The University of North Carolina at Pembroke
Undergraduate Admissions Application
I. The application is to be completed in detail. Omission of any item will delay processing. Please type or print legibly in ink. Your failure to provide complete, accurate, and truthful
information on this application will be grounds to deny or withdraw your admission, or dismiss you after enrollment.
II. Use the applicable code(s) to complete this application. When completed, return to UNCP, Office of Admissions, One University Drive, P.O. Box 1510,
Pembroke, NC 28372-1510. For more information regarding the admissions process, call 910-521-6262 or 800-949-UNCP or fax us at 910-521-6497. E-mail us at email@example.com
or visit our Web page at http://www.uncp.edu/admissions.
III. Social Security numbers are optional and are used solely to help identify students' records within our information processing system.
IV. A 45.00 non-refundable fee must accompany this application.
V. Submit the application prior to the following priority deadlines: July 15 - Fall Semester; December 1 - Spring Semester;
May 15 - Summer I Session; and June 15 - Summer II Session.
VI. You can apply online if more convenient. Click on www.uncp.edu/admissions/apply/default/asp. Please print and mail the signature page.
VII. The Freshman Deadline for fall admissions is July 31.
Official transcripts of all previous academic work must be sent to the University. (To be official, a transcript must display the school seal and be mailed directly from the high school or college
to the Office of Undergraduate Admissions.) Faxed copies will be accepted as official if received from the appropriate school.
II. Aptitude Tests
All freshman class candidates must submit scores from either the College Board (SAT I) or the American College Testing Program (ACT). To request your official SAT I results, write to College
Board, APT, Box 592, Princeton, NJ 08514. (See the application checklist for all of your required documents.)
North Carolina Residency
A. Under North Carolina law, bonafide legal residents (domiciliaries) of North Carolina are eligible for a lower tuition rate than non-residents. Copies of the applicable law and of implementing
institutional regulations are available for inspection in the Sampson-Livermore Library and may be examined upon request. In essence, the controlling North Carolina statute (G.S. 116-143.1)
requires that "to qualify for in-state tuition a legal resident must have maintained his domicile in North Carolina for at least 12 months immediately prior to his classification as a resident for
tuition purposes." Neither a foreign national nor an alien admitted on a student visa is eligible for the in-state tuition rate. An alien holding a visa, which will permit permanent residence in
United States is subject to the same considerations as a citizen. If residence is questionable, completion of an application for residency may be required. Determinations of residency
for tuition, purposes are made based on a preponderance of the evidence relevant to intent to maintain permanent legal residence.
B. Military members and dependents stationed in North Carolina may be eligible for an In-State Tuition Waiver. To be considered for this, the student must submit a military waiver form.
Applicants may view or print the residency/waiver form at the following link: http://www.uncp.edu/admissions/undergraduate/residency/default.asp.
International students should request and complete the UNC Pembroke Undergraduate Application for International Students. Details regarding the completion and submission of applications
for international students is contained within that document.
New students who plan to audit a course must complete an application in conjunction with a form indicating the approval of the appropriate professor(s) and Associate Vice Chancellor of
Health Forms & Housing
Prior to enrollment, all students registered for five or more semester hours must submit a completed health form to the Student Health Services office. This application for
admission does not reserve a residence hall room. A Housing Application is available to accepted students at http://www.uncp.edu/housing/agreement.htm. Questions concerning housing
should be directed to Housing and Residence Life Office at 910-775-4253.
Use the appropriate codes to complete the application.
