Future Norse Referral Form

We appreciate your continued referrals for students graduating high school in 2023 and beyond!

Children of Luther alumni will receive the Legacy Scholarship ($4,000 over 4 years), but may also receive the Future Norse Scholarship if referred by someone other than a parent(s).

Prospective Student Information

First Name*

Preferred First Name

Middle Name

Last Name*

Phone Number

Email*
Please put in the student's correct email address so we can contact them about their referral

Birthdate

Street Address*

Country

Street

City

Region

Postal Code

Current School*

Primary Academic Interest

Secondary Academic Interest

Your information

Your Relationship to the College*
Please select the most relevant

Your First Name*

Your Last Name*

Your Email Address*

Your Phone Number*

Country

Street

City

Region

Postal Code

Current Occupation*

Luther College Class Year (If you're a Luther alumnus/alumna)

Your First Name*

Your Last Name*

Your Email Address*

Your Phone Number*

Mailing Address

Country

Street

City

Region

Postal Code

How Many of Your Children Have Graduated From Luther or Are Currently at Luther?

First Child's First and Last Name

First Child's Graduation Year

Second Child's First and Last Name

Second Child's Graduation Year

Third Child's First and Last Name

Third Child's Graduation Year

Fourth Child's Graduation Year

Fourth Child's First and Last Name

Fifth Child's First and Last Name

Fifth Child's Graduation Year

