Undergraduate Admissions Application

Personal Information
Biographical Information
Military Service Information

Address Information
Anticipated Enrollment Information
Academic year consists of Fall, Spring, Summer in that order. Example: Year 2019-2020 includes terms FA19, SP20, and SU20.
Choose Freshman if this is your first time attending a college after completion of high school or equivalent. Choose Transfer if you have attended other colleges since completion of high school.
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.

Permission to Request Academic Transcripts

By digitally signing this document, I authorize Piedmont International University to request all previously attended institutions to release my complete academic credential to Piedmont International University, 420 South Broad St., Winston-Salem, NC 27101 and/or email to
I certify under penalty of law that I am the individual identified in this credential request, or I am the parent/guardian authorized to make this request. By entering my name into the box below, I understand that it is treated in all respects as having the same force and effect as original signatures.
Additional Info
Admissions Agreement