Social Security Number
Why does Piedmont need my SSN?
Race (Choose one or more)
Nature of Present Employment
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?
The MBA is offered with optional concentrations based on demand.
What concentration are you interested in?
Please match with chosen program of interest (MBA, MDiv, MEd, MABS)
In which department do you plan to study as a non-degree seeking student?
If you have an international agent, please enter their information here
You must have a Bachelor's degree prior to starting graduate level studies at PIU.
Please list all previously attended academic institutions beginning with the most recently attended.
Name of Institution
City of Institution
State of Institution
Add additional institution(s)?
Enter information for additional institutions and select "Add Institution" 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.