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We Create Compassionate Leaders

Thank you for applying to Claremont Lincoln University!

Please open and complete the 5 steps below then submit the form to us.

We will review your application and respond as quickly as we can. Usually, within 48 hours after submission.

An optional step has been added to the bottom of this application to upload a copy of your resume and transcript.

If you have further questions or need assistance, please call us at 1 (909) 667-4444.

ONLINE ENROLLMENT APPLICATION

Basic Information

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All fields on this form are required unless otherwise noted.

First Name

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Middle (optional)

Last Name

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Email Address

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Phone Number

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Mailing Address

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Apartment/Suite/Other (optional)

City

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Country

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Postal Code

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Zip Code

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State

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Degree of Interest

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Degree of Interest

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Term Dates

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Primary Funding Source

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U.S. Military affiliation?

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Selecting Federal Financial Aid as your primary funding source requires submission of your Social Security Number (SSN).

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Academic History

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Previous College or University Name

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Degree Level

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School Location

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Previous Degree Major

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Graduation Date (MM/YEAR)

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Background Information

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Citizenship Status

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Are you Hispanic/Latino?

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What is Your Ethnicity? Select all that apply.

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White

Black or African American

Asian

American Indian
or Alaska Native

Hawaiian/Other
Pacific Islander

Gender

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Date of Birth (MM/DD/YEAR)

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Technology & Acknowledgments

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The following technology is required to effectively participate in the online classroom environment at CLU:

Computer with MS Office Suite (Word, Excel, and PowerPoint). Students without access to the MS Office Suite will have free access through the student email
Broadband or high speed WiFi internet access
Computer speakers or headphones
Webcam or video recording device, such as a smartphone, to record and upload video responses (optional, but recommended)

I have read & agree to the Technology Requirements:

Agree

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I certify all information entered in this application is true and correct to the best of my knowledge.

Certify

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OPTIONAL — Attach Documents

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Your application file will not be considered complete until we receive your resume and a copy of your unofficial transcript.
Accepted formats are MS Word, PDF, JPEG, Zip Archive, text file, html file and links.
To select multiple files, click the "Attach Documents" button, then hold down the Command key (for Mac) or Ctrl key (for Windows) and select the files you want to upload by clicking on them.
You can attach a total of 10 files or less.
Total upload size cannot exceed 10 Meg.
If you choose not to upload your documents now, you can attach them later to an email and send them to: admission@claremontlincoln.edu

Attach Document 1

Attach Document 2

If you have one or more links to your documents, copy-paste them in the boxes below.

Submit Application

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