Residence Life Application
Thank you for choosing to live on campus at Cumberland University. Cumberland requires freshman students to live in a residence hall unless they receive documented exemption from the Office of Residence Life. Students may petition for exemption if s/he meets certain criteria. To complete the waiver, visit:
https://www.cumberland.edu/admissions/admitted-students/
.
Attention Parents & Guardians -
Please have your student complete this application. You should not complete this application as there is a 76.8% roommate change when someone other than the applicant completes this form, compared to 9.8% when the applicant completes the form. Thank you for making our jobs easier by making your student complete this form.
Included in this form, you will find your housing application, emergency contact information, housing contract, and information about paying your housing deposit fees. Application and fees must be received prior to assignments being made. Housing contracts must be signed by the incoming student in order to be considered accepted.
Assignments are made based on the date your housing deposit is paid. Housing assignments for fall semester will be available after July 1st. Assignments for incoming spring semester students will be available after December 1st.
Priority Deadlines:
Fall Applicants - April 1st
Spring Applicants - November 15th.
* Required
Entering As
*
Choose
First-Time Freshman
Transfer
Re-Admit
Current Cumberland Student - Returning to Campus
Graduate Student
Student ID Number (A...)
*
Your answer
Term
*
For what term are you applying to begin living on campus?
Choose
Spring 2020
Fall 2020
Spring 2021
First Name
*
Your answer
Preferred Name
Your answer
Middle Name
*
Your complete middle name; If you do not have one, enter "n/a".
Your answer
Last Name
*
Your answer
Gender
*
Choose
Female
Male
Suffix
Example: Sr.; Jr.; III; etc.
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Hometown
*
Your answer
State
*
Choose
TN
Non-US
AL
AK
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TX
UT
VA
VI
VT
WA
WI
WV
WY
Country
*
Choose
United States
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Cell Phone
Ex. 6154442562; Do not include dashes or parentheses
Your answer
Applicant's E-Mail
*
All correspondence to the applicant will be sent to this address.
Your answer
Major
*
What is your anticipated major?
Choose
Arts (Theatre, Music, Art/Design)
Associate of Science
Athletic Training, Exercise Science, or Sports Management
Biology or Biochemistry
Education (Elementary, Secondary, Physical Education/Coaching and Special Education)
Criminal Justice (Forensic or Public Administration)
Information Technology
Mathematics, Accounting
Psychology
Social Sciences (American Studies, English, History, Humanities, Liberal Arts)
Business (Business Administration, Health Care Administration, Marketing, Management)
Nursing or RN to BSN
Graduate Degree
Other
Next
Page 1 of 5
Never submit passwords through Google Forms.
This form was created inside of Cumberland University.
Report Abuse
Forms