Summer Seminar Application

* = required field

Last Name*
First Name*
Address*
City*
State*
Zip*
Home Phone*
Cell Phone
E-mail Address*
Gender*
Age*
Ethnic Background
First Generation Status*
High School*
High School Graduation Year*
Intended College Major(s)
HS Cumulative GPA*
HS Rank
ACT/SAT Score (if known)
List the name, address, and phone number of a teacher, guidance counselor or other individual who can serve as a reference for you.
For which program are you applying?*
Why would you like to participate in the program? (Limit to 250 words.)*
Trancripts and release forms are to be mailed to: Summer Seminars, Admissions Office, Luther College, 700 College Drive, Decorah, IA 52101
Transcripts and release forms can also be faxed to 563-387-2159 or 563-387-2127
Response deadline is May 26, 2017. A $50.00 application fee is due at the time of applying.
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