Apply to Lewis and Clark
Welcome, Trailblazer!
Welcome to Lewis and Clark! We are currently experiencing technical difficulties with our standard application system. To ensure you can still begin your journey with us without delay, please complete this alternative application. Once submitted, a member of our enrollment team will personally reach out to guide you through the next steps of your enrollment. We look forward to having you on campus!
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Gender
*
Male
Female
Prefer not to say
Social Security number
*
XXX-XX-XXXX
Date of birth
*
-
Month
-
Day
Year
Date
High Schools attended
*
Program/Major of study
*
What term are you interested in attending
*
Fall (August - December 20xx)
Spring (January - May 20xx)
Summer (June- July 20xx)
Did you have an IEP while attending high school
*
Yes
No
In case of emergency contact:
First Name
*
Last Name
*
Country Code
Area Code
Phone Number
Submit
Should be Empty: