LebanonValleyCollegeApplication

ATTESTATIONOfHighSchoolGraduationorEquivalency

I,(printyournamehere):________________________________,haveappliedforacceptanceasastudentatLebanonValleyCollege.IunderstandthatonerequirementforadmissiontoLebanonValleyCollegeisgraduationfromhighschooloritsequivalency.

Iherebycertifythat:Igraduatedfrom_____________________________________________________________________

NameofHighSchool_____________________________________________________________________City,State,ZipCode

IearnedaGEDat________________________________________________________________________Nameoftestingfacility________________________________________________________________________City,State DateofExamination

Ifforanyreason,thisattestationofhighschoolgraduationorGEDcompletionisfoundtobefalseoruntrue,IunderstandthatIwillnothavemetanadmissionsrequirementofPostUniversity,andIwillnotbeconsideredaregularstudentandthus,willbesubjecttoimmediatedismissalfromPostUniversity.Furthermore,Iunderstandthatifthisattestationisfoundtobefalseoruntrue,allTitleIVfinancialaidandanystateorinstitutionalfinancialaidthatwasdisbursedonmybehalfmustberefundedtotheappropriatesource,andthatIwillberesponsibletoPostUniversityforanyandallmoneyrefunded.Bymysignaturebelow,Iattestthattheinformationprovidedistrueandcorrecttothebestofmyknowledge._____________________________________________________________________SignatureDate_____________________________________________________________________

Witness

Lebanon Valley College 101 N. College Avenue Annville, PA 17003-1400

1-866-LVC-4ADM