Book Shop 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 Shop 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*