Midland Lutheran Admissions

Visit Days

Visit Days

Following the submission of this form, you will receive an email confirming that Midland
Lutheran College has received this form. If you do not receive a confirmation email
please call the Office of Admissions at 800-642-8382 ext. 6501.

Personal Information

First Name:
Middle Name:
Last Name:
Maiden Name:
Preferred First Name:
Mailing Address:
City:
County:
State:
Zip Code:
Home Phone:
Cell Phone:
Email:
Nonresident alien:
A person who is not a citizen or national of the United States and who is in this country on a visa or temporary basis and does not have the right to remain indefinitely.
Are you a Non-Resident Alien?

Additional Information

High School:
Graduation year:
What type of student are you?

Visit Information

Register for individual visit day (Please schedule 2 weeks in advance):
Preferred time of visit:
Register for special visit day:
Registration Days are only open to incoming first year students who have applied, been accepted and are registering for fall classes.

High school seniors, would you like to complete an admissions interview for a $500 campus-visit grant?

Intended area of study:
1st choice:
2nd choice:
Activities Information: Please rank from highest to lowest.
1 - Highest Interest:
2:
3:
4:
5 - Lowest Interest:

Visitors

Please list the names of the people who plan to attend the visit day with you as well as their relationship to you.

Visitor 1:
Relationship to you:
Visitor 2:
Relationship to you:

Visit Preferences

Please check the people/departments you would like to talk to during your visit.

Faculty in proposed major:
Admissions Representative:
Financial Aid Office:
Campus Tour:
Other information: