APPLICATION FOR UNDERGRADUATE ADMISSION

800 North Columbia Avenue • Seward, Nebraska 68434 • 800 535 5494 • www.cune.edu

Name (as it appears on your social security card)

Last _______________________________________________________________ First _______________________________________ Middle _______________________________

Suffix ___________________ Previous Last Name ___________________________________________ Nickname _____________________________________________________________________________________________________

Previously attended Concordia, Nebraska? Yes No If yes, please fill out the readmit application at www.cune.edu/apply.

Previously applied to Concordia, Nebraska? Yes No

Student Type Freshman Transfer

Current Address and Phone

Street ________________________________________________________________________________________________________________________________________________

City ________________________________________________________________________________________ State ________________ Zip __________________________

Home Phone ________________________________________________________________________________________ Cell Phone __________________________________________

Personal Information

Are you a: U.S. Citizen Non-citizen Permanent Resident

Country of Citizenship (if not U.S.) ___________________________________ Country of Birth _________________________________________________

E-mail ____________________________________________________ Social Security Number ______________________________________________________

Gender Male Female Ethnicity ____________________________ Religion _________________________________________________________________________

Church Name ______________________________________________ City ______________________________________ State ___________________________

Marital Status Single Married

Birth Date (MM/DD/YYYY) ____________________________________ Are you a Nebraska Resident? Yes No

High School

High School Name______________________________________________________________________________ Home School Yes No

Street ______________________________________________________ City _______________________ State ________________ Zip ___________________________

Graduation Month / Year _______________________

Have you ever been suspended or dismissed from any educational program or institution? Yes No If yes, explain on a separate sheet.

Have you taken college credit courses? Yes No If yes, please list colleges below:

College Name _____________________________________________ City ______________________________________________ State ___________________

College Name _____________________________________________ City _______________________________________________ State ___________________36

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AffiliationA member of The Lutheran Church—Missouri Synod’s Concordia University System

Planned Course of Study

If you have one, please list your first choice and second choice of study from the list on the following page.

First____________________________________ Second___________________________________ Other__________________________________

If you belong to The Lutheran Church—Missouri Synod, are you planning on entering one of the LCMS church work programs? Yes No

If so, please indicate which area(s). Lutheran Teacher DCE Pre-Seminary Director of Parish Music Pre-Deconess

Additional Information

Will you want university housing? Yes No Do you plan to enroll full-time? Yes No Are you interested in ROTC? Yes No

Will you apply for need-based financial aid by completing the FAFSA? Yes No (All students accepted to Concordia will be automatically eligible for all non-need based financial aid.)

Are you planning to apply for a performance scholarship? Yes No

If so, please indicate: Art Drama Instrumental Music Vocal Music Speech/Debate

Are you planning to apply for an athletic scholarship? Yes No By checking yes you are indicating that you will contact the coaching staff to learn about requirements for an athletic scholarship. Visit www.cune.edu/athletics

for coach contact information.

If so, please indicate: Baseball Basketball Competetive Dance Cross Country Track & Field Football Golf Soccer Softball

Tennis Volleyball Wrestling

Parental Information

Parent 1: Relationship ______________ Last __________________________________ First __________________________ Middle __________ Living Deceased

Street ________________________________________ City ___________________________________________ State _______________ Zip _________________

E-mail _________________________________________________ Phone ______________________________________________ Concordia Graduate? Yes No

Parent 2: Relationship ______________ Last __________________________________ First __________________________ Middle __________ Living Deceased

Street ________________________________________ City ___________________________________________ State _______________ Zip _________________

E-mail _________________________________________________ Phone ______________________________________________ Concordia Graduate? Yes No

So that we can get to know you better, what makes you a good candidate for Concordia? ____________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

Please list the other colleges you are applying to: ___________________________________________________________________________________

_________________________________________________________________________________________________________________________

Commitment to the Mission of Concordia University, Nebraska

Concordia University, Nebraska is a Lutheran Christian institution of higher education operating under the auspices of The Lutheran Church—Missouri Synod.

We are committed to high academic and social standards as an integral part of our life of faith.

My signature below evidences my understanding and acceptance of the expectations of Concordia University as outlined in the Student Code of Conduct

in section 4.00 of the Student Handbook (www.cune.edu/studenthandbook). I commit to join together with the Concordia community as we seek to live

in accordance with the values, principles and mission of Concordia University, Nebraska.

This information is accurate to the best of my knowledge. I understand that withholding or giving false information may make me ineligible for admission.

Applicant Signature __________________________________________________________________________ Date _____________________________

Statement of MissionConcordia is an excellent academic and Christ-centered community equipping men and women for lives of learning, service and leadership in the church and world.Thank you for applying to Concordia University, Nebraska.

We’re excited about this opportunity to share Concordia

with you and help you through the admission process.

If you have any questions or need additional forms, please

contact our office toll-free at 800 535 5494, ext. 7233.

Application checklist I have arranged that my ACT/SAT scores be sent

to Concordia. (College Code: ACT 2442, SAT 6116)

I have arranged for official copies of transcripts from

college(s) and high school(s) attended to be sent

to Concordia.

Refer a friendI would like to recommend the following person as a prospective Concordia student:

Name _____________________________________________

Address ______________________________________________

City _________________________ State ________ Zip _________

Phone ___________________ Graduation Year ___________

Academic Interest ___________ E-mail ______

Apply onlinewww.cune.edu/apply

Or send items to Concordia University Attn: Admission Office 800 North Columbia Avenue Seward, Nebraska 68434

For more information800 535 5494 or 402 643 7233 www.cune.edu

Undergraduate programsAccountancyArt EducationArts AdministrationBehavioral ScienceBiology – Cellular & Molecular, Conservation, Environmental, Forensic Science, Organismal Business Administration – Accounting, Agribusiness, Communication, Finance, Information Systems, MarketingBusiness CommunicationChemistryCommunications StudiesCommunity HealthComputer ScienceDirector of Christian EducationDirector of Parish Music Early Childhood EducationEcclesiastical ArtElementary EducationEnglishEnglish Language LearnersEnvironmental Science – Biology, Chemistry, Geography, Business & Marketing, Natural ResourcesExercise ScienceFitness StudiesGeographyGerontology and Aging StudiesGraphic DesignHistoryInterpersonal CommunicationsJournalism & Public RelationsLanguage and RhetoricLutheran Teacher Diploma (Early Childhood, Elementary, Middle Level, Secondary)Management Information SystemsMarketingMathematicsMiddle Level EducationMusicMusic EducationNatural ScienceParish Music – Organ, VoicePhysical SciencePsychologySecondary EducationSpanishSpecial EducationSport Studies – Coaching, Communication, ManagementStudio ArtTheatreTheologyWorld and Intercultural StudiesWorship Arts – Performance, Composition, Audio production, Multimedia elements

Pre-Professional ProgramsPre-ChiropracticPre-Clinical Laboratory SciencePre-Clinical Perfusion SciencePre-CytotechnologyPre-Deaconess Pre-DentalPre-Dental HygienePre-EngineeringPre-LawPre-MedicalPre-NursingPre-Occupational TherapyPre-OptometryPre-Osteopathic MedicinePre-PharmacyPre-Physical TherapyPre-Physician’s AssistantPre-Radiation Science TechnologyPre-SeminaryPre-Social WorkPre-Veterinary