Early College Academy Application

First Name *

Middle Name

Last Name *

Suffix

Preferred Name or Nickname

Former Last Names

Contact Information

Email Address *

Phone number *

Mailing Address *

Country

Street

City

Region

Postal Code

Biographical Information

Birthdate *

Social Security Number

Legal Sex

Gender Identity

Primary Citizenship *

Birth Country

Birth Region

High School & Family Contact Information

High School Information

High School Name *

GPA (unweighted) *

GPA Scale

Intended Graduation Date *

High School Guidance Counselor's First Name *

High School Guidance Counselor's Last Name *

High School Guidance Counselor's Email *

Family or Supporter Information

When a student finishes applying, their parent(s) and/or guardian(s) will be sent an email within 24 hours which allows them to electronically approve their student. Parent approval is due by the close of registration. Please enter correct email addresses or we may not be able to process your application, and you will not receive credit.

Additionally, you are also giving permission to Lindenwood to discuss your academic and financial records with your parent(s) and/or legal guardian(s) listed below.

Family or Supporter Type *

Family or Supporter's First Name *

Family or Supporter's Last Name *

Family or Supporter's Phone Number *

Family or Supporter's Email *

Is this person your emergency contact?

Course Information

Lindenwood University is excited to offer college credit opportunities to current high school students. In order to participate in Lindenwood’s Early College Academy, students must meet the eligibility requirements listed on our website. Please take a moment to review them before completing your application. If you wish to receive college credit for your coursework, you must enroll and submit payment by the deadlines listed below.

Deadlines

Term	Application	Payment
Fall 26 (August Start)	August 19th	August 24th
Fall 26 (October Start 8-week Course)	October 12th	October 19th
Spring 27 (January Start)	January 6th	January 11th
Spring 27 (March Start 8-week Course)	March 10th	March 15th

When would you like to take classes? *

How are they taking courses?

Intended college major *

What are your future career interests?

Please choose the type of course you want to take *
(please select all that apply)

Which course(s) are you wanting to take? *

Which Foreign Language are you interested in taking?

What time do you prefer to have class *
(please select all that apply)

Early Morning (8am-10am)

Mid-Morning (10am-Noon)

Afternoon (Noon - 2pm)

Late Afternoon (2pm-3pm)

Are you wanting online or on-ground classes? *

Have you already received college credit? *
We only ask so that you are not retaking courses.

Which course(s) have you received credit for?
Example:
English 101-AP

Is there anything else you would like your advisor to know?

student type admission

Modality person

Modality app

ECA-NDS

round create

Round

student type SIS

Submitted

Submitted date

Staff Assigned

Staff assigned Locked

app source

Parent Consent

Guidance Counselor verified

Registered

Disclosure and Signature

Disclosure

By submitting this application, you are giving your express written consent for Lindenwood University and its partners to contact you regarding our educational programs and services using email, telephone or text - including our use of automated technology for calls and periodic texts to the wireless number you provide. Message and data rates may apply. This consent is not required to purchase goods or services and you may always email us directly, including to opt-out, at admissions@lindenwood.edu.

Any documents submitted through the admissions process become the property of the institution and will not be returned.

I affirm that all information supplied is complete and accurate. I understand that any misrepresentation or change of facts could be cause for refusal of admission, cancellation of admission or suspension from the university. I authorize all educational institutions I have attended to release official transcripts or other information relevant to this application to Lindenwood University.

I am verifying that the information given on this application is complete and accurate to the best of my knowledge. I am aware that any false or misleading information I provide may result in my admission and issued financial award being denied or revoked. I am acknowledging, on behalf of my sponsor, that the individuals listed have pledged financial support to meet the educational and living expenses during my studies.

Signature

In place of your signature, please type your full legal name *