Graduate Programs

Year of entrance to LR: *

Semester: *

Degree seeking or non-degree seeking: *

Full, Half, or Quarter Time: *

Program (HKY = Hickory AVL = Asheville Center): *

Personal Information

First Name: *

Middle Name:

Last Name: *

Former Names:

Gender: *

Place of Birth (city/state): *

Mailing Address: *

City: *

State: *

For non-US addresses, select "None" if you have no state or province.

Zip/Postal Code: *

Country: *

Email: *

Telephone: *

Place of Employment and Position. If you are a teacher, indicate grade level: *

Work Telephone:

Education

List the colleges/universities you have attended for Undergraduate Study. (Have official transcripts from all schools attended forwarded to Lenoir-Rhyne University, Office of Enrollment Management, Box 7227, Hickory, NC 28603 USA)

College/University #1:

City & State:

Dates Attended:

Degree Earned & Major:

College/University #2:

City & State:

Dates Attended:

Degree Earned & Major:

College/University #3:

City & State:

Dates Attended:

Degree Earned & Major:

List the colleges/universities you have attended for Graduate Study. (Have official transcripts from all schools attended forwarded to Lenoir-Rhyne University, Office of Admissions & Financial Aid, Box 7227, Hickory, NC 28603 USA)

College/University #1:

City & State:

Dates Attended:

Degree Earned & Major:

College/University #2:

City & State:

Dates Attended:

Degree Earned & Major:

College/University #3:

City & State:

Dates Attended:

Degree Earned & Major:

Have you taken the GRE, MAT, GMAT or Praxis? : *

(Submit official tests scores to Lenoir-Rhyne University, Office of Enrollment Management, Box 7227, Hickory, NC 28603 USA)

If yes, your testing date was:

GRE:

MAT:

GMAT:

Praxis:

Future testing date is:

GRE:

MAT:

GMAT:

Praxis:

List current certifications and licenses held:

Submit a copy to Lenoir-Rhyne University, Office of Admissions & Financial Aid, Box 7227, Hickory, NC 28603 USA

Have you ever applied to LRU as a graduate student?: *

If yes, when?:

How did you first become interested in Lenoir-Rhyne?: *

If other, please describe:

* The following information is used for statistical purposes. Responses to question regarding race, national origin, and ethnic heritage are optional. Questions regarding citizenship must be answered. Information gathered will be used only for statistical purposes and will not be used in any discriminatory manner.

Date of birth:

Marital Status:

How would you describe yourself?:

If other, please describe:

Please indicate the primary ethnic heritage of your family:

Are you a United States citizen?:

If no, of what country are you a citizen?:

If no, are you a legal resident of the United States?:

Resident Number:

If you do not have a resident number, please identify your current visa and its expiration date:

Are you a North Carolina resident?:

If yes, for how long?:

If yes, what county?:

If you are a church member, please give the denomination, church and pastor's name:

Denomination:

Church:

Pastor:

If Lutheran, please select one:

If other Lutheran, please indicate:

All Teacher Education Candidates should be aware that before you can obtain a state license, you must complete the questions below, which indicates whether or not you have ever been convicted of a criminal offense. Being convicted does not automatically mean you are ineligible for licensure. However, if you have been convicted of a felony/misdemeanor, contact the Director of Teacher Education immediately. Before you are admitted to the Teacher Education Program, you should take care of any questionable circumstances that may prohibit you from obtaining a license. Early notification to this office may help to ensure that you will be eligible for licensure once you complete the program.

Note: Failure to answer the following questions fully will delay the processing of your application.

1. Have you been convicted of a criminal offense other than a minor traffic violation?: *

2. Are there such criminal charges pending against you at this time?: *

3. Have you ever been dismissed, suspended, or placed on probation for disciplinary reasons by any high school or college?: *

4. Have you ever been dismissed, suspended, or placed on probation for academic reasons by any high school or college?: *

If you answered yes to any of the four questions above, please explain the circumstances below:

Honor Code: *

I agree with the following Honor Code statement:

I certify that all information given in this application is complete and accurate. If admitted to Lenoir-Rhyne University, I agree to abide by the established regulations of the University and the Student Government Association. I agree to accept the obligation imposed upon me by the Honor Code.

Lenoir-Rhyne University admits qualified students in all programs regardless of race, creed, handicap, or gender.

Online Application for Admission to our Hickory andAsheville Campuses.

Personal Information

Education

Admissions

Online Application for Admission to our Hickory and
Asheville Campuses.