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
LUOadmissions@liberty.edu
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 helpdesk@liberty.edu.
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