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Summer Seminar Application

Complete and submit application by May 30, 2014.

* = 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 30, 2014. A $50.00 application fee is due at the time of applying.