Academics
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Student At Large Application

If you are not currently a student at Meadville Lombard and wish to register for classes, please complete the Student At Large application. Please direct any questions about the Student At Large form to the Director of Student Records, 312.212.0672. Once your application for Student At Large status has been approved, you will be given a Student Identification Number and you may continue the registration process.

Items marked bold are required fields.


Student Information
Title:
First Name:
Middle Name:
Last Name:
Social Security Number:
Enter address, city, state and postal code
as filed with your financial institution.
Mailing Address:
City:
State:
Postal Code:
Country:
Home Phone:
Cell Phone:
Work Phone:
Email:
Sex:
 
Meadville Lombard is welcoming of students whose sex or gender identities are outside the mainstream and we remain committed to an inclusive community. We only offer the male and female options under the sex category because educational reports required from Meadville Lombard by state and federal entities are formatted around these two options.
   
Ethnicity:

Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Relationship:

Application Status:

Credit Status:

Why do you want to study at Meadville Lombard?

Application Fee: $.00

Payment Information
Card Type:
Card Number:
CVV2: Click here for CVV2 information.
Expiration Date: mm/yyyy

Comments

Your Student Identification Number will be sent to the email address provided above within three to five working days with registration instructions. If you have any questions, contact the Director of Student Records at 312.212.0672.