VALUES | EDUCATION | SERVICE
International Student Application for Undergraduate Admission
Please print all information legibly.
APPLICATION INFORMATION
Legal. Name
Last (Family)
FirstMiddlePreferred Name
Date of Birth
/
/ Male
Female
Country of Birth
Home Address
,
Mailing Address
Contact Phone Number
Are you a transfer student with F1 status?
No
Yes
,
City
Province/State
,
Province/State
,
Country
Country
,
,
Postal Code
Postal Code
Email Address
Have you already entered the U. S.?
,
City
,
Address
Yes
Single
Country of Citizenship
Address
Have you attended LMU before?
Married
If yes, please provide your LMU student ID#
No If yes, what visa are you holding (F1, F2, B1, H1, J1, etc.)
Yes
No If yes, what is the last U. S. school attended?
Freshman applicants please list your high school attended. All other applicants must list all the postsecondary institutions, e.g., junior college, university
previously attended:*
1.
from
to
Degrees(s) earned
2.
from
to
Degrees(s) earned
Note: Add additional information at the end of page 2 or use a separate sheet. *All transcripts must be evaluated by Educational Credential Evaluators (ECE), Josef Silny Associates (JSA) or World Education Services (WES). See
infoamation on page 2.
Expected date of entrance to Lincoln Memorial University:
Major/Field of Study:
(Year) Semester:
Fall
Spring
Summer
(see www.LMUnet.edu/academics/programs for undergraduate listing)
FAMILY INFORMATION
Father’s Name
Mother’s Name
Address
Address
Contact Phone Number
Contact Phone Number
Highest education level father completed:
Highest education level mother completed:
High School
Associate Degree
Bachelor’s Degree/higher
High School
Associate Degree
Bachelor’s Degree/higher
PERSON RESPONSIBLE FOR PAYMENT OF ACCOUNT
Parent
Guardian
Self
Name
Address
Address
Contact Phone Number
,
City
,
Province/State
,
Country
,
Postal Code
Email Address
INTERNATIONAL APPLICANTS MUST SUBMIT
1.Completed application (both pages)
2.$25 non-refundable application fee
3.Official transcript(s) – if coursework was completed outside the United States, transcript(s) must be evaluated by one of the approved
credentialing services listed below.** Transcripts from schools with the United States can be sent directly from the school to LMU
4.Official ACT or SAT scores, or your TOEFL (Code1408) IELTS results
5. Copy of passport information page
6.An official bank statement demonstrating your means of financial support. You may also use the forms found online at
www.LMUnet.edu/admissions/international.shtml to submit the required financial information
**Educational Credential Evaluators, Inc. **Josef Silny & Associates
**World Education Services
PO Box 514070 7101 SW 102 Avenue Attn: Documentation Center
Milwaukee, WI 53203-3470 Miami, FL 33173 Bowling Green Station
414.289.3400 305.273.1616 P.O. Box 5087
www.ece.org www.jsilny.com New York, NY 10274-5087
212.966.6311
www.wes.org Mail application form and other required documents to: If you have questions, contact Ms. Collins directly at:
Lincoln Memorial University
ke.collins@LMUnet.edu | 001.423.869.6384 (O) Office of Admissions
001.423.277.9092 (C)
6965 Cumberland Gap Parkway
Harrogate, TN 37752
Attn: Lily Collins
COMPLIANCE STATEMENT
I certify that all information provided on this application is true and accurate. Throughout my enrollment, I agree to comply with the rules and
regulation in the University’s Undergraduate Catalog and the Student Handbook. Also, I agree that providing inaccurate or false information,
or that failure to comply with University policy may reqult in disciplinary action, including dismissal. Signature Date
Lincoln Memorial University admits students of any race, sex, handicap, religion, nationality and ethnic origin to all rights, privileges, programs and activities generally accorded
or made available to its students. It does not discriminate on the basis of race, sex, sexual orientation, handicap, religion, national or ethnic origin in administration of its educational policies, admission policies, scholarship and loan programs, or athletic and other college-administered programs.
Rev: 05/15