Application for Part-Time Admission


In completing this online application, please send an official copy of your high school transcripts/GED (if less than 24 credits earned at the college level), official copies of all college transcripts (if applicable) to the Office of Continuing Education-Lebanon Valley College, 101 N. College Avenue, Annville, PA 17003. Please contact the Continuing Education Office at 717-867-6213 or toll free at 1-877-877-0423 if you have any questions.



Admission Status:

Starting Term:

Personal Data

Gender
*Last Name: 
*First Name: 
Middle Name: 
Former Name (if applicable): 
*Date of Birth:
*Address: 
*City: 
*State:  *Zip: 
*Home/Cell Phone: 
*Email Address: 

Select one or more races: (this information is necessary of the submission of governmental reports and to meet individual student needs. This information will not affect admission decisions.)







Educational Data

*Secondary Education (select one):
Have you attended a college or University?

If "Yes"

Name of College:
Dates of Attendance:
Degree Earned:
No. of Credits Earned:

Intended Major at LVC (vist www.lvc.edu/academics for information about LVC majors)

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Work History


Please list any pertinent work history that may have prepared you for college or added value to your overall life experience.

Employer:
Position:
Dates of Employment:

List any specific skills you obtained or perfected in this position.

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5.

Employer:
Position:
Dates of Employment:

List any specific skills you obtained or perfected in this position.

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5.

Employer:
Position:
Dates of Employment:

List any specific skills you obtained or perfected in this position.

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5.

Statement of Interest

Please provide a statement (no more than 500 words) describing why you are interested in attending LVC. Explain your education goals and strategies you will employ to meet them.

Applicant Signature

In signing this application, I signify the information provided is, to best of my knowledge and behalf, accurate and correct.

Name:
Date: