Augustana University Application for Returning Students

This application form is for students who were previously-enrolled undergraduate students at Augustana University who wish to return to complete their undergraduate degree or obtain a second degree.

Personal Information:

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Phone Number

Social Security Number

Augustana ID Number

Academic Information:

I plan to return to Augustana as a:

For the term beginning in:

Intended academic major(s):

Previous Dates of Attendance at Augustana:

Have you attended any other post-secondary institution (college, university, vocational, or trade school) since your last date of attendance at Augustana?

Indicate the name of your preferred academic advisor. (If a preferred advisor is not indicated, an academic advisor will be assigned to you in your area of study).

If yes, please indicate which college or university you have attended since leaving Augustana University.

Please account fully for your time since you last attended Augustana University. In chronological order include college attendance, employment, etc.

Do you plan to live in on-campus housing?

Will you be applying for need-based financial aid by completing the Free Application for Federal Student Aid (FAFSA)? Augustana’s FAFSA Code is 003458.

I hereby affirm that the information provided is correct, complete, and honestly presented.

Sign Initials

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.