EmailMe Form - Admissions Reactivation

DO NOT COMPLETE THIS FORM IF:

** You never completed an admissions application (complete an application)

** You are a former LHU student who wants to return (complete the resume studies form)

Name *

First Last

Former Name
(if applicable)

Date of Birth *

MM / DD / YYYY

Home Phone

### - ### - ####

Cell Phone

### - ### - ####

Address *

Street Address City State / Province / Region Postal / Zip Code

Email Address *

Confirm Email Address

Campus *

Main

Clearfield

Major you wish to study
at LHU *

Semester of Enrollment *

Year of Enrollment *

Housing Status *

Resident

Commuter

*Students are required to live on campus for the first four semesters of their college career (including experience at other institutions).

Have you attended another college or university since you last applied?

Other College/University? *

Yes

No

List all colleges/universities attended, including dates of attendance.

Students are not able to "start over".

Please provide all courses taken at another college or university since you last applied to LHU.

Include any courses in which you are currently enrolled.

Provide detailed information on what you have been doing below.

Include work history and military experience.

Have you ever been convicted of a criminal offense?

A criminal offense is defined as a felony. Please disregard: minor traffic violations, offenses committed before your 18th birthday which were adjudicated in juvenile court under a Youth Offender Law, and any charges which have been expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition program. A conviction is an adjudication of guilt and includes determinations before a court, a district justice or magistrate and pleas of nolo contender (no contest).

Criminal offense? *

Yes

No

State the criminal offense and when it occurred.

I certify that the information provided is correct.

By typing your name in the Electronic Signature box below, you are certifying that the information on this application is true and correct. Withholding information may cause an offer of admission to be revoked.

Electronic Signature *

Your application will not be submitted until you click the "Reactivate My Application" button below.