Wisconsin Lutheran Seminary

Personal Information

First Name *

Middle Name

Last Name *

Date of Birth *

Social Security Number (Enter as XXX-XX-XXXX) *

Email Address *

Phone Number *

Father's First Name *

Father's Last Name *

Father’s Address *

Father's Phone Number *

Father's Occupation *

Mother's First Name *

Mother's Last Name *

Mother's Address *

Mother's Phone Number *

Mother's Occupation *

Name of Home Congregation *

City of Home Congregation *

State of Home Congregation *

Your Pastor(s) *

Marital Status

What is your marital status? *

Married

Engaged

Single

Date of Marriage *

Spouse's First Name *

Spouse's Maiden Name *

Spouse's Email Address *

Spouse's Phone Number *

Your Seminary Address in Wisconsin (if already known)*

Name of Children One

Date of Birth of Children One

Elementary School(s)

infoUse separate entry for every type of school attended (LES, Private/Other Christian, Public, Homeschool)

First Elementary School

First Elementary School Attended *

Any additional elementary school information you feel would be helpful about? *

High School(s)

infoUse separate entry for every high school attended

First High School

First High School Attended *

Second High School

Second High School Attended *

Third High School

Third High School Attended *

Any additional high school information you feel would be helpful? *

Final

Military Service (Are you eligible for veteran's benefits?) *

Yes

Seminary Fees (tuition, room, board, etc.) Payment Plan *

Full year in advance

Nine installments