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Walk-in Registration Form
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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
2023
2024
Planned Session to Enroll
Fall
Summer 1
Summer 2
Summer Extended
Winter Intersession
Will you be taking Undergraduate or Graduate courses?
Undergraduate
Graduate
Campus
Main
Clearfield
Are you requesting to enroll in one of LHU's non-degree programs?
Are you requesting to enroll in one of LHU's non-degree programs?
CDA Credential Courses
Curriculum & Assessment for Early Care & Education Certificate Program
Early Childhood Development, Education, and family Certificate Program
Kutztown Univ BS Psychology to MS Sport Science
Military Resilience & Trauma Counseling Certificate Program
Foundations of Trauma-Informed Care Certificate Program
Trauma Informed Counseling Certificate Program
Post-Bacc Certification in PreK-4 Early Childhood Education
Post-Bacc Certification in Secondary Educ- Science
Post-Bacc Certification in Secondary Educ- English
Post-Bacc Certification in Health and Physical Education
Social Media Marketing Certificate Program
Leadership and Integrative Studies
No; None of the Above
Personal Information
Social Security Number
First Name
Middle Name
Last Name
Alternate Last Name
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Do you live in the state of Pennsylvania?
Do you live in the state of Pennsylvania?
Yes
No
County
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
Mobile Phone
Home Phone
Marital Status
Single
Married
Separated
Divorced
Gender
Female
Male
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
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16
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18
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24
25
26
27
28
29
30
31
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
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1971
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1928
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1926
1925
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1923
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1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Email Address
U.S Department of Education Questions
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Race (CTRL+ Click to select more than one)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Background Information
Have you ever been dismissed or suspended from an institution of higher education for disciplinary reasons?
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?
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?
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)
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?
Have you ever attended another college or university?
Yes
No
Name of Previous College
Degree Earned (If applicable)
High School Diploma or Equivalent
Associates Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Certificate
No Degree Awarded
Please submit an unofficial copy of your transcripts from your previous institution(s)
High School Name
High School Date of Graduation
High School Date of Graduation
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
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9
10
11
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13
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31
1950
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1958
1959
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1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
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2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Course Selection(s)
To search the available course listing,
please click here.
(Note: Math courses require proof of having the prerequisite or completion of LHU's math placement exam.)
1st Choice:
Course Number (i.e ENGL103).
1st Choice:
Course Section (i.e 03).
1st Choice Alternate:
Course Number (i.e ENGL103).
1st Choice Alternate:
Course Section (i.e 03).
2nd Choice:
Course Number (i.e ENGL103).
2nd Choice:
Course Section (i.e 03).
3rd Choice:
Course Number (i.e ENGL103).
3rd Choice:
Course Section (i.e 03).
4th Choice:
Course Number (i.e ENGL103).
4th Choice:
Course Section (i.e 03).
Please include the following supporting documents with your application. Documents can be submitted at a later date via email to
admissions@lockhaven.edu
Letter of Recommendation 1
Letter of Recommendation 2
Letter of Recommendation 3
Psychological or Psycho-educational Evaluation
Individualized Education Program (IEP)
Personal Statement Prompts:
(You may respond in written or audio/video file)
1.)
Describe
the world you come from — for example, your family, community or school — and tell us how your world has shaped your dreams and aspirations.
2.)
Tell
us about a personal quality, talent, accomplishment, or contribution that is important to you. What about this quality or accomplishment makes you proud and how does it relate to the person you are?
Personal Statement
Writing Sample
(provided by school)
Submit