Augustana University Enrollment Deposit Form

    Thank you for choosing Augustana!

    By submitting your $200 enrollment deposit (non-refundable after May 1), you are securing your place in the class.

    Student Birthdate
    Student Birthdate
    Student Address
    Student Address
    Amount Due
    Method
    Many student debit/credit cards have a daily transaction limit. Please keep this in mind when submitting your enrollment deposit. If you exceed the limit, the transaction will be unsuccessful. In that case, contact your bank for assistance.
    What were the most influential factors in your decision to choose AU? Please rank in order from 1 (most influential) to 5 (least influential).
    Academics
    Academics
    Location
    Location
    Community
    Community
    Athletics
    Athletics
    Study Abroad
    Study Abroad
    Scholarships & Financial Aid
    Scholarships & Financial Aid