MLK Day Open House

A red asterisk* indicates a field that must be filled out before you can submit your registration.

Student Information

First Name

Preferred Name

Last Name

Pronouns

My pronouns are:

Date of Birth:

Email Address

Would you like to receive a text reminder about the event?

Yes

No

Mobile Phone

Academic Information

What school do you currently attend?

CEEB Code

Student Type (if you are currently in high school, please select "First-Year"):

First Year

Transfer

Entry Term (when you would plan on starting at Augsburg):

Event Information

What is your primary academic interest? We'll use this to place you in a mock class session that most closely aligns with your interest.

Are you interested in learning about Augsburg's PSEO program at this event?

Yes

No

After our Admissions event, there is an optional event from 1:00 PM - 3:00 PM being put on by our Pan-Afrikan Student Services and Augsburg University. This year's theme is "Building Community: Who is My Neighbor?". Are you interested in attending?

Yes

No

Would you like to have lunch with current students and/or an admissions counselor from 12PM - 1:00PM?

Yes

No

Other Information

Number of guests who will be joining you (not including yourself)?

0

1

2

3

Tell us about your guest! If you would like your guest to receive confirmation and reminder emails, please enter their email address in addition to their first and last name.

Tell us about your guests! If you would like a guest to receive confirmation and reminder emails, please enter their email address in addition to their first and last name.

Guest's First Name:

Guest's Last Name:

Guest's Email Address:

Guest #2, First Name:

Guest #2, Last Name:

Guest #2, Email Address:

Guest #3, First Name:

Guest #3, Last Name:

Guest #3, Email Address:

Are there any accommodations that you (or a guest) might need for this event?

Yes

No

Tell us more about how we can best accommodate you:

Please specify (optional):

If you have any specific topics or questions that you want to discuss at the event, let us know in the text box below so we can make sure to cover it: