Online Program Request Information
Please complete this form for more information on our online programs.
A member of our Admission staff will follow-up with you.
State / Province:
Which of the following online programs are you interested in?
(Please limit to two choices)
Biological Chemical Engineering
Chemical Energy Engineering
Healthcare Systems Engineering
Management Science & Engineering
Polymer Science & Engineering
Certificate in Chemical and Biomolecular Engineering
Certificate in Healthcare Systems Engineering
Certificate in Management Science and Engineering
Certificate in Polymer Science & Engineering
Certificate in Technical Entrepreneurship
When do you plan to begin your studies?
Over 12 months
How did you hear about Lehigh University Distance Education?
Lehigh Alumni Bulletin
What online program(s) would you like us to offer in the future?
In order to determine how we can better serve prospective students, please let us know what additional online degree programs or subject areas you would be interested in, that currently are not available through our our office. By checking one or more of the choices shown below, you'll be assisting us in determining what new online programs may be offered by distance in the near future.
Master of Science in Computer Science
Master of Science in Electrical Engineering
Master of Science in Engineering Management
Healthcare Subject Areas (Please specify in Additional Comments.)
Undergraduate Online Degree Programs
Additional Comments or Questions:
Never submit passwords through Google Forms.
This form was created inside of Lehigh University.
Terms of Service