AL Alabama English & Theatre Mathematics & Computer Science
AK Alaska Major Codes ENGE English: English Education CSC Computer Science
AZ Arizona ENG English: English MAT Mathematics
AR Arkansas THE Theatre MATE Mathematics Education
CA California American Indian Studies LESL ESL Add-on ITC Information Technology
CO Colorado AIS American Indian Studies
CT Connecticut Interdisciplinary Studies Music
DE Delaware Art BIS Interdisciplinary Studies* KEYI Music Education: Keyboard Instrumental
DC District of Columbia ART Art * Only available to Applied MUS Music
FL Florida ARTE Art Education (K-12) Associate degree holders MUSB Music: Elective Studies in Business
GA I Hawaii MUSI Music Education: Instrumental
ID Idaho Biology Languages MUSK Music Education: Keyboard (Vocal)
IL Illinois BENV Biology (Environmental Track) SPN Spanish MUST Music: Musical Theatre
IN Indiana BIO Biology LSPN Teacher Licensure in Spanish (K-12) MUSV Music Education: Vocal
IA Iowa BBOT Biology (Botany Track)
KS Kansas BMOL Biology (Molecular Track) Education Nursing
KY Kentucky BTEC Biotechnology BKED Birth-Kindergarten PREN Pre-Nursing
LA Louisiana BZOO Biology (Zoology Track) ELEM Elementary Education: K-6 NURS Nursing (RN to BSN)
ME Maine BMED Biology: Biomedical Emphasis MGLA Middle Grades Education:
MD Maryland ENVB Environmental Science Language Arts Philosophy & Religion
MA Massachusetts MEDB Biology: Medical Technologies MGMA Middle Grades Education: Mathematics P&R Philosophy & Religion
MI Michigan SCEB Science Education: Biology MGS Middle Grades Education: Science
MN Minnesota MGSS Middle Grades Education: Social Studies Political Science
MS Mississippi Business Administration SPED Special Education INTS Political Science: International Studies
MO Missouri ACC Accounting LPRK Preschool Add-on PADM Political Science: Public Administration
MT Montana BUSL Online Business: Management LAIG AIG Add-on PLAW Political Science: Pre-Law
NE Nebraska ECON Business Administration: Economics PLS Political Science
NV Nevada FIN Business Administration: Finance Health, Physical Education & Recreation
NH New Hampshire INTB Business Administration: International Business PATH Athletic Training Psychology & Counseling
NJ New Jersey ITM Business Administration: Information EXPH Exercise Physiology PSY Psychology
NM New Mexico Technology HLTP Health Promotion
NY New York MGT Business Administration: Management PED Physical Education (K-12) Sociology & Criminal Justice
NC North Carolina MKT Business Administration: Marketing RECM Recreation Management CRJ Criminal Justice
ND North Dakota SMGT Sport Management SOC Sociology
OH Ohio Chemistry & Physics
OK Oklahoma APHY Applied Physics History Social Work
OR Oregon CFOR Forensic Track AST American Studies SWK Social Work
PA Pennsylvania CHEM Chemistry (Professional Track) HST History
RI Rhode Island CHM Chemistry SSE History: Social Studies Education Undecided
SC South Carolina CMOL Chemistry (Molecular Track) UND Undecided
SD South Dakota
ENVC Environmental Mass Communication
MEDC Medical Technology MBRD Mass Communication: Broadcasting
PREH Pre-Health Profession MJRN Mass Communication: Journalism
PHMC Pre-Pharmacy MPUB Mass Communication: Public Relations
SCEC Science Education: Chemistry
SCEE Science Education: Earth Science
SCEP Science Education: Physics
WV West Virginia
UN Unknown (Military)
FR Foreign Countries
UNCP Undergraduate Admissions Application
*Note: The most up-to-date application is available through applying online at www.uncp.edu/admissions/apply/default.asp.
For Office Use Only Date Received App. Fee
_______Fall _______Spring _______ Summer 1 _______ Summer 2 Entering Year 20________
______Freshman ______Transfer Adult Special: _____ Second Degree Seeking _____ Certification/Renewal _____ Enrichment/Non-Degree
Name _______________________________________________________________________________________________________________________________________ SS# ____________________________
Last Name First Middle Optional: For Id purposes only*
Number Street P.O. Box Number
City County State Zip Code(9 digits)
Permanent Address _______________________________________________________________________________________________________________________
(if different from above) Number Street P.O. Box Number
City County State Zip Code(9 digits)
Current Telephone# (______) _____________________________Work# (if applicable) (_______)______________________________Cell Phone# (_______) ________________________________
Gender: ______Male ______Female Date of birth: _______________________________ Place of birth:_____________________________________
Citizenship: ______C=USA ______ R=Permanent resident alien ______N=Non-immigrant alien Country _______________________________
Are you Hispanic or Latino? _____yes _____no Select one or more of the following racial categories: _____ American Indian/Alaska Native ____________________________ ______Asian
_____ Black or African American (tribe) ______Native Hawaiian
_____ White or Pacific Islander
Major Code ________ Athletic Interest ____________________ Artistic Interest ____________________ Other Interest ____________________
Military status:( indicate current status) place a _______Active duty ______National Guard _______Reservist ______Veteran ______Dependent ______Not applicable
List all high schools you have ever attended for any length of time, whether or not you have completed a term:
Name of High School City State Dates Attended Year Graduated
Guidance counselor’s name: ___________________________________________________________________School telephone#___________________________________________________________________
Are you applying on the basis of an Adult High School Diploma or a GED Certificate? __________________________________________________________________________________
Have you taken the SAT/ACT? _____________________________ When will you take the SAT/ACT? _________________ month ____________year
Do you desire campus housing? _______ yes _______ no Have you ever attended a college or university? ______ yes ______ no
Have you ever applied to The University of North Carolina at Pembroke? ________ If yes, when? ___________________________________________________________
Have you ever attended The University of North Carolina at Pembroke? ________ If yes, when? ________________________________________________________________________
How did you first learn about the University? (Please mark one ONLY)
____Billboard ____Radio ____Television ____Cinema ____Magazine ____College Fair ____Friends
____Alumni ____Counselor ____Newspaper ____Internet ____Mail ____UNCP faculty or staff member ____Other
*Disclosure of the applicant’s Social Security number is voluntary and is requested here by UNCP solely as an internal identifier for record-keeping accuracy. Please be aware that financial aid, employment and reporting of
tuition and related expenses for tax purposes cannot be processed without submission of a valid Social Security number.
