First/Given Name

Preferred First Name

Middle Name

Last/Family Name

Suffix

Mailing Address Line 1

Mailing Address Line 2

Mailing Address Line 3

City

Nation

Postal Code

Email Address

Date of Birth (yyyy-mm-dd) The calendar only displays the last 10 years at a time. To select further back, click the oldest year and the list refreshes with another 10 years. You may also enter your date of birth manually.

Mobile Phone

Are you willing to receive text communications from Lehigh Admissions?

I would like to receive phone calls that deliver AI messages that providing details about Lehigh

I am a prospective...

When do you plan to begin college?

Current College of Interest

Primary academic interest at this time

Legal Sex

Gender Identity Select all that apply.

U.S. Citizenship Status

Are you Hispanic/Latino?

With which group(s) do you most identify? Select all that apply.

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

How did you first learn about Lehigh?

Are you the first in your family to attend college?

Do you have a relative who attended Lehigh?

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