Walk-in Registration Form

Note: Non-degree students, including certificate-only programs, ARE NOT eligible for state and federal financial aid.

Non-degree students who register for classes are not admitted to Lock Haven University or to a program of study at LHU. To earn a degree from LHU, you must visit the Admissions Office web page and follow the instructions to apply to the University. Visit this link: http://www.lockhaven.edu/admissions/

*High School students looking to enroll in Early College / Dual enrollment courses, please do not use this form - please see the Early College webpage for instructions.

**If you were a former LHU student, please complete the Resume Studies application

Planned Enrollment Session and Location

Planned Year to Enroll

Planned Session to Enroll

Will you be taking Undergraduate or Graduate courses?

Campus

Personal Information

Social Security Number

First Name

Middle Name

Last Name

Alternate Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Do you live in the state of Pennsylvania?

Yes

No

County

Mobile Phone

Home Phone

Marital Status

Gender

Birthdate

Email Address

U.S Department of Education Questions

Ethnicity

Race (CTRL+ Click to select more than one)

Background Information

Have you ever been dismissed or suspended from an institution of higher education for disciplinary reasons?

Yes

No

If yes, please state:
(1) the name of the institution,
(2) the reason for the dismissal/suspension,
(3) the date of the dismissal/suspension
(4) relevant information concerning the dismissal/ suspension.

Have you ever been convicted of a criminal offense?

Yes

No

A criminal offense is defined as a felony. Please disregard: minor traffic violations, offenses committed before your 18th birthday which were adjudicated in juvenile court under a Youth Offender Law, and any charges which have been expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition Program.

A conviction is an adjudication of guilt and includes determinations before a court, a district justice or magistrate and pleas of nolo contendre (no contest).

If yes to previous question, please state the criminal offense and when it occurred.

Educational Information

Have you ever applied for formal admission to Lock Haven University?

Yes

No

Have you ever attended Lock Haven University in the past? (Does NOT include Dual Enrollment or Guest Students)

Yes

No

Please stop completing this form and complete the request to resume studies form instead.
It can be found here
https://www.lockhaven.edu/registrar/resumestudies.html

Have you ever attended another college or university?

Yes

No

Name of Previous College

Degree Earned (If applicable)

Please submit an unofficial copy of your transcripts from your previous institution(s)