Augustana Degree in 3 Interest Form

Your student information

First Name

Last Name

Birthdate

Email Address

Cell Phone Number

Mobile numbers provided are subject to receive text messages from Augustana University.

Check this box to provide family contact information.

Parent Email Address

Parent Phone

Mailing Address

Country

Street

City

Region

Postal Code

College Plans

I am inquiring as a...

Freshman (entering college directly from high school)

Transfer student from another college/university

International student

Have you earned or will you earn college credits while enrolled in high school?

Yes

Please list the college(s) or AP course(s) from which you will have earned college credit while in high school.

Anticipated Enrollment Term

School Information

Current or Most Recent School Attended

Current/Most Recent School Type

Year you will graduate/graduated from high school