Admission Application

Welcome to Belhaven University! We have a condensed application form while we upgrade our online portal. Please fill out the following form and we will be in touch.

Online   Traditional   Adult and Graduate
Online Campus
First Name:
*

Last Name:
*

Email Address:
*

Birth Date:
*

Phone Number:
*

Street Address:
*

City:
*

State:
*

Zip:
*

Admit Type:
*

High School Name:
*

College Name:

ACT Score:

SAT Score:

GPA:

Academic Interest:
*

Entry Term:
*

* Required Field