NSHSS

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)

By submitting contact information through this form, I agree that Liberty University and its affiliates may call and/or text me about its offerings by any phone number I have provided and may provide in the future, including any wireless number, using automated technology.

Message and data rates may apply. For additional information, text HELP to 839858, 49595, or 49596. You may opt-out at any time by sending STOP to 839858, 49595, or 49596. Visit for Terms & Conditions and Privacy Policy

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

If yes to one or more of the above, please explain.

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

Institutional Agreement

By typing my name below, I agree to:

Liberty University can make investigations in connection with my application. Information obtained by Liberty University from my application and any investigations will be kept confidential. I may, upon request, review information considered by the admissions committee in making its decision.
I will comply with all applicable Liberty University policies and procedures, including those policies and procedures related to financial aid, tuition and fees, payment plans, refunds, adjustments, withdrawals, and other policies contained in the applicable Academic Catalog.
Liberty University’s Student Honor Codes, outlines the university’s expectations for its students and provides guidelines for living in a Christian educational community. The Liberty University Honor Codes prohibit certain academic and non-academic misconduct, and provides disciplinary procedures and possible sanctions for addressing misconduct. A link to all of Liberty University’s applicable policies will be provided to me if I am offered admission. I agree that, if I become a Liberty University student, I will comply with the terms of The Liberty University Honor Codes.
All information in my application is complete and accurate to the best of my knowledge. Liberty University is authorized to make whatever inquiries as necessary to certify the accuracy of my records. I understand that withholding information or giving false information may make me ineligible for admission or result in my dismissal from Liberty University. Moreover, withholding information or giving false information on my application may result in loss of financial aid, which may also result in a balance due to Liberty University for which I will be responsible; selection for Financial Aid Verification; and monetary fines and/or imprisonment.
Liberty University may disclose information from my education records to appropriate government agencies for the purposes of assisting such agencies in the administration of financial aid programs, for addressing matters of public health and safety, and for other purposes authorized by the Family Educational Rights and Privacy Act (FERPA).
As a condition of applying to or continuing in certain Liberty University programs, and as a condition of being placed in certain internships, externships or practicums for academic credit, I may be required to complete an up-to-date background check. I will be personally responsible for all fees associated with any such background check. Background check fees are non-refundable.
Essential functions of this program include computer competency and use of word processing, spreadsheets, database, internet research, media presentations, and email communication, as well as the technology requirements found at www.liberty.edu/techrequirements. If I cannot complete these essential functions, Liberty University recommends registering for its computer courses to gain these skills. Liberty University’s Help Desk is able to assist you with ensuring that your computer meets the necessary hardware requirements.

To request a reasonable accommodation to assist with meeting these essential functions and skills, or other course requirements, please contact Liberty University’s Office of Disability Academic Support (ODAS).
Liberty University’s Director of Disability Academic Support (Residential) can be reached by telephone at (434) 582-2159 or by email at odas@liberty.edu.
Liberty University complies with all applicable federal and state laws and regulations.

Your Signature*

Required

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 Christ character and reserves the 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 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 Accommodation Support (Residential) at (434) 582-2159 or odas@liberty.edu; and Title IX Coordinator at (434) 582-8948 or TitleIX@liberty.edu.

Liberty University's mission is to develop Christ-centered men and women with the values, knowlege, and skills essential for impacting tomorrow's world.

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

NSHSS

Student

Parent/Guardian

Student Information

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

Student Information

Personal Information

Background Information

Institutional Agreement

Student Information

Personal Information

Shirt Size

Background Information

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

Institutional Agreement

Student Information

Personal Information

Shirt Size

Background Information

Institutional Agreement

Submission Saved

STUDENT INFORMATION

Application Saved

Upload Manager

Upload Queue

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