Personalized Appointments - Adult Undergraduate Admissions

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ADMISSIONS FORM

* denotes required status

Preferred Name

First Name *

Last Name *

Birthdate * (requested for data consistency purposes)

Email Address *

Mobile Phone

I give permission for my Augsburg Admission Counselor to send me important updates on the application process or events. Augsburg will NOT overwhelm you with text messages.

Program of Interest*

How did you hear about Augsburg?

	Referral
	Social media
	Search Engine (Google, Yahoo, Bing)
	Employer
	Other
If other, please describe how you heard about Augsburg: