Graduate Certificate Enrollment Form

Congrats on your acceptance to Lebanon Valley College. Please complete and submit the following enrollment form.


Biographical/Contact Information

Preferred first name and pronouns will be made available internally (such as campus directory, and class rosters) and will not replace students’ legal name, where required. The College reserves the right to deny a preferred name and pronoun if it is used inappropriately.

Program Information

Please share why you have decided not to attend Lebanon Valley College; please indicate if you have chosen another College/University.

If accepting the offer of admissions: