Request For Information

Thank you for your interest in Augustana College! By submitting this form, you will be added to our mailing list, which will allow us to communicate important information to you about admission and financial aid.

* indicates a required field

Student first name *

Student last name *

Preferred first name (ONLY if different than first name)

Birthdate *

Student email address *

Student permanent address *

Country

Street

City

Region

Postal Code

Entrance status *

Anticipated enrollment term *

Current school/institution *

In order to better serve you, are you willing to provide us with more information?

Yes

Additional contact information (optional)

Student cell phone number

Home/parent phone number

Activity type

Name

Activity type

Name

Activity type

Name

Upload an unofficial transcript (optional)