Application for Liberty University Online Graduate Admission Office of Graduate

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Application for
Liberty University Online
Graduate Admission
Office of Graduate
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 Graduate 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?
Please select your highest level of academic achievement.
Bachelor's degree
Doctoral degree
Master's degree
Previous Education
Yes
No
Caucasian
Native Hawaiian or
Pacific Islander
Other
Divorced
No
Hispanic or Latino
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.
First professional degree (MDiv, JD)
Post-master's degree or certificate
High School and/or College(s) attended. Use additional sheets if necessary. (Previous Education continued on next page)
College(s) attended (Use additional sheets if necessary.)
1.
Name of College/University
Last name under which you attended
2.
Name of College/University
Last name under which you attended
3.
Name of College/University
Last name under which you attended
City
Years Attended
State
Degree Earned
City
Years Attended
State
Degree Earned
City
Years Attended
State
Degree Earned
Status:
Branch:
Military Information
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:
Academic Year and Degree Selection
Academic Year
Fall Term (Aug-Dec)
Spring Term (Jan-Apr)
Summer Term (May-July)
Note: Liberty University Online courses can be started at various times during the semester. Indicate the semester in which you intend to begin taking courses.
Master's, Professional, & PhD
College of Arts and Sciences
School of Education
(Online with minimal one- or two-week intensives required)
Master of Science in Nursing (MSN)
Online & Blended
Select one specialization:
Acute Track - Licensure
Nurse Educator
Master of Education (MEd)
Master of Science in Sport Management – Sport Administration
Master of Arts in Human Services (Non-licensure)
Select one specialization:
Online & Blended
Christian Ministries
Executive Leadership
Health & Wellness
Marriage & Family
Business
Blended
Communication Studies
Organizational Studies
48 Hour
Program Specialist
Select one specialization
Early Childhood
Gifted
Math
Reading
Master of Arts in Teaching (MAT)
Select one specialization:
Elementary Education
Secondary Education
Special Education
Master of Arts in Professional Counseling (LPC Program)
Online & Blended
Select one specialization:
Administration & Supervision
School Counseling
Teaching and Learning
Select one specialization:
Special Education
General Education
Elementary Education
Middle Grades
60 Hour
Master of Arts in Marriage & Family Therapy (MFT Program)
Online & Blended
Doctor of Philosophy in Counseling (PhD)
Blended Only
Select one specialization:
Pastoral Care & Counseling
Professional Counseling
Educational Specialist (EdS)
Doctor of Education (EdD)
Online & Blended
Select one specialization
Educational Leadership
Teaching & Learning
Blended Only
Select one specialization:
Educational Leadership
Teaching & Learning
Liberty Baptist Theological Seminary
Master of Arts in Christian Leadership Studies
Master of Arts in Pastoral Counseling
Master of Arts in Theological Studies
Master of Arts in Discipleship Ministries
Master of Arts in Religion (MAR)
Master of Arts in Worship Studies
Online & Blended
Online & Blended
Master of Divinity - Academic/Pre-PhD
Blended Only
Master of Divinity (MDiv)
Online & Blended
Select one specialization:
Professional Ministries
Missional Studies
Pastoral Ministries
Chaplaincy
Master of Arts in Evangelism & Church Planting
Online & Blended
Master of Arts in Marketplace Chaplaincy
Online & Blended
Online & Blended
Online & Blended
Select one specialization:
Biblical Studies
Church Ministries (General)
Discipleship Ministries
Evangelism & Church Planting
Leadership
Pastoral Counseling
Pre-Pastoral
Theology & Apologetics
Worship Studies
Online & Blended
Online & Blended
Select one specialization:
Church Planting
Ethnomusicology
Master of Religious Education (MRE)
Online & Blended
Master of Sacred Theology (STM)
Online & Blended
Doctor of Ministry (DMin)
Blended only
Doctor of Philosophy in Theology
& Apologetics (PhD)
Blended only
School of Business
Special Student (Not pursuing a degree through Liberty University)
Master of Business Administration (MBA)
Online only
Select one specialization:
Accounting
Human Resources
International Business
Leadership
General
Master of Science in Accounting
Online only
Master of Arts in Management & Leadership
Online only
Leadership
Select the area in which you wish to take courses:
Business
Counseling
Doctor of Philosophy in Counseling (PhD)
Education
Nursing
Religion (Seminary)
Self Certification
I certify that on
I certify that on
Month/Year
Month/Year
I have/will have obtained a bachelor's degree by the time I matriculate in classes.
I have/will have obtained a master's degree by the time I matriculate in classes.
* I intend to enroll in the following program format:
Online
Blended
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 or later, 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
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