Foundations Program Application

Applicant Information

First Name

Middle Name

Last Name

Preferred Name

Email Address

Social Security Number (Optional)

Gender

Birthdate

Citizenship

Mailing Address

Country

Street

City

Region

Postal Code

Home Phone Number

Mobile Phone Number

Religious Affiliation

WELS Church Name

Educational Information

Anticipated High School Graduation Year

College Academic Interest

What semester do you intend to take class?

Intended Academic Year

Intended Term

Have you taken a course through the Foundations Program in the past?

Yes

No

Select your course(s)

Please note: the last day to drop coursework is October 20^thfor fall semester classes and March 14^th for spring semester classes. After those dates, students can only withdraw with no refund.

Select Foundations Program Partner School

Select the course(s) you wish to register for: (Hold down Ctrl to select multiple courses)

Family Information

Father/Guardian

Dr.

Mr.

Rev.

First Name

Last Name

Mailing Address (if different than applicant)

Country

Street

City

Region

Postal Code

Marital Status

Occupation

Phone Number

Mother/Guardian

Dr.

Mrs.

Ms.

First Name

Last Name

Mailing Address (if different than applicant)

Country

Street

City

Region

Postal Code

Marital Status

Occupation

Phone Number

Students must meet one of the following academic requirements to be accepted into the dual credit Foundations program to be verified by the student's high school:

1. Rank in the upper 25% of his/her class
2. Have a GPA of 3.25 or higher (on a 4.00 scale)
3. Have a cumulative ACT Score of 24 or higher

The undersigned hereby certifies that the information provided above is accurate and complete and agrees to comply with the current policies and regulations pertaining to the academic and social life of Wisconsin Lutheran College students as stated in the college catalog, Wisconsin Lutheran College - Modern Campus Catalog™. Wisconsin Lutheran College credits are accepted by other colleges/universities. A grade of 'C' or better is typically required for credits to transfer. Please check with your intended college/university regarding specific transfer credit policies.

Additionally, the undersigned acknowledges and agrees to a tuition cost of $320.00 per three credit course and $405.00 per four credit course, made payable to the high school.

Signature

Date

Wisconsin Lutheran College does not discriminate against qualified individuals on the basis of race, color, disability, national, or ethnic origin in its recruitment, admission, educational, or administrative policies, scholarship and loan programs, and athletic and other school administered programs. The college also is committed to admitting student athletes who will demonstrate a level of success consistent with that of all students on campus. Male and female student athletes will receive fair and equal treatment.

Wisconsin Lutheran College is affiliated with the Wisconsin Evangelical Lutheran Synod. The college reserves the right to make changes affecting policies, fees, curriculum, and other matters in this publication.