Request for Undergraduate Information

To learn more about undergraduate education at Lewis University, please fill out the form below and we'll send you more information. Or, contact the Undergraduate Admission Office at 815-836-5250 or you can also email us at admissions@lewisu.edu.

Required fields are indicated with a red asterisk. *

At the time of enrollment I will be a(n) *

First Name *

Preferred Name

Last Name *

Email Address *

Birthdate *

Are you an international student? *

Note: You are an international student if you are not a U.S. citizen and will need an F-1 or J-1 visa to study in the USA.

Are you an international student? *

Note: You are an international student if you are not a U.S. citizen and will need an F-1 or J-1 visa to study in the USA.

Yes

Primary Citizenship:

Address *

Country

Street

City

Region

Postal Code

Home Phone Number *

Lewis University would like to occasionally connect with you via SMS text about important enrollment information and event details. (Texting is only available for USA domestic mobile numbers) By providing your mobile number below, you agree to receive texts from Lewis University Office of Admission. You may reply "Stop" after receiving any message to opt out of future text messages. Message and data rates may apply. Visit here for our privacy policy.

Mobile Phone Number

Do you plan to enroll through our Albuquerque, New Mexico location? *

Yes

Program(s) of Interest

Academic Program *

Additional Information

Military Benefits

Do you qualify for Military benefits? *

Military Benefits

Do you qualify for Military benefits? *

Yes

Military Benefits
Benefit descriptions:

Active Duty (Currently serving in the United States Armed Forces Full-Time)
Reserves/National Guard (Currently serving the Reserves or National Guard on a once a month basis)
ROTC (Potential or Current Cadet in the Army or Air Force ROTC Program)
Veteran (Served and Separated from the United States Armed Forces)
Family Using VA Benefits (Family member using VA Education benefits through the service member)

To select multiple hold down the shift key.

Please indicate your preferred location

Program(s) of Interest

If you do not see your program choice, please choose Romeoville, IL as your location.

Academic Program - Albuquerque Campus *

Academic Program - Online*

Program(s) of Interest

Academic Program *

Previous School History

Most recent school attended * :

High School Name * :

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High School Graduation Date *

I plan to start: *