Online Application, Please provide the following information:

How did you find us?   *required
If Other, please specify:

Section 1: Personal History
1. Please list your name as you would like it to appear on your diploma
 
  Last Name First Name Middle Name Preferred First Name

2.
  Social Security Number (Optional: if not provided a student # will be assigned)

3.
  Permanent Address Apartment Number
 
  City State Zip Code Country
 
  Telephone Number E-mail Address *required

4. / / 5. MALE FEMALE
  Date of Birth            Gender

6. YES NO
  Are you a U.S. citizen? Non-U.S. citizens, please indicate

7.  
  Ethnic background (Response is voluntary and will be treated as confidential. No adverse action will result if applicant does not respond.)
   
  YES , NO
  Would you like the Lexington University Building Logo included on your diploma?

Section 2: Intended Program of Study
Please refer to the Programs of Study section for the college/major offerings.

8.
  Ending GPA
 
  Requested Date of Graduation

TYPES OF DEGREES

If the degree selected above has an asterisk beside, you must select a Major from the drop down list of the Common Majors drop down below
COMMON MAJORS

If the Type of Degree you selected did NOT have an asterisk beside it, do NOT select a Major

Please fill this field in if your major is not in the above list (this will cost an additional $40.00)

Please fill this field in if you need to enter a field of specialization:


Section 4: Educational History

10.
  High School Name
 
  City State
  / /
  Graduation Date GED Holder (if applicable)

11. Bachelor Masters Associate Doctorate/PhD Bachelors and Master Masters and Phd
Bachelor's, Master's and PhD
  What Graduation Package are you ordering at this time?
   
  If you have selected multiple graduation packages, please enter the following information in the field below for each additional degree chosen: Degree, Major Field of Study, Date of Graduation, and ending GPA

List any colleges/universities attended. List your most recent college first
12.
  College/University Name
 
  City State
   
  Degree Earned  


**Please insert into the text field below, the contents of your Self-Directed Assessment Portfolio,
which should include a listing of all previous educational attainments, your resume and/or curriculum vitae
and any other information which you are relying upon to evaluate your qualifications for a degree


13.    
   
 

Section 5: Additional Information

14. Our Website Lexinton student Alumni Online Cost Other
  Please indicate which of the following influenced your interest in Lexington University.

Use the space below to enter in the life experiences that you feel qualify you for a degree (use another page if necessary):
15.    
   

16.     Please select additional options (For multiple packages, please choose number wanted for that package)
 
Cum Laude $50.00 for each diploma ordered
Magna Cum Laude $75.00 for each diploma ordered
Summa Cum Laude $99.00 for each diploma ordered
     
Raised, Gold Foil Seal $14.99 (all other orders are the University seal printed on the parchment diploma at no charge)


PRODUCTION ORDER, SHIPMENT AND DELIVERY
:

Our normal Production schedule includes production and shipment of your order within ten full business days after your payment is received. We do offer 2 Rush Production services from which to choose: 4 day production - $100.00 (allow four complete business days after payment is received for production) or 2 day production - $125.00 (allow 2 complete business days after payment is received prior to shipment).

You have the following shipment options after production is done on your order: (Please note postal boxes are not accepted, and a phone number is required)

Special Print Sizes: (You must first select a diploma or transcript package before this option)

13" x 19" $99.00 (includes one 8 1/2 x 11 diploma)
11" x 17" $79.00 (includes one 8 1/2 x 11 diploma)



Payment Method:

To receive a FREE diploma holder with your order pay using PayPal.

To receive a 10% discount, a free diploma holder AND a FREE second set of standard sized prints, please pay using Western Union system.


Please choose your method of payment from the menu below:

*required


Application
Credit Card Authorization
17.
Name as it appears on the Card:
 
Billing Address:
 
Telephone Number:
 
Card Type:
 
Card Number:
 
Expiration Date:
/

DATE OF CERTIFICATION: July, 15 2003

We have instituted a PAYPAL PREFERRED POLICY dictating that all credit card transactions will be made through the PayPal sysem. After making your certification below, you will be directed to the PayPal website for further instructions on your credit card payment.

Certification of Understanding (Signature required) By checking the "Agree" Box below:

I certify that the information contained in this online order form / application is complete, accurate, and true. I understand that any misrepresentation of facts on this application could be cause for refusal of admission, reversal of certification, or dismissal from the University if discovered. I further understand that Lexington University offers no classes, no curriculum, no lectures, no staff or faculty, no literature, learning materials, testing, or thesis or dissertation review. I also understand that Lexington University is not a United States based educational institution, nor is it recognized, endorsed or accredited by any accrediting agency recognized by the United States Department of Education. Lexington University is an international business company conferring degrees to qualified applicants based upon based upon previous life and work experience, training or education obtained from other institutions and career, work and life experience. I further certify, that I will not utilize my Lexington University graduation package, and the materials therein, to misrepresent my qualifications, training, experience, or work History, and that I will indemnify Lexington University against any and all claims or liabilities which may result should I do so. Neither this site, nor its owners, operators or agents may be held liable for any damages if you misuse or misrepresent your qualifications. You accept full responsibility, assume all risk and any consequences. I Agree to the above and Understand the provisions of the Fraud Policy and Legal Action Notice here

I agree

Copyright 2002-2003 Lexington University