Augsburg College: URGO

2211 Riverside Avenue South
Minneapolis, MN 55454
612-330-1000

Office of URGO
Contact Information

Dixie Shafer
Director of URGO
Location: Science Hall 116B
Phone: 612-330-1447
Campus Box 9
E-mail: shafer@augsburg.edu

Student First Name:
Student Last Name :
Date Submitted:
Student Email:
Phone Number:
Major(s):
Minor(s):
Advisor:
Class Standing:	Freshman Sophomore Junior Senior
Anticipated Graduation Date:
Alumni?	Yes No
Program Type:	Weekend College Undergraduate Day
Cumulative GPA:
Ethnicity (optional):
Graduate/professional area of interest:
How did you hear about URGO?
Are you a U.S. Citizen or permanent resident?	Yes No
Did either parent/guardian graduate from a four-year-college?	Yes No
Do you think you might qualify as a low-income student?	Yes No
Contact: Dixie Shafer, Director, Undergraduate Research and Graduate Opportunity, x1447, shafer@augsburg.edu