Augustana College Virtual Information Presentation

Wednesday, March 5, 2025 at 7:00 PM until 8:00 PMCentral Standard Time UTC -06:00

Student first name *

Student preferred name (if different than first name)

Student middle name

Student last name *

Student birthdate *

Student email address *

Permanent address *

Country

Street

City

Region

Postal Code

Student mobile phone number (Will be used for event communication)*

Primary phone number*

Parent email address (will be used for event communication) *

Student Type*

Anticipated entry term*(Please indicate when you plan to enroll at Augustana)

High school*

Anticipated entry term* (Please indicate when you plan to enroll at Augustana)

Current or most recent institution*

Academic Interest - 1st choice*

Academic Interest - 2nd choice

Activity type

Name

Activity type

Name

Activity type

Name