MLC Fall, 2009 Online Application
(course selection is at the bottom of the form)

The course viability deadline for Dr. Grunwald's EDU8516 Smartboard course is Monday, November 2.
 


    Last Name:  Suffix: e.g. Jr, Sr, II       E-mail Address:

   First Name:    Middle Name (Required)  Title

   Maiden Name:   Gender   Birth date (m/d/y)

   Married:  Yes   No         Social Security number including dashes

  Address CityStateZip  Home Phone #:    Cell Phone #:   

 Racial/Ethnic Origin:                   
    Citizenship: U.S. Citizen    U.S. Permanent Resident (Resident Number)

If you are currently serving in a congregation, complete the following:  Congregation and City/State  
    (As a called worker, whether full or part-time).

Are you member of a WELS congregation?YesNo        

If YES, what is the name of the Congregation and City/State?

What is your present occupation?

Are you a student at another institution? YesNo      If yes, what is the name of the institution?

Are you a college graduate? Yes  No   If yes, what is the name of the institution?  Month/Year of graduation:

From which high school did you graduate?  Name, city, state: 

Do you have a valid state teaching license?   If yes, for which state?
   
Have you applied for entrance into the MLC Graduate Program?YesNo

What is your purpose for taking this course?  

Course Selection:

    Course 1:     

    Course 2:   

    Course 3:   

Tuition and Fees:

Tuition $230/Undergraduate credit
$235/Graduate credit
Computer Account Fee (New Ulm only) $10
Late registration may result in delays in being entered into the MLC computer system.
Off Campus Courses Surcharge $50
Technology fee for ONLINE courses $25
Registration Fee $10

Payment in full is due on or before the first day of class - Thank You!

Upon receipt of your Fall, 2009 Application, your tuition and fees
will be calculated, and a bill will be mailed to the address given above. 
We are not able to process payment by credit card - we apologize for any inconvenience this may cause.

 


   

Course viability deadline is November 4, 2009

 If you need an extension, contact Julie Balge, the Administrative Assistant to the Office of Continuing Education. 
When you click "submit" (just below), you will receive an email confirmation that your application has been received.
if  you do not receive this email confirmation, please report the problem to : balgejl@mlc-wels.edu   

                 Last updated 10-02-09