Admitted Student Viking Visit

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 address, not your Augustana email address if you already have one set up.

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

Have you applied to Augustana?*

Yes

Permanent address *

Country

Street

City

Region

Postal Code

Primary phone number *

Student Type *

High School *

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

Intended major- 1st choice *

Intended Major - 2nd choice

Current institution *

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