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**Undergraduate Application

(Instructions for
Undergraduate)

**International Application and Instructions

**Graduate Application

(Instructions for
Graduate)

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Lincoln University
Office of Admissions
1570 Baltimore Pike
P.O. Box 179, MSC 147
Lincoln University, PA 19352
LINCOLN UNIVERSITY
APPLICATION FOR
UNDERGRADUATE
ADMISSION

Student Name
First:   Middle:   Last:
Email Address:

Mailing Address
Address1:  
Address2
:
City:   State:   Zip:   County (PA Residents Only):
Complete Telephone Number:   Country:

Students within the United States must provide their Social Security Number for their applications to be processed.
This does not apply to international students.

Social Security Number: - -

Personal Information
Sex: Male  Female
Marital Status: Date of Birthmonth: day: year:
City of Birth:   State of Birth:
Country of Citizenship:
Are you a Resident Alien? Yes  No

Ethnic Background (optional)
Black (Non-Hispanic)
White (Non-Hispanic)
American Indian/Alaskan
Asian or Pacific Islander
Hispanic
Other
Religious Affiliation (Optional):

Parent/Guardian
Please enter contact information for a parent or guardian.
Relationship:
First Name:   Last Name:
Address1:   Address2:
City:   State:   Zip:
Phone Number: ( ) -

High School Information
High School Name:
Telephone Number:
Address:
City:   State:   Zip:
Graduation Date: month: day: year:
CEEB High School Code Number (Ask your counselor):
High School Rank in a class of   Cumulative Grade Point Average:
If you have attended other high schools, please submit transcripts for each school.

List your senior courses and indicate if they are Honors (H) or Advanced Placement (AP):
First Semester

Second Semester

Classification:

Term You Wish To Enter:

Undergraduate Major:

Scores:

SAT Verbal: Math:
ACT:   GRE Verbal:   Quantitative:
Will retake Yes  No   Retake Date(s):


Lincoln University of the Commonwealth of Pennsylvania
1570 Baltimore Pike, P.O. Box 179, Lincoln University, PA 19352 \
(484) 365-8000
Contact Admissions