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Online Application Test

last modified 2010-01-21 09:56 AM

This is a test of the viability for MLC to have an online application.

Enrollment Information

First Name (Required)

Middle Name

Last Name (Required)

Enrollment Entrance Date (Required)

Note: January enrollment for Studies in Pastoral Ministry is accepted only under special circumstances. Inquire in advance.

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ACT Testing Information

Have you taken an ACT test? (Required)

Date Test Taken

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Composite Score

Choose Your Program

For a full description of these programs, consult our website at http://mlc-wels.edu.

Educational Ministry - Single Major

Educational Ministry - Double Major

Pastoral Ministry

Certification Program

Biographical Information

School Year Mailing Address (Required)

All mail will be sent to this address during the current school year.

Are you currently a boarding student? (Required)

Permanent Address

If different from school year mailing address.

Cell Phone Number

Home Phone Number

Date of Birth (Required)

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Birthplace (City and State) (Required)

County of Residence (Required)

Email Address (Required)

Please include the email address you would like to be reached at.

Gender (Required)

Male
Female

Racial/Ethnic Background (Required)

Used for state and federal government reports.

Are you a U.S. citizen? (Required)

If NO, list citizenship and type of visa.

Marital Status (Required)

If married, name of spouse.

Occupation of Spouse

Names and Ages of Children

Father's Full Name (Required)

Father living? (Required)

Father's Date of Birth

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Father's Occupation

Father's Employer/Location

Mother's Full Name (Required)

Mother living? (Required)

Mother's Date of Birth

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Mother's Occupation

Mother's Employer/Location

Parental Status

Parent's Email Address

With whom do you reside at your permanent address? (Required)

Legal Guardian/Head of Family

Only needed if it is someone other than your father or mother.

Church Membership Information

Are you a member of WELS? (Required)

How long (to nearest year)?

If YES, which WELS district?

If NO, which synod/church body?

Do you intend to serve in the public ministry of WELS? (Required)

Name of your Home Church

Church's Location

Pastor's Name and Address

Education and Work Information

Elementary Schools Attended

Please include (one on each line) each elementary grade school you attended, what grades you attended there, and whether it was a Lutheran elementary school or other (public, other religious school, etc.), and also the school's city and state.

High School Graduation Date

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High School Graduated From

Please include the name of the high school along with the city and state it is located in/near.

Other High Schools Attended

Please include (one on each line) each high school you attended, including the city and state of that high school, starting with the most recent.

Current Year Courses

List the courses to be completed during the current academic year, before enrolling at Martin Luther College. Indicate what semester you are taking them in.

Advanced Placement (AP) Courses

List all AP courses, dual credit courses, or MLC courses that you have taken or are presently taking: (Official grades and transcripts must be sent in order to receive credit).

Other Higher Education Institutions

Colleges, Universities or Vocational-Technical Institutions attended including the name, city and state, dates attended and the degree, certification or diploma earned: (list in order, beginning with the most recent). Have transcripts sent immediately.

Military Service

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Military Branch

Employment Record

Include the name of the employer, city and state employer located in, dates employed there and the nature of the work.

Other Information

Have you been convicted of a felony?

If yes above, please explain.

Have you ever been convicted of any kind of sexual misconduct or sexual abuse?

If yes above, please explain.

Activities

List the high school/college co-curricular activities in which you have participated (e.g. varsity athletics, music, theater, etc.). Include the activity name, positions held or honors earned, and if you plan to participate in college.

Disclaimer

I hereby agree to the objectives and policies in the Martin Luther College Catalog and verify that the information requested on this application is complete and accurate. Please note: The applicant's obligation to provide complete and accurate information on this form includes updating any information that may change after submitting this application.