Name:
Street Address:
City:
State:
Zip:
Country:
Home Phone:
Cell Phone:
Email Address:
HS name:
HS city:
Graduation Year:
ACT: SAT (V): SAT (M): Grade pt. avg:
Anticipated college major(s)
Augustana students you know
Augustana alumni you know
Athletic team(s) interest
Position(s)
Height Weight
Athletic Honors
Best Performance
Statistics
Number of siblings at home Number of siblings in college
Do you plan to apply for financial aid? yes no (if yes, plan to file the FAFSA and Augustana Application for Institutional Financial Assistance form.)