Date of Birth Male Female
Last Name First Name Middle Name
Street Address City/Town Zip Code
State PA - Pennsylvania NY - New York DE - Delaware MD - Maryland NJ - New Jersey OH - Ohio Other County Country
Telephone Number Email Address
LHU Campus you plan to attend Main Clearfield
Major you intend to study at Lock Haven University (refer to list of majors)
Name of High School Graduation (month/year)
Have you previously applied to LHU? YES NO If YES, for which semester did you apply?
Names of Colleges/Universities Attended Dates of Attendance
Cumulative Grade Point Average Semester/Year You Plan to Enter LHU
Will you earn an Associate Degree Prior to Transferring? Yes No
Will you earn a Bachelor Degree Prior to Transferring? Yes No
If you have earned a baccaulaureate degree or have taken more than 3 or 4 semesters of coursework, you may not be able to fit the text in the box below. In the event that this happens, please call 570-484-2011 for instructions on how to receive an unofficial credit evaluation.
For an UNOFFICIAL evaluation of your credits, please submit the following information:
INDICATE THE NAME OF COLLEGE OR UNIVERSITY BEFORE EACH LISTING OF COURSES (this is only necessary if you attended more than one college/university) Please include the following information for EACH course (one course per line): COURSE ID NUMBER (SPC101) COURSE TITLE (Speech) GRADE (A) NUMBER OF CREDITS (3)
©2005 Lock Haven University of Pennsylvania