Application For Undergraduate Admission - Concordia University Page 4

ADVERTISEMENT

Religious Affiliation
(Optional)
Religious Affiliation _______________________________________________________________________________
Home Congregation _______________________________________________________________________________
Church Address ___________________________________________________________________________________
STREET
CITY
STATE
ZIP
Church District ___________________________________________________________________________________
If Lutheran, are you a member of the Missouri Synod? q Yes
q No
Ethnicity and Race
(Optional)
Are you Hispanic or Latino? — A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish origin,
q
q
regardless of race.
Yes
No
Check all that apply:
q
q
q
q
American Indian or
Asian — A person having
Black or African American
Native Hawaiian or other
Alaskan Native
origins in any of the original
— A person having origins
Pacific Islander
— A person having origins
peoples of the Far East,
in any of the black racial
— A person having origins
in any of the original
Southeast Asia or the Indian
groups of Africa.
in any of the original
peoples of North and
subcontinent including, for
peoples of Hawaii, Guam,
q
White — A person having
South America (including
example, Cambodia, China,
Samoa and other Pacific
origins in any of the original
Central America), and who
India, Japan, Korea, Malaysia,
Islands.
peoples of Europe, the
maintains a tribal affiliation
Pakistan, the Philippine
q
Middle East or North Africa.
Prefer not to respond
or community attachment.
Islands, Thailand and Vietnam.
How Did You Hear About Concordia?
(Please check all that apply.)
q Advertisement
q Concordia mailer
q Internet
q Campus visit
q Concordia website
q Magazine/newspaper article
q Coach
q Friend/relative
q Pastor/youth leader
q College fair
q High school counselor
q Radio
q Concordia alumnus/a
q High school visit
q Other ______________________
Signature
I hereby give Concordia University, St. Paul permission to use my likeness in any promotional or news release generated by the
university or any agent appointed by the university. This information may contain photos of me, quotes from me or statistical
information about me. I also give Concordia University permission to print my name in regard to any honors I receive from the
university. If you are not in agreement with these terms, please contact the Office of Admissions directly.
I hereby certify that all information given is complete and accurate to the best of my knowledge.
Your signature signifies that all information and statements on this application are accurate and true. Falsification of information
contained within this application could affect the status of your financial aid or enrollment at Concordia University, St. Paul.
Applicant Signature ____________________________________________________ Date ______________________
Completed applications and application fee should be sent to Concordia. Make checks or money orders payable to
Concordia University, St. Paul.
*Application fee is waived for students who make an official campus visit.
Submit application to Concordia:
Mail:
Email:
Concordia University, St. Paul
admissions@csp.edu
Office of Admissions
Fax:
1282 Concordia Avenue
651-603-6320
St. Paul, MN 55104
Concordia University, St. Paul is registered as a private institution with the Minnesota Office of Higher Education pursuant to sections 136A.61 to 136A.71. Registration
is not an endorsement of the institution. Credits earned at the institution may not transfer to all other institutions.
Concordia University does not discriminate for admission of students on the basis of race, color, creed, religion, national or ethnic origin, disability, sex, age, marital
status, veteran or veteran disability status, or sexual orientation.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 4