Application for Liberty University Online Undergraduate Admission [PDF]

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Undergraduate student, less than an associate's degree ... 1. Name of High School. Last name under which you attended. City. Years ... Bachelor of Science ... you should register for a computer course (available through Liberty University).
Application for Liberty University Online Undergraduate Admission Office of Undergraduate Online Admissions

1971 University Boulevard Lynchburg, VA 24502 Phone: (800) 424-9595 Fax: (888) 301-3577 [email protected] www.LUOnline.com

International Students (434) 582-7800

Application for Liberty University Online Undergraduate Admission This is a general application, supplemental forms may be required for certain degree programs. Required forms vary by degree program. Visit Liberty University's website at www.LUOnline.com or contact the Office of Liberty University Online for details. Please complete this application and all supplemental forms. For mailing address, please see front cover.

Biographical Information Name

First

Middle/Maiden

Last

Mailing Address

City

State

Zip Code

State

Zip Code

Billing Address If same as mailing, leave blank

City

Home Phone

Cell Phone

Please select your primary phone:

Home

Cell

Work Phone Work

Fax Number

Email Address

Incarceration # (if applicable)

Gender

U.S. Citizen

Yes

No

The phone numbers you provide us will be used by our staff to contact you to follow-up on the completion of admissions requirements.

Male

Female

Date of Birth (mm/dd/yy)

Citizenship (if other than the U.S.)

If not a U.S. Citizen, are you a legal, permanent resident of the U.S.?

Yes

Ethnic Origin American Indian or Alaskan Native

No

African American

If yes, please provide your Alien Registration Number

Asian

Liberty University prohibits discrimination on the basis of race, color, national origin, gender, age, disability or status as a veteran or disabled veteran. The school maintains its Christian character, but does not discriminate on the basis of religion, except to the extent that applicable law respects its right to act in furtherance of its religious objective. Social Security # (Required in order to use financial aid) Marital Status

Single

Married

Widowed

Are you planning to use Federal Financial Aid?

Separated

Yes

Are you planning to use deferred corporate tuition assistance?

Yes

Please select your highest level of academic achievement. High school student

No

Associate's degree or greater, but less than a bachelor's degree Bachelor's degree

Expected high school graduate at the time of enrollment or graduated high school within the last year

Master's degree

High school graduate and did not graduate within the last year

Doctoral degree

Expected associate's degree to be awarded by the time of enrollment

Previous Education

Native Hawaiian or Pacific Islander

Deferred Corporate Tuition Assistance is a program for students whose employers will pay for a student's courses. The student should contact their HR department for specific details on how their individual program works.

Completed GED

Undergraduate student, less than an associate's degree

Caucasian

Other

Divorced

No

Hispanic or Latino

Post-master's degree or certificate First professional degree (MDiv, JD)

High School and/or College(s) attended. Use additional sheets if necessary. (Previous Education continued on next page)

I have already completed 12 hrs or more of college level credit, with an overall GPA of 2.0 or higher. I certify that on 1.

Month/Year

Name of High School Last name under which you attended

2.

Name of College/University Last name under which you attended

I have/will have graduated from high school or obtained a GED by the time I matriculate in classes. City Years Attended

State

Diploma: GPA (4.0 scale)

City Years Attended

State Degree Earned

GED

3.

Name of College/University

City

Last name under which you attended

Years Attended

Status: Branch:

Military Information

State Degree Earned

Active

Reserves

Retired

Veteran

Department of Defense

Spouse

Army

Marines

Air Force

Navy

Coast Guard

National Guard

MOS

Rank

I qualify for the following Military Benefit(s):

Tuition Assistance

GI Bill

Other:

Evaluation of Military Training for College Credit (Please select the transcript(s) that will be submitted for a military evaluation) Army: AARTS

Marines: MCI

Coast Guard: CGI

Navy/Marines: SMARTS

Air Force: CCAF

Department of Defense: DAU

Other:

Air University Associate-to-Baccalaureate Cooperative Program (must have a CCAF AA degree)

Emergency Response Personnel Information Police

Fire Fighter

Volunteer or employee of an emergency response agency currently or within the last five years.

Emergency Medical Technician

Jail Support

Civil Air Patrol

Academic Year and Degree Selection Fall Term (Aug-Dec)

Academic Year

Associate of Arts Management Information Systems

Business

Psychology

(Not pursuing a degree through Liberty University)

Undergraduate Student

Optional specialization: Christian Counseling

Criminal Justice General Studies

Summer Term (May-July)

Non-Degree Seeking Candidate

Accounting

Education

Spring Term (Jan-Apr)

The Edge (Dual enrollment program for high school and middle school students.) After you graduate are you interested in pursuing a degree through Liberty?

Religion

Yes, through LUO

Yes, through Resident

No

Bachelor of Science Accounting

Nursing (RN to BSN)

Religion

Aeronautics

Psychology

Education (non-licensure)

Criminal Justice Management Information Systems Multidisciplinary Studies

Optional specialization: Addiction Counseling Christian Counseling Crisis Management Life Coaching

Business (select one specialization) Economics Finance

International Management

Marketing

Technology Requirement Due to the increasing need of technology in higher education, Liberty University Online is utilizing internet resources for all academic programs. In order to be successful in the program, every student must have access to a computer with internet access. Students taking courses will need: - Access to the Internet (High-speed broadband connection recommended: DSL, Cable, Satellite, or Wireless) - Web browser: Internet Explorer 7.0 or Firefox; Safari for Macs; (AOL not directly supported) - An email account - Microsoft Office 2007, including Microsoft PowerPoint & Microsoft Word (not Word Perfect) - Adobe Acrobat Reader 6.0 (for PDF files)

If you are using an IBM-compatible computer, you will need: - Windows XP, Vista, Windows 7 - Dual Core processor or higher - 2GB of RAM or greater - 60GB hard drive or greater - Color monitor capable of at least 800 x 600 resolution with at least a 128MB graphics card If you are using a Macintosh computer, you will need: - Mac OS X 10.5 (Leopard) or later - Intel Core 2 Duo processor or higher - 2GB of RAM or greater - 80GB hard drive or greater - Color monitor capable of at least 800 x 600 resolution with at least a 128MB graphics card

Statement and Signature (Please review the application for accuracy before signing.)

I certify that the information provided on this application is complete and accurate to the best of my knowledge, and that Liberty University is authorized to make whatever inquiries are necessary to certify the accuracy of my records. I understand that withholding or giving false information will make me ineligible for admission or result in dismissal from Liberty University. I understand and agree that Liberty University may disclose information from my education records to appropriate government agencies for the purpose of assisting such agencies in the administration of financial aid programs or to address matters of public health and safety. If you are unsure where to find your system's specifications, please contact our HelpDesk at (434) 582-2139 or at [email protected]. If you lack experience in computer applications, such as word processing, spreadsheets, database, internet research, media presentations, and email communication, you should register for a computer course (available through Liberty University). I understand that a deferred application fee of $50.00 will be assessed to my account during financial check in. I also understand that in order to successfully complete this program, I must have the computer competency and access for word processing, spreadsheets, database, internet research, media presentations, and email communication, as well as meet the technology requirements listed above.

Signature

Date