Alumni Legacy Application Form - Summer Programs | Lipscomb University

Future Students Parents & Guests Current Students Faculty & Staff

Summer Programs

Wintermester 2012-13

Undergraduate Students

High School Students

Middle School and Elementary School Students

Graduate Studies and Professional Training

Alumni Legacy Tuition Discount

Alumni Legacy Application Form

Faculty Course Grants

Suggestions

Summer Programs > Alumni Legacy Tuition Discount > Alumni Legacy Application Form

Print this page

Email this page

Alumni Legacy Students

Please select the term in which you wish to take courses.	Summer Term Wintermester Term
* First Name: _REQ
* Middle Name: _REQ
* Last Name: _REQ
If your last name has changed since you were last at Lipscomb (e.g., marriage), please give the last name as it appeared when you were here:
* Last 4 digits of Social Security Number (for verification): _REQ
* Email Address: _REQ
* Retype Your Email Address: _REQ
Year of graduation from Lipscomb:
Degree earned at Lipscomb:
* List the course(s) that you plan to take: (Note - Please include the course name as well as the course number.) _REQ
* Street Address: _REQ
* City: _REQ
* State: _REQ
* Zip code: _REQ
* Current phone number (inc. area code): _REQ
* Type both words below, separated by a space. Can't read the words below? Try different words or an audio captcha.

University Home | A-Z Index | Contact Us | Give Today! | Directions | Jobs at LU | Library | Lipscomb on the Move

Copyright © 2013 Lipscomb University. All Rights Reserved. One University Park Drive, Nashville, TN 37204-3951 • 615.966.1000 - 800.333.4358