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/
