Skip Navigation

Help

Home
- LeMoyne-Owen College
- Inquire
- Apply
Search
- Course Catalog
- Section Search

Login

User Name: Password:

Apply

To submit an application to our school, please complete the following form and select Submit Application.

= Required

Personal Information

First Name
Middle Name
Last Name
Suffix
Date of Birth
Former Last Name
Government ID

Address Information

Address Type
Address Line 1
Address Line 2
Address Line 3
City
State/Province
Postal Code
County
Country

Contact Information

Daytime Phone
Evening Phone
E-mail

Demographic Information

Gender
Ethnicity
Marital Status
Religion
Veteran Status

Citizenship Information

Primary Citizenship
Secondary Citizenship
Visa
Country of Birth
Primary Language
Secondary Language
Months in Country

Government Information

Visa Number
Visa Country Issued
Visa Expiration Date
Passport Number
Passport Country Issued
Passport Expiration Date

Academic Information

Year/Term/Session
Program of Study
Full/Part Time Status
College Attend Status
Seeking a Degree?
Interested in Financial Aid?
Interested in Extracurricular Activities?

Education History

Activities

Source

How Did You Hear About Us?