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The Common ApplicationThis Application for Admission will become part of your permanent record at Augustana College. You may choose to submit the form below online, download a paper version (.pdf), or submit the Common Application.

Recommendation form may be downloaded here.

Fill this application in as completely as possible; we advise you to be thorough. The Scholarship Committee will use your completed application as a source when making most scholarship awards. Items marked with an * are required for completion of this application.

Please use the format mm/dd/yyyy for all date entries.

YOUR PERSONAL BACKGROUND
1.
I am applying for admission to the College as an:
   
 
and intend to enroll
Full-time
Part-time
2. For the term beginning:
3. *Name (Given, Middle, Family):
Given
Middle
Family
 
Prefer to be called:
Maiden Name:
4. * Female Male
5. *Permanent address: *Current mailing address:
 
 
 
 
 
 
*Telephone:
Telephone:
(cell or mobile)
 
*E-mail address:
Fax:
6. Latest TOEFL scored earned (if taken): Date taken (mm/dd/yy)
7. *Date of Birth (mm/dd/yy)
8.
Marital Status:
Spouse's Name:
  Is s/he attending Augustana? Yes No  
9. Dependent Children (names & ages):
10. *Country of citizenship: *Country of birth:
YOUR EDUCATIONAL BACKGROUND
11.
*High School:
*Date of Graduation:
 
Address:
Telephone:
       
       
       
 
University:
Date of Graduation or Dates Attended:
 
Address:
Telephone:
       
       
       
12. When did/will you take the ACT or SAT? ACT Score: SAT Score:

ACT and SAT scores are recommended but not required for international student admission. Scores are required for all students intending to participate in varsity athletics.

13. Did you earn/Will you be earning International baccalaurette credit as a high school student? Yes No
If yes, how many hours of credit?
YOUR PLANS
14. What is your probable college major?
15. What are your career or professional goals?
16. Will you live: Residence Hall in campus family housing
17. *Do you want to be considered for financial aid? Yes No
YOUR FAMILY BACKGROUND
18.
Religious affiliation:
19.
Father's Name:
Business phone:
 
Home Address:
Job Title:
   
Is he living?
Yes No
   
If deceased, when?
       
 
Employer:
   
 
Did he graduate from Augustana?
Yes
No
 
If yes, when?
 
Colleges attended:
20.
Mother's Name:
Business phone:
 
Home Address:
Job Title:
   
Is she living?
Yes No
   
If deceased, when?
   
 
 
Employer:
   
 
Did she graduate from Augustana?
Yes
No
 
If yes, when?
 
Colleges attended:
21. List any relatives or friends who are attending or have attended Augustana and their relationship to you:
 
22.
Brothers and Sisters:
School or College:
Graduation Year:
 
 
 
 
23. Please list all the activities in which you have participated, offices held and any honors received: Do you plan to participate in this activity at Augustana?
  Athletics
  Yes No
  Yes No
  Yes No
  Band/Chorus/Orchestra: (Please list instrument and year played)    
  Yes No
  Yes No
  Yes No
  Theatre/Other school activities: (yearbook, newspaper, etc)    
  Yes No
  Yes No
  Yes No
  Church/Community    
  Yes No
  Yes No
  Yes No
24. How did you first become acquainted with Augustana?
25. Which college guides (Peterson's, Private Colleges & Universities, US News, etc) did you use to investigate colleges?
 
26. To what other colleges do you intend to apply for admission?
27. Please list influences that led you to apply to Augustana. If individuals, please list their names:
 
28. Who was/is your favorite teacher in high school?

 Yes
 No

*I hereby affirm that the information contained on or with my application is correct, complete, and honestly presented.

Your admission counselor will be in contact with you regarding the application process. Please contact the admission office with questions:

Ph: 800.727.2844/605.274.5516; E-mail: admission@augie.edu

Augustana is committed to providing equal opportunities for access to and participation in its programs and services, without regard to sex, sexual orientation, race, color, religion, creed, national origin, ancestry, age, or disability.