Tiffin Application

We are excited you are interested in taking classes through this unique partnership.

Please complete and submit the form below so that we can move forward with the course registration process.

Thank you

Welcome to the Lourdes University Tiffin Application page!

Please use this application if you are applying to the Tiffin Program.

For questions, contact the Undergraduate Admissions office at 419-885-5291 or LUAdmits@lourdes.edu

*All questions with an asterisk (*) are required.

Personal Information

*First Name

*Last Name

*Email

*Mobile

*Birthdate

Gender

*SSN

Mailing Address

*Permanent Address

Country

Street

City

Region

Postal Code

Ethnicity

Are you Hispanic or Latino?

Yes

Please select your race(s). (Please choose all that apply)

Academic Information

Student Type

*Intended Start Term (Fall start term is August / Spring start term is January / Summer start term is May)

*What is your intended Undergraduate program of study?

Certification

Do you certify the following?* I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false. I understand that an offer of admission is conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based.

Yes

Please affirm the following before you submit your application.

I agree to abide by the Community Standards Code Policy, available on the Lourdes University website (https://www.lourdes.edu/campus-life/public-safety/community-standards-student-conduct/community-standards-code-policy/). I also authorize the release of grades earned at Lourdes University to Tiffin University.

By adding my full given name below, I verify the above information to be true and accurate to the best of my knowledge.

Date of signature