Online Application

Please Note: Fields preceded by an asterix sign (*) are required

Personal Data

Last Name (Surname) * First Name * Middle Name

Date of Birth * Place of Birth (City) * Place of Birth (Country) *

Country of Citizenship * Email Address *

Home Phone Work Phone Mobile Phone *

Mailing Address

Building No. * Apt. No. Street *

City * State/Province * Zip Code Country *

In Case of Emergency, Notify

Name * Email * Phone * Relationship *

Building No. * Apt. No. Street *

City * State/Province * Zip Code * Country *

Residency Status

Applying for

Application for Admission Deadlines

Term * Program *

Summer 2016 Application Deadlines:

US Citizens, Permanent Residents, Transfer-in Students: 2016-06-01. You have -3444 days left.
International Students: 2016-05-01.

Ethnic Group

Check all applicable *
2 or More Races American Indian/Alaskan Native Asian Black/African American Hispanic of Any Race Native Hawaiian/Pacific Islander Race/Ethnicity Unknown White

Educational Background

NAME AND LOCATION OF HIGH SCHOOL, COLLEGE(S), OTHER SCHOOLS ATTENDED.

School Year (From/To) Major Degree

Why did you choose us?

Why did you choose California University of Management and Sciences - Virginia? * 100 words minimum.

Referred By

How did you hear about California University of Management and Sciences - Virginia? (Check all applicable) *

Existing Student Name and Student ID:

Newspaper Ad Details:

Online (Google) Details:

Online (Website) Details:

Other (Not Specified) Details:

Signature

I hereby certify that all the information provided in this application is true and correct to the best of my knowledge.
If my application is accepted, I agree to pay the tuition charges and fees. I also agree to abide by all rules and regulations of California University of Management and Sciences - Virginia.

Please check this box if you agree to the statement above: I agree

Electronic Signature

CALIFORNIA UNIVERSITY OF MANAGEMENT AND SCIENCES - VIRGINIA DOES NOT DISCRIMINATE AGAINST ANY INDIVIDUAL ON THE BASIS OF AGE, SEX, RACE, COLOR, RELIGION, NATIONALITY, ETHIC ORIGIN, OR DISABILITY IN THE ADMISSION OF STUDENTS.

Password * Required to login to your application later.

To successfully complete an application, you must have a valid Debit/Credit Card for payment of the $100 application fee.

Mailing Address

In Case of Emergency, Notify

Residency Status

Applying for

Ethnic Group