Summer 2024 Dual Enrollment Application Form

We're glad you've chosen to apply to Lawrence Technological University! Please complete the following application. We will also need a copy of your High School Transcript and a completed Dual-Enrollment Supplemental Application. Click here for a dual-enrollment supplemental application. You can upload a copy of your transcripts and the supplemental application at the bottom of this application.

Round

major

First Name

Middle Name

Last Name

Gender

Female

Male

Non-binary

What is your country of citizenship?

Birthdate

Social Security Number

Email Address

Confirm Email Address*

Home Phone Number

Cell Phone Number

Would you like to receive text messages?

Yes

Permanent Address

Country

Street

City

Region

Postal Code

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Entry Term

High School Graduation Year

Are you part of the ACE Mentorship program?

Yes

High School Name

Have you previously attended Lawrence Tech?

Lawrence Tech University Student ID

Which course would you like to take? Please select one.

Parent/Guardian Information

Relationship Type*

First Name*

Last Name*

Email*

Phone*

If I am admitted, I agree to cooperate with University officials and conduct myself in accordance with the ideals and regulations outlined in Lawrence Tech’s Student Code of Conduct and Academic Honor Code. I understand that my application and all documents submitted to support it become the property of the University and will not be returned or duplicated for my use.

I understand that Lawrence Tech reserves the right to use photographs or videos in which I appear for the purpose of promoting the University.

I understand that I will be receiving phone calls and text messages to my primary or mobile phone regarding my application.

By clicking below, I understand that my data privacy information will only be used to complete necessary processing for application and attending Lawrence Technological University. LTU uses the third party Technolutions, Inc Slate system for admissions processing by LTU staff. Only certain international students will have their personal information shared externally in compliance with regulations set forth by the U.S. Department of Homeland Security. More information about your rights as a data subject are explained in our Privacy Policy at https://www.ltu.edu/about/privacy-policy.asp. For other questions about privacy, and options for removing your consent, please contact privacy@ltu.edu.

Yes, I consent

Upload your Dual_Enrollment High School Supplemental application and your High School Transcripts here:

Dual-Enrollment High School Supplemental Application

High School Transcripts

Please submit a copy of your international visa here.

Visa

Summer 2024 Dual Enrollment Application Form

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