First Name:	*
Middle Name:	*
Last Name:	*
Address:	*
City:	*
State:	Select Below AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA ME MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV Other
if other:
Zip / Postal Code:	*
Country:	USA     Other  *
if other:
Email:	*
Phone you can be reached at:	*
Gender:	male     female  *
HS GRAD YEAR:	Select Below before 2000 2001 2002 2003 2004 2005 2006 2007 currently not attending school  *
HIGH SCHOOL GRADUATED FROM:
High School:
PLEASE SELECT POTENTIAL/CURRENT MAJOR:
Potential Major:	Select Below American literature anthropology art art history/conservation biology business chemistry comparative literature economics Education Engineering English English literature environmental science French Geology German history humanities international relations Latin American studies mathematics music music history nursing philosophy physical therapy physics political science pre-dentistry pre-law pre-medicine pre-pharmacy pre-seminary pre-veterinary psychology recreational therapy religion social work sociology Spanish speech/theater sports medicine/training theater theater history urban studies yourth ministry undecided
if other:
Denomination:	Select Below Lutheran (ELCA-Evangelical Lutheran Church in America) Lutheran (LCMS-Lutheran Church Missouri Synod) Lutheran (WELS-Wisconsin Evangelical Lutheran Synod) Other
if other:
FOR TRANSFERS, COLLEGE TRANSFERRING FROM:
FOR TRANSFERS, PLEASE SELECT THE TERM YOU PLAN TO TRANSFER:
	Select Spring 2007 Summer 2007 Fall 2007 Spring 2008 Summer 2008

Use the check boxes to select which colleges listed below to contact for more information:

Augsburg College (ELCA), Minneapolis, MN Augustana College (ELCA), Rock Island, IL Augustana College (ELCA), Sioux Falls, SD Bethany College (ELCA), Lindsborg, KS California Lutheran University (ELCA), Thousand Oaks, CA Capital University (ELCA), Columbus, OH Carthage College (ELCA), Kenosha, WI Concordia College (ELCA), Moorhead, MN Concordia College (LCMS), Selma, AL Concordia College (LCMS), Bronxville, NY Concordia University (LCMS), Seward, NE Concordia University (LCMS), Ann Arbor, MI Concordia University (LCMS), Austin, TX Concordia University (LCMS), Irvine, CA Concordia University (LCMS), Portland, OR Concordia University (LCMS), Chicago, IL Concordia University (LCMS), St. Paul, MN Concordia University Wisconsin (LCMS), Mequon, WI Concordia University, College of Alberta (LCC), Edmonton, Alberta Dana College (ELCA), Blair, NE Finlandia University (ELCA), Hancock, MI Gettysburg College (ELCA), Gettysburg, PA Grand View College (ELCA), Des Moines, IA Gustavus Adolphus College (ELCA), St. Peter, MN Lenoir-Rhyne College (ELCA), Hickory, NC Luther College (ELCA), Decorah, IA Luther College (ELCIC), Regina, SK Midland Lutheran College (ELCA), Fremont, NE Muhlenberg College (ELCA), Allentown, PA Newberry College (ELCA), Newberry, SC Pacific Lutheran University (ELCA), Tacoma, WA Roanoke College (ELCA), Salem, VA St. Olaf College (ELCA), Northfield, MN Susquehanna University (ELCA), Selinsgrove, PA Texas Lutheran University (ELCA), Seguin, TX Thiel College (ELCA), Greenville, PA Trinity Lutheran College, Issaquah, WA Valparaiso University, Valparaiso, IN Wagner College (ELCA), Staten Island, NY Waldorf College (ELCA), Forest City, IA Wartburg College (ELCA), Waverly, IA Wittenberg University (ELCA), Springfield, OH

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