List all colleges/universities you have ever attended for any length of time, whether or not you have completed a term (list most recent first).
Name of College/University City State Dates Attended Degrees and Year
Are your transcripts under another name? __________yes __________no List name_________________________________________________
****THIS SECTION IS TO BE COMPLETED BY ALL APPLICANTS*****
The following information is necessary to determine your residency for tuition purposes.
Are you a legal resident of North Carolina? __________yes __________no Since what date? ________________________________________________________
Last address outside of North Carolina: From To
Guardian’s Address (if applicable)
Father's name ____________________________________________________________________________________________________________________________________________________________________________
Occupation College attended Year graduated
Mother's name ___________________________________________________________________________________________________________________________________________________________________________
Occupation College Attended Year graduated
If your parents are divorced, in whose legal custody are/were you? _________________________________________________________________________________________________________________________________
Name of court-appointed guardian (if applicable)________________________________________________________________________________________________________________________________________________
Tuition Benefits Notice
North Carolina provides certain tuition benefits to spouses of North Carolina residents, active military members who are stationed in North Carolina, spouses and dependents of active duty military personnel stationed in North
Carolina, members of the North Carolina National Guard, and family members of deceased or disabled emergency workers.
If you believe you qualify for these benefits, you should contact the Office of Undergraduate Admissions for an appropriate form, or print a copy from this link:
When you have completed the appropriate form, please submit it to the Office of New Student Orientation & Residency.
The University of North Carolina at Pembroke, Office of New Student and Family Orientation, P.O. Box 1510,Pembroke, North Carolina 28372-1510. Phone: (910) 521-6662 Fax: (910) 775-4158
In your own words, tell us why you want to attend The University of North Carolina at Pembroke. Include special academic, athletic, artistic and/or leadership interests. You are encouraged to use a separate sheet of paper if
necessary. Student resumes are welcome.
Campus Safety Questions
Your "yes" answer to one or more of the following questions will not necessarily preclude your being admitted. However, your failure to provide complete, accurate, and truthful information will be grounds to deny or
withdraw your admission, or to dismiss you after enrollment. Omission, blatant or accidental, will result in delayed processing of your application.
For the purpose of the following six questions, "crime" or "criminal charge" refers to any crime other than a traffic-related misdemeanor or an infraction. You must, however, include alcohol or drug offenses whether or not
they are traffic related.
1. Have you been convicted of a crime? ______ yes ______ no
2. Have you entered a plea of guilty, a plea of no contest, a plea of nolo contendere, or an Alford plea, or have you received a deferred prosecution or prayer for judgment continued, to a criminal charge?
______ yes ______ no
3. Have you otherwise accepted responsibility for the commission of a crime? ______ yes ______ no
4. Do you have any criminal charges pending against you? ______ yes ______ no
5. Have you ever been expelled, dismissed, suspended, placed on probation, or otherwise subject to any disciplinary sanction by any school, college, or university? ______ yes ______ no
6. If you have ever served in the military, did you receive any type of discharge other than an honorable discharge? ______ yes ______ no ______ currently serving ______ never served
If you answered "yes" to any of the six questions above, please explain the circumstances below (or on a separate sheet, if necessary).
You must promptly notify the Undergraduate Admissions Office in writing of any criminal charge, any disposition of a criminal charge, or any school, college, or university disciplinary action against you, or any
type of military discharge other than an honorable discharge that occurs at any time after you submit this application. Your failure to do so will be grounds to deny or withdraw your admission, or to dismiss you
after enrollment. By signing this application, you are granting permission for a criminal background check if deemed necessary.
I UNDERSTAND THAT WITHHOLDING INFORMATION requested in this application or giving false information may make me ineligible for admission to/or continuation at The University of North Carolina
at Pembroke. With this in mind, I certify that the statements herein are correct and complete. I understand my failure to provide complete, accurate, and truthful information on this application will be grounds to deny or
withdraw my admission, or dismiss me after enrollment.
