Admissions Inquiry Form

Please select the weekday date and time you would like to schedule a visit from the options below:
*Preferred Visit Date
*Preferred Time
(Submitting an online request does not guarantee a visit; however we will do our best to accommodate your request. If a weekday does not work, or you are looking to visit at a different time slot, please give us a call and we will be happy to work with you. Phone: (901) 321-3205.)
*First Name
*Last Name
*Street Address
Street Address Continued
*Zip/Postal Code
*Phone Number
Cell Phone Number

Cell Phone Provider
*Student E-mail Address
Parent's E-mail Address:
*When enrolling in college, will you be a...
*What year will you enter college?
*1st Major of Interest
2nd Major of Interest
High School CEEB Code
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*High School
*Graduation Date
Most Recent College/University (If applicable)
All campus visits include a 15 minute session with an admissions counselor and a 45 minute tour.
Please indicate in the space provided any additional activities you would like to participate in during your campus visit.
T-Shirt Size
PIN (Not Required)
Do you require any special
assistance during your visit?   wheelchair_image
This form was completed by a CBU employee

Clicking the Submit button below constitutes your express written consent to be called and/or texted by CBU at the number(s) you provided, regarding furthering your visit to campus. You understand these calls may be generated using an automated technology