Lincoln University

Admissions

Staff Listing

Request for
Information

Applications
**Undergraduate Application

(Instructions for
Undergraduate)

**International Application and Instructions

**Graduate Application

(Instructions for
Graduate)

Tuition & Fees

Scholarships
Incoming Student
Current Student

Lincoln University
Office of Graduate Admissions
1570 Baltimore Pike
P.O. Box 179, MSC 147
Lincoln University, PA 19352

LINCOLN UNIVERSITY
APPLICATION FOR
GRADUATE ADMISSION

Program:

Social Security Number:

Name: First Last Middle
Maiden Name:

Address:
Street1: Street2:
City: State: Zip:

Mailing Address (if different):
Street1: Street2:
City: State: Zip:

County of Residence: (PA only) Date of Birth:

Country of Citizenship: Visa: Alien Reg.#:

Telephone: Home Work Fax Cell

Email Address:

Ethnicity:

EDUCATION: (Official academic transcript(s) must be received before admission can be approved.)

1) Degree: Date of Completion (mo/yr): Major/Field:
College/University:
Address/Location:

2) Degree: Date of Completion (mo/yr): Major/Field:
College/University:
Address/Location:

3) If MHS applicant indicate High School or General Education Diploma (GED):
Date Diploma Was Received: Name of Institution:
City and State
List other names under which transcripts may be issued:

Employment
List your complete record of employment beginning with your most recent position. Include exact dates of employment (month and year) and employment status (part-time or full-time).

Employer: Start Date (mo/yr) : End Date:
Type of Agency:
Address:
Select One: Position:
Responsibilities:
Name of Supervisor: Telephone:

Employer:
Start Date (mo/yr): End Date:
Type of Agency:
Address:
Select One: Position:
Responsibilities:
Name of Supervisor:
Telephone:

Employer:
Start Date (mo/yr) : End Date:
Type of Agency:
Address:
Select One: Position:
Responsibilities:
Name of Supervisor: Telephone:

List Current Community, Professional, and Organizational Activities: (Include responsibilities, hours per week, dates of involvement, please attach additional documentation if necessary.)

How did you learn about Lincoln University's Graduate Program? (please specify name.)

Please read carefully the following Certification and Agreement
I certify that the information provided on this application is true, to the best of my knowledge; and, I understand that my omission or misrepresentation of facts or failure to furnish information to the Office of Admissions will automatically invalidate consideration of this application and/or acceptance to the University. I further understand that upon enrollment, I am expected to become familiar with and abide by the student rules and regulations as set forth by Lincoln University.
I READ AND AGREE WITH THE ABOVE STATEMENT

Please make sure to fill out all of the fields that apply to you. Failure to provide the appropriate information will delay your application.

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