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Book Store Voucher Nomination Form

This form allows Luther College alumni to nominate individuals they believe would make promising Luther students.

Prospective students nominated by Luther College alumni will receive a one-time $100 Book Store voucher which may be used to purchase books during the student's first year on campus.

To receive the voucher, students must be enrolled in fall semester classes at Luther College.

* = required field

Prospective Student Information

Name of Prospective Student:*
Gender:*
Address:*
City:*
State:
Zip/Postal Code:
Country of Citizenship (if not U.S.A.):
Phone:*
High School Graduation Year:*
High School:*

Your Information

Nominated by:*
Address:*
City:*
State:
Zip/Postal Code:
Country (if not U.S.A.):
E-mail Address:*
Luther Class of:*