Intent to Enroll/ Orientation Registration Form Spring and Fall 2023

Intent to Enroll Form

For Accepted Students:

Summer 2024

Fall 2024

Greetings Lincolnites!

We are excited about you attending Lincoln University of Missouri (LUMO)! By completing this form, you confirm your intent to enroll and reserve your seat in the upcoming class.

Once you have completed the form and paid the non-refundable enrollment fee, you will receive a confirmation email. The one-time enrollment fee cost is $150 for new incoming freshmen and transfer students for the 2023-2024 and 2024-2025 academic school years. Payment of the enrollment fee is required before students can register for New Student Orientation. PLEASE NOTE, you must make sure to close the webpage after completing the payment as certain browsers (e.g. Safari) may initiate a duplicate payment!

You can also submit payments to our Cashiers Office over the phone, they can be reached at (573) 681-5085.

Should you have any additional comments or concerns email admissions@lincolnu.edu or call (573) 681-5102.

Thank you!

Personal Information

Student I.D. Number *

Your Student ID is located on your Acceptance Letter from the Admissions Office

Name*

First Name

Middle Name

Last Name

Date of Birth*

format: MM/DD/YYYY

Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

High School / College you are currently attending name?

If not applicable, put N/A

Intent to Enroll

Select a block below to indicate your decision.*

What is you intended major?*

for example accounting, nursing, or education

T-Shirt Size*

College / University you plan to attend instead:

Reason(s) for declining

*Students conditionally admitted with a 2.5 GPA or lower should select an LU Bridge option.

Which semester do you plan to enroll? *

Do you have dual credit courses? (Please list)

Official College transcripts are required for all dual credit courses.

Emergency Contact

(NON-TRADITIONAL students are eligible to list themselves as their emergency contact)

Emergency Contact Name*

First Name

Last Name

Emergency Contact Email*

Emergency Contact Phone Number*

Emergency Contact Relation*

Enrollment Fee Payment

PLEASE NOTE, you must make sure to close the webpage after completing the payment as certain browsers (e.g. Safari) may initiate a duplicate payment!

There is a one-time non-refundable enrollment fee for ALL new and transfer students staying on and off-campus. $150 - The enrollment fee cannot be waived and must be paid before moving forward with the enrollment process.

If you need to pay over the phone, please call our Cashiers Office at (573) 681-5054. If you need to mail in a check or money order, send it to:

P.O. Box 29

Jefferson City, MO 65101

For additional questions regarding this please call our Admissions Office at (573) 681-5102.

Are you staying on or off campus? *

Fee Payment*

Credit Card*

Cardholder Name*

First Name

Last Name

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Signature*

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Use your mouse or finger to draw your signature above