International Partners -

International Partners Application

* Family Name

* First Name

Middle Name

* Gender

* Date of Birth (month, day, year)

* Mailing Address

* E-mail Address

* Telephone Number

* City of Birth

* Country of Birth

* Country of Citizenship

* Country of Legal Permanent Residency

* Is English your first language?

* Years of Formal English Instruction

* Name of Home Institution

* Field of Study at Home Institution

* Current Year of Study at Home Institution

Name and e-mail address of International Coordinator at Home Institution

* Activities (athletics, music, church, etc) in which you have participated

* Are you interested in trying to play on an Augsburg athletic team? If so, which sport?

* How did you learn about Augsburg College?

* When do you plan to enter Augsburg? (month, year)

* How many semesters will you be at Augsburg?

* Might you study later in a graduate program at Augsburg?

* How will you cover your costs at Augsburg?

* Contact person in case of emergency (name, address, telephone)

* Briefly state your reasons for wanting to study at Augsburg

* I certify that the information I have given is true to the best of my knowledge. I agree to comply with all regulations of the College and to read the catalog and agree to the terms therein. Information from this form may be used by officials of the College. Any misrepresentation on my part is cause for non-acceptance, cancellation of acceptance, or dismissal from the College if subsequently discovered. By checkng this box, I indicate that all the information in my application is complete, factually correct, and honestly presented.