Academic Scholarship Day

Student Information

Student first name *

Student preferred name (if different than first name)

Student last name *

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

Birthdate *

Primary phone number *

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

Have you applied to Augustana College?*

Yes

No

*In order to be eligible for the scholarship competition, you must apply by Dec. 1.

*In order to be eligible for the scholarship competition, you must apply before the event.

Permanent address*

Country

Street

City

Region

Postal Code

Student Type *

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

High school *

Current institution *

Choose an academic session/competition to attend *

Are you interested in being involved in any of the following Fine Arts programs? Please select all programs that you may continue in college, regardless if they're your intended major/minor or not.
Incoming students are eligible for as many Talent scholarships that might apply to their interests.

You've indicated an interest in participating music at Augustana! In order to qualify for our Talent Music Scholarship on November 14, please fill out this music registration form.

You've indicated an interest in participating theatre at Augustana! In order to qualify for our Talent Theatre Scholarship on November 14, please fill out this theatre registration form.

You've indicated an interest in participating film at Augustana! In order to qualify for our Talent FilmScholarship on November 14, please fill out this film registration form.

You've indicated an interest in participating art at Augustana! In order to qualify for our Talent Art Scholarship on November 14, please fill out this art registration form.

Fine Arts Scholarship Registration opens on September 1. We will contact you to register you for our Talent Scholarship

Before you can complete the form, please confirm that you've filled out the appropriate Fine Arts Talent Scholarship form.

Yes, I have filled out the Fine Arts Scholarship form.

I need assistance, please have someone contact me.

Would you like a campus tour? *

Yes

No

If you need any accommodations for your tour please contact the Admissions office - admissions@augustana.edu 309-794-7341

Please note: If you are taking a campus tour, you will stop and have lunch in our dining hall during your tour.

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

Yes

Join members of the Augustana community to learn more about the Latinos Unidos student group and Latino culture at Augustana at a special Cafecito con LU reception.

Are you interested in attending the Cafecito con LU Reception?

Yes

No

Would you like to join us for complimentary lunch during your visit?*

Yes

No

Please provide a mobile phone number for each guest who will be dining the day of the event. Students will be sent their lunch pass to the mobile number they provided above. Lunch passes will be texted to each number the day of the event.

Guest 1 Mobile Phone Number

Guest 2 Mobile Phone Number

Guest 3 Mobile Phone Number

Guest 4 Mobile Phone Number

Guest 5 Mobile Phone Number

Parent or Guardian Information

Name(s)

Parent email address *

I understand that my image or likeness may be represented by Augustana College for use in social media, publications, web or other materials.