Application

Contact Information

Title

Legal First Name *

Middle Initial

Last Name *

Suffix

Previous Name

Email Address *

Confirm Email Address *

Phone Number(s) *

One phone number is required. International phone numbers may be input, using the leading "+" symbol.

Cell Phone (xxx-xxx-xxxx)

Home Phone (xxx-xxx-xxxx)

Mailing Address

Address 1 *

Address 2

City *

State/Prov. *

Zip *

Country *

Is This Your Permanent Address?

Personal Information

Date of Birth

Social Security Number (numbers only)

While a Social Security number is not required for your admission application, a Social Security number is required by Logan University for reporting to the IRS and the National Student Clearinghouse. The National Student Clearinghouse provides enrollment verifications and deferments for financial aid students to lending organizations and the National Student Lending Data Systen. Each year Logan University provides the Internal Revenue Service (IRS) with information about amounts billed for qualified tuition and related expenses.

What is your Gender?

Are you Hispanic or Latino?

Select one or more of the following races: American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite

U.S Citizen?

Country of Birth *

Permanent Home State/Prov. *

Marital Status:*

Military Service:*

Emergency Contact(s)

Emergency Contact:*

Relationship:*

Phone:*

Emergency Contact:

Relationship:

Phone:

Academic Information and History

Program of Interest *

Expected Start Term *

Where Did You Earn Your High School Diploma or GED? *

City/State *

Graduation Date (MM/YYYY) *

Have You Attended College? *

Were You Referred to Logan University?

Were you referred to Logan University? *

How did you hear about Logan?

Select One: *

Questions

Summarize your reasons for choosing Logan University for your education. *

Terms & Conditions

I hereby affirm and declare that all statements contained in this application for admission are true, correct and complete and that I have not misrepresented or withheld any fact that would, if fully and accurately disclosed, affect my application unfavorably. I understand that false statements, misrepresentations, and/or omissions on this application may be considered sufficient cause for rejection of this application, or, if successfully admitted, suspension or expulsion from the university upon discover of any such false statement.

Referral Code

Referral Code (if applicable)

I agree to Logan's Acceptable Use Policy. *

Agreement to this policy is required before Logan University can issue an email account and make other technology resources available to students.

* denotes required information

Students applying without a valid referral code will be directed to the application fee payment site upon clicking "apply now."

The application fee must be paid for the application to be processed.