failure to abide by the rules will result in appropriate disciplinary action.
I have provided complete and accurate information on my application.