First Name    Middle Name (Required)  Title Mr. Mrs. Pastor Ms

 Maiden Name   Male Female    Birth date (m/d/y)

  Are you married?  Yes          No 

Racial/Ethnic Origin:

  Citizenship: U.S. Citizen     U.S. Permanent Resident (Resident Number)

    Your enrollment status is Undergraduate/Transfer credit Graduate credit Mn State Lincensure Synodical Certification Synodical Re-Certification Audit

 If you checked Synodical Certification or Synodical Re-Certification, please indicate your Area of Study: See choices Early Childhood Elementary Secondary Called Parish Staff Ministry Called Non-Parish Staff Ministry

What was your last year of enrollment at: DMLC   MLC   NWC WLS

    If you are currently serving in a congregation, complete the following:

    Congregation      City/State  

Are you member of a WELS congregation?YesNo

    If YES, what is the name of the congregation?

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:

Have you graduated from high school?  Yes No   If yes, provide Name, City, State: 

Do you have a valid state teaching license? No Yes   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 Registration. Course tuition is $220/Undergraduate credit (Graduate credit @$235/credit). 

    Course 1:   drop down to choose your first course CLOSED - EDU 5002 GRAD - The School as a Learning Community, J Kolander EDU 5102 GRAD - Integrating the Language Arts K-8, R Menk CLOSED - EDU 5106 GRAD - Assessment of Learning and Instruction, C Melendy MTH 1001 HIGH SCHOOL - Computer Applications, J Grunwald REL 1001 - Bible History and Literature I, M Lenz REL 3001 - Doctrine I, L Lange REL 5001 GRAD/Staff Ministry - Foundations of Ministry, L Olson      

    Course 2:  drop down to choose your second course CLOSED - EDU 5002 GRAD - The School as a Learning Community, J Kolander EDU 5102 GRAD - Integrating the Language Arts K-8, R Menk CLOSED - EDU 5106 GRAD - Assessment of Learning and Instruction, C Melendy MTH 1001 HIGH SCHOOL - Computer Applications, J Grunwald REL 1001 - Bible History and Literature I, M Lenz REL 3001 - Doctrine I, L Lange REL 5001 GRAD/Staff Ministry - Foundations of Ministry, L Olson     

    Course 3:  drop down to choose your third course CLOSED - EDU 5002 GRAD - The School as a Learning Community, J Kolander EDU 5102 GRAD - Integrating the Language Arts K-8, R Menk CLOSED - EDU 5106 GRAD - Assessment of Learning and Instruction, C Melendy MTH 1001 HIGH SCHOOL - Computer Applications, J Grunwald REL 1001 - Bible History and Literature I, M Lenz REL 3001 - Doctrine I, L Lange REL 5001 GRAD/Staff Ministry - Foundations of Ministry, L Olson       

    Tuition and  Fees:

Upon receipt of your Application, your tuition and fees will be
 calculated, and a bill will be sent to the mailing address given above. 
We are not able to process payment by credit card - we apologize for any inconvenience this may cause.
   
Registration Deadline is August 11, 2008
Course cancellation decisions will be made on August 11, 2008

Payment in full is due August 25, 2008. 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 receive this email confirmation, please report the problem to : balgejl@mlc-wels.edu   

                 Last updated 07-22-2008