INTERNATIONAL STUDENT
Undergraduate Application
LAST NAME/FAMILY NAME FIRST/GIVEN NAME MIDDLE
YEAR OF HIGH SCHOOL GRADUATION PROPOSED DATE OF ENTRY (MM/YY) INTENDED DEGREE PROGRAM/MAJOR
STREET ADDRESS
CITY STATE/REGION/PROVINCE COUNTRY POSTAL CODE
COUNTRY OF CITIZENSHIP COUNTRY OF BIRTH PRIMARY LANGUAGE
(COUNTRY & CITY CODE) HOME PHONE* (COUNTRY & CITY CODE) CELL PHONE* EMAIL
( )
( )
Date of Birth: / /
MONTH / DATE / YEAR
Gender: Male Female
1st time in college
Transfer
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HIGH SCHOOL CITY COUNTRY
SIGNATURE DATE
Liberty University does not engage in unlawful discrimination or harassment because of race, color, ancestry, religion, age, sex, national origin, pregnancy or childbirth, disability, or military veteran status in its educational
programs and activities. Liberty University maintains its Christian character and reserves its right to discriminate on the basis of religion to the extent that applicable law respects its right to act in furtherance of its religious
objectives. e following persons have been designated to coordinate Liberty University’s compliance with certain anti-discrimination laws: Coordinator of LU Online Disability Academic Support at (434) 592-5417 or
LUOODAS@liberty.edu; Director of Disability Academic Support (Residential) at (434) 582-2159 or ODAS@liberty.edu; Title IX Coordinator at (434) 582-8948 or TitleIX@liberty.edu.
1971 University Boulevard, Lynchburg, Va. 24515 | +1 (434) 592-4118 | Liberty.edu/InternationalAdmissions
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The candidate or his/her parent or guardian must read and sign the statements below before the Admissions Committee can consider the application.
The Undersigned agrees that:
1. The university may make such investigation as it deems proper in connection with this application, and will treat as confidential all information
submitted herein or received by the university from any source including without limitation the applicant or his/her family. An applicant may review
any information gathered.
2. The provision concerning fixing the amount, adjustment on withdrawal or late arrival, and other terms of comprehensive fees payment as set forth
in the university’s annual catalog are incorporated herein and are hereby accepted.
3. The Liberty Way addresses both academic and non-academic misconduct and is an integral part of the Liberty University community. This
community consists of individuals of diverse backgrounds and experiences dedicated to obtaining a superior education in fidelity to the Christian
faith. Central to preserving this community is the personal commitment of students to conduct themselves in a manner that reflects the highest
ideals of moral virtue and professionalism. To this end, the Liberty Way sets forth the disciplinary procedures that apply when misconduct by a
student is alleged to have occurred. Students are charged with notice of and are bound by this code. A link to all of Liberty’s conduct policies will
be provided upon acceptance to the university. All students shall agree to comply with the terms of the Liberty Way. A summary is as follows:
• The use of illegal drugs, alcohol, and tobacco is prohibited.
• Immorality (sex outside of marriage between a husband and wife) is prohibited. Liberty University has no co-ed residence halls.
• A reasonable dress code is in place.
4. I certify that all of the information given in my application is complete and accurate to the best of my knowledge.
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