Signature Date Parent or Guardian’s signature Date
(If applicant is under 18 years of age)
A $45.00 non-refundable application fee must accompany the application. Please return to: The University of North Carolina at Pembroke
Office of Undergraduate Admissions
Pembroke, NC 28372
The University of North Carolina is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees based on color, national origin, religion, sex, age, or handicap.
Moreover, The University of North Carolina at Pembroke is open to all people of all races.
Determine your appropriate category and submit all required documents for that category:
For Transfer Students
_______ Completed UNCP application ______ Completed UNCP application
_______ U.S. $45 non-refundable application fee _______ U.S. $45 non-refundable application fee
_______ Official high school transcript(s) _______ Official High school transcript(s)
_______ SAT/ACT scores with writing _______ Transcripts from ALL institution(s) attended
THE DEADLINE FOR FALL FRESHMAN ADMISSION IS JULY 31 _______ Completed University Questionnaire (last page)
For Adult Special Students: Enrichment/Non-Degree, Non-Traditional (freshmen over 24 years)
_______ Completed UNCP application _______ U.S. $45 non-refundable application fee _______ High school transcript(s)
For Adult Special Students: Second Degree Seeking, Teacher Certification
on _______ Completed UNCP application _______ U.S. $45 non-refundable application fee _______ Transcript from institution with Bachelors posted
For Transient Students For International Students
Please download and print the transient student application from: Please download and print the international application from:
You may also request an Transient Student Application by calling You may also request an International Student Application by calling
1-800-949-UNCP or 910-521-6262 or by emailing firstname.lastname@example.org. 1-800-949-UNCP or 910-521-6262 or by emailing email@example.com.
Application Priority Deadlines UNC Pembroke Codes:
Fall Semester . . . . . . . . . . . . . . . . . . . . . . . . . July 15 SAT Code . . . . . . . . . . . . . . . . . . . . . . . . . . 5534
Spring Semester . . . . . . . . . . . . . . . . . . . December 1 ACT Code . . . . . . . . . . . . . . . . . . . . . . . . . . 3138
Summer 1 Session . . . . . . . . . . . . . . . . . . . . . May 15 FAFSA Code . . . . . . . . . . . . . . . . . . . . . 002954
Summer 2 Session . . . . . . . . . . . . . . . . . . . . June 15 TOEFL . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5534
Please note: No financial aid award is made until:
(1) the student is accepted to The University of North Carolina at Pembroke and
(2) A Free Application for Federal Student Aid (FAFSA) form has been completed and processed.
Mail your completed application and required documents to:
The University of North Carolina at Pembroke
Office of Undergraduate Admissions
One University Drive
P.O. Box 1510
Pembroke, NC 28372-1510
This publication is available in alternative formats upon request. Please contact Disability Support Service, DF Lowry Building, 910-521-6695 7
(to be completed by transfer students only)
This questionnaire is to be completed by the last college/institution you attended. Complete the top section. The Dean of Students of that institution will
complete the remainder and forward it to the Office of Undergraduate Admissions at The University of North Carolina at Pembroke.
Name ____________________________________________________________________________________________________________________ Date of Birth_____________________________________
Address _________________________________________________________________________City___________________________________________State ____________Zip________________________
College Attended ___________________________________________________________________________________________________________________________________________________________
Dates of Attendance ______________________________________________________________ to________________________________________________________________________________________
I hereby request that you complete this questionnaire which is to be sent to the Office of Undergraduate Admissions. I authorize you to release
the requested information and any other information you may have concerning me to the above mentioned university.
Signature of Applicant Date
To the Dean of Students:
The student listed above is making application for admission to The University of North Carolina at Pembroke. In addition to the requested
information, we would be grateful for any other information you have which you believe may be helpful to us when the application is reviewed.
1. Has the student been disciplined, placed on probation or suspended for (a.)academic reasons__________ (b.)conduct reasons __________ (c.)other reasons __________
If your answer to a, b, or c is yes, please explain. _______________________________________________________________________________________________________________
2. Would the student be permitted to re-enter your institution next semester/quarter? Yes_____________ No _____________
If no, please specify the reasons. ____________________________________________________________________________________________________________________________
Other comments: _____________________________________________________________________________________________________________________________________________________________________
Please Print or Type:
Return this questionnaire to:
The University of North Carolina at Pembroke Name_______________________________________________________
Office of Undergraduate Admissions Signature____________________________________________________
P.O. Box 1510 Position/Title_________________________________________________
Pembroke, NC 28372 Date__________________________ Phone_________________________
Fax: 910-521-6497 Email_______________________________________________________