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Are you the child of a Pastor or Missionary?
Yes
No
Have you completed or will be completing at least 100 hours of community service during this current academic year?
Yes
No
Have you served as a camp counselor at Camp Yolijwa, El Camino Pines, Holden Village or Mt. Cross during the past summer?
Yes
No
Name of Congregation
Name of Summer Camp
Are you a child of a Lutheran Pastor in the California (East) or Hawaii Synod?
Yes
No
Describe how you have demonstrated leadership in your school and community.
Applicant Status
New/Incoming/Transfer Undergraduate
Continuing/Renewing Undergraduate
Graduate
Credential
Are you interested in a career in marketing?
Yes
No
Graduate Academic Department
Graduate School of Psychology
Graduate School of Education
School of Management
Are you pursuing a career in teaching?
Yes
No
Are you pursuing a teaching career in special education or secondary mathematics?
Yes
No
Are you pursuing a teaching career in elementary or secondary education?
Yes
No
Are you a 3rd year student in the Ed.D. program (either K-12 or Higher Education)?
Yes
No
Are you enrolled in a doctoral program in the School of Education?
Yes
No
Are you pursuing a career in special education?
Yes
No
Tax Filing Status
Single/Divorced/ Widowed
Head of Household
Married filing jointly
Married filing separately
Select the TRiO program(s) you participated with.
Upward Bound
Upward Bound Math & Science
Talent Search
Name the location / school associated with your TRiO program.
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