Class
Standing: |
Freshman
Sophomore
Junior
Senior |
Student
Type: |
Weekend College
Undergraduate
Day |
Graduate/professional
area
of interest:
|
|
How
did you hear about this
office? |
|
Are
you a U.S. Citizen or
permanent resident? |
Yes
No |
Did
either parent/guardian
graduate from a four-year college? |
Yes
No |
Do
you think you
might qualify as a low-income student? |
Yes
No |
Total
Number
of Exemptions Claimed:
(Number
of people in your immediate household)
|
Taxable
Income
Less Than:
2006 Federal Tax
|
1
|
15,315
|
2
|
20,535
|
3
|
25,755
|
4
|
30,975
|
5
|
36,195
|
|
I
would like additional
information about:
(check all that apply)
|
|
Contact:
Dixie
Shafer, Director, Undergraduate Research and Graduate
Opportunity, x1447, shafer@augsburg.edu
|