Viking Visit

Monday, January 18, 2027 at 9:00 AMCentral Standard Time UTC -06:00

The Gerber Center for Student Life
3435 9 1/2 Avenue
Rock Island, IL 61201
United States

Student Information

Student first name *

Student preferred name (if different than first name)

Student last name *

Student birthdate *

Student email address (please use your personal email, not school email)*

Permanent address *

Country

Street

City

Region

Postal Code

Primary phone number *

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

Student Type *

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

High School *

Current institution *

Academic Interest- 1st choice *

Academic Interest - 2nd choice

Si es posible, me gustaría un guía de tour que hable Español. (If possible, I would like a Spanish speaking tour guide.)

Yes

Parent or Guardian Information

Name(s) *

Parent email address *