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Supplement to the Common Application

Please fill out the following online supplement form or download the PDF version.

 

Common Application

I have submitted the Common Application

Personal information

Your legal name (enter name exactly as it appears on your passport or other official documents):

Last:
First:
Middle(complete):
Jr.(etc):
Gender:

 

Permanent home address:
Number and street
City/Town
State/Province
Zip code/postal code
Country
Home phone

 

Academic information

I am applying to Augustana Collge as a (check all that apply):

first year student transfer student full-time student part-time student
degree-seeking student non-degree-seeking student

 

I am applying for the term beginning
fall winter spring Year

 

I also have applied or plan to apply to the following college/s

 

I would like to be considered for enrollment in Augustana's Honor Program:
Yes No

For information on the Honors Program call the Office of Admissions at 1(800)798-8100.

 

Financial assistance information

Are you the beneficiary of a 529 pre-paid tuition plan? Yes No

 

Family Information

List any relatives who have attened Augustana
(if applicable, please include maiden names):

NAMERELATIONSHIP TO YOUDATES AT AUGUSTANA COLLEGE

 

List all members of your family (besides yourself) currently in high school:

NAME HIGH SCHOOL EXPECTED YEAR OF GRADUATION MAY WE CONTACT?
yes no
yes no
yes no

 

Supplemental information

The following persons/items influenced me to apply to Augustana College* (check all that apply):

relative counselor teacher coach Augustana alumna/alumnus
current student brochure or other mailing visit to campus
Other (please explain):

*Please list their names

 

I have visited Augustana's campus during the following events

personal admissions interview/date
visit day/date
athletic visit/date
visit to friends in college/date
other/date

 

I have friends and/or teachers who attended or who now attend Augustana College. (If teachers, please also indicate subject taught):

NAMERELATIONSHIP/SUBJECTCLASS YEAR