Lincoln University of Missouri

http://www.lincolnu.edu

APPLY FOR PARTICIPATION
Please fill out the form below and you will receive a confirmation at the Lincoln University email address you specify below.


DEMOGRAPHIC DATA
1a
Your Name
1b

Social Security Number
2a

Campus Address
2b

Dorm or Local phone
3

LU email address
4

Date of birth
5a

Gender
male female
5b

Ethnicity
Black/African-American Hispanic
Native Hawaiian/Pacific Islander  
Native American/Alaskan Native Asian
White/Caucasian other


Eligibility Criteria
6

Are you a US citizen?
yes no
7

Do your parents have a bachelor's degree?
mother yes no
father yes no
8a

Do you have a learning and/or physical disability?
yes no
8b

If yes, is your disability on file with Counseling and Career Services?
yes no
9a

Did you apply for federal financial aid (fill out and turn in a FAFSA)?
yes no
9b If no, please indicate the number in your household
9c Approximate yearly family gross income
9d

If yes, were you eligible for financial aid?
yes no


Administrative Information
10

How did you hear about SSS?
Addmissions Office instructor
New Student Orientation brochure
Lincoln University bulletin friend  
  other
 

Important! Please Read

Clicking "sign and send" constitutes your legally binding signature on this document. By doing so, you agree to the following:
I hereby authorize the release of all appropriate and/or personal documents and information necessary to verify my eligibility and track my progress in the Student Support Services program.

 

 

 
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