Undergraduate Inquiry Form

Personal Information

First Name

Last Name

Email

Phone

Cell Phone

Sex

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Are you an international student?

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Country

Please select... United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Deps Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Congo ( DRC ) Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands Virgin Islands ( British ) Wallis and Futuna Yemen Zambia Zimbabwe

Street Address

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Zip/Postal Code

Educational Goals

Are you a freshman or transfer student?

First-time FreshmanTransfer

When do you plan to start your studies?

FallSpring

Which year?

What is your anticipated major?

Please select... Accounting Actuarial Science Anthropology Applied Statistical Analysis Applied Statistics Applied Theology (BAT) Architecture Art Education Art Therapy Studies Aviation Dispatch Aviation Flight Aviation Management Behavioral Science Biochemistry and Molecular Biology Biology Biomedical Sciences Broadcast and Digital Media Production Business Administration Chemistry Christian Behavioral Science Christian Studies Clinical Health Science Communication Science and Disorders Communication Studies Computer Science Construction Management Creative Writing Criminal Justice Data Science Digital Media Communication Early Childhood Studies Elementary Education Engineering, Biomedical Engineering, Chemical Engineering, Civil Engineering, Electrical and Computer Engineering, General Engineering, Industrial and Systems Engineering, Mechanical Engineering, Software English Entrepreneurship Environmental Science Exercise Science Film Finance Fine Art Forensic Chemistry Foundational Mathematics Graphic Design and Visual Experience Health and Human Sciences Health Science Healthcare Administration History Illustration Intercultural Studies Interior Design International Business International Studies Journalism and Media Kinesiology Liberal Studies Marketing Mathematics Music Music, Commercial Performance Music, Composition Music, Instrumental Performance Music, Music Education Music, Piano Performance Music, Songwriting Music, Studio Production Music, Vocal Performance Music, Worship Arts and Ministry Nursing Nursing (RN to BSN) Nutrition and Food Sciences Pharmaceutical Sciences Philosophy Photography Physical Therapy Assistant Political Science Production Design Psychology Public Health Public Relations Radiologic Science Social Science Social Work Sociology Spanish Sport & Performance Psychology Sports Analytics Theater Undecided

Educational History

School Name

(If school does not appear, type Unknown)

Year of graduation

How interested are you in CBU?

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