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