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Military Admissions Application
Thank you for deciding to complete your application with Lakewood University. Once you have answered the questions below, a representative will contact you within 24 hours with your approval status and further instructions.
To see our main page
click here.
Basic Information
First Name:
*
Last Name
*
Street Address
*
City
*
State
*
Zip Code
*
Day Phone Number
*
Evening Phone Number
E-Mail Address
*
Background Questions
What is your status?
*
Military Spouse
Active Duty
Inactive Reserve
Military Dependent
National Guard (active or drilling)
Reservist (active or drilling)
Inactive Res/Guard (active or drilling)
Spouse of Active Duty
Veteran/Prior Service
What is your spouse's pay grade:
*
E-1
E-2
E-3
E-4
E-5
E-6
E-7
E-8
E-9
W-1
W-2
W-3
W-4
W-5
O-1
O-2
O-3
O-4
O-5
O-6
O-7
O-8
O-9
O-10
N/A
Name of Military Branch
*
Air Force
Army
Coast Guard
Marine Corps
Navy
Have you received your
Certificate of Eligibility
yet?
*
Yes
No
What type of GI Bill benefits are you planning to use
*
Post 911
Montgomery Bill
Other
You may upload your Certificate of Eligibility now to get started right away. (0ptional)
Program of Choice
I am interested in the following program (s):
Pharmacy Technician
Administrative Medical Assistant
Medical Billing
Medical Coding
Mediation
Criminal Justice
Paralegal Studies
Associate Degree in Business
Associate Degree in Paralegal Studies
Other Information
Once you are approved, when will you be able to start your program?
*
Immediately
Within 1-2 weeks
Within 3-4 weeks
Not sure
How did you hear about us?
*
Counselor/teacher
Craigslist
Family/friend
Internet
MYCAA Program
Poster
DETC
Email Ad
Magazine Ad
Other
Postcard
School Representative
Which website address is on your postcard? (if applicable)
What is the name of the school representative?
*
Please state specifically how you heard about us.
*
Comments/Questions