Corporate Advantage Program

Student Information

Year of Intended Entry*

Required

Student Type*

Required

Desired Degree Level*

Required

Program of Study*

Required

Personal Information

Legal First Name* Required Middle Name (Optional) Legal Last Name* Required Gender*

Required

Email Address* Required

Birthday*

Required

Citizenship Status*

Required

Nation of Citizenship*

Required

Visa Status*

Required

Do you currently reside in the U.S.A.?*

Country*

Required

Street Address* Required

City* Required State*

Required

Zip* Required

Cell Phone* Required Home Phone (Optional)

Do you agree that Liberty University (including Liberty University Online Academy) may call and/or text you with informational messages about its offerings and other business matters by any phone number you have provided and may provide in the future, including any wireless number, using automated technology?

We are committed to protecting your privacy and keeping your personal information secure and confidential. Do you agree to the Terms & Conditions and Privacy Policy? Message frequency varies, and data rates may apply. Reply HELP for help or STOP to opt-out.

Shirt Size

T-Shirt Size*

Required

Background Information

Have you been dismissed academically?*

Have you been dismissed for disciplinary reasons?*

Have you used alcohol, tobacco, or non-medical drugs in the last 12 months?*

Have you ever been convicted of a felony or misdemeanor?*
(Under Virginia law, when answering you may disregard Virginia convictions for simple marijuana possession without intent to distribute. Liberty University encourages complete disclosure.) Required

Are you under investigation for, did you leave / withdraw while under investigation for, or were you found responsible for, violating any institution's Title IX-related policy (e.g., sexual harassment, sexual assault, sexual misconduct, etc.)?*

Have you or your spouse ever served in the U.S. Armed Forces?*

Military Branch

Military Status

Select all Applicable Races and Ethnicities
(This information is voluntary and is used for statistical purposes only.)

American Indian or Alaskan Native
African American or Black
Asian
Hispanic or Latino
White
Prefer not to say

Marital Status*

Required

Abbreviated Institutional Agreement

Liberty University’s mission is to develop Christ-centered men and women with the values, knowledge, and skills essential to impact the world. We expect our students to understand and respect our mission. Our Student Honor Code provides guidelines for our Christian educational community, rooted in Liberty’s Doctrinal Statement. It prohibits certain academic and non-academic misconduct and provides disciplinary procedures.

By submitting your application through this call, you agree that all information you provided is complete and accurate, and that Liberty University can make inquiries in connection with your application to make an admissions decision. You also agree that, if you enroll, you will comply with all applicable policies and procedures, including the Academic Catalog and Student Honor Code.

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 mission 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. The names and contact information of those who coordinate Liberty’s compliance with anti-discrimination laws will be forwarded to you along with links to the Academic Catalog, Doctrinal Statement, and Student Honor Code.

Do you understand these statements I have read and agree to be bound by those terms and conditions?

I have read, understand, and agree to the terms and conditions of the above Institutional Agreement.* Required

Education Type:
Legal First Name:
Legal Last Name:
Email:
Telephone:
Address1:
City:
State:
Zip Code:

Corporate Advantage Program

Student

Parent/Guardian

Student Information

What type of learning experience would you
like to apply for?

Student Information

Personal Information

Background Information

Abbreviated Institutional Agreement

Student Information

Personal Information

Shirt Size

Background Information

Abbreviated Institutional Agreement

Primary Contact and Curriculum Observer Information

Tell us about the applicant

Abbreviated Institutional Agreement

Submission Saved

STUDENT INFORMATION

Application Saved

Upload Queue

Student

Parent/Guardian

Student Information

What type of learning experience would you like to apply for?

Student Information

Personal Information

Background Information

Abbreviated Institutional Agreement

Student Information

Personal Information

Shirt Size

Background Information

Abbreviated Institutional Agreement

Primary Contact and Curriculum Observer Information

Tell us about the applicant

Abbreviated Institutional Agreement

Submission Saved

STUDENT INFORMATION

Application Saved

Upload Manager

Upload Queue

What type of learning experience would you
like to apply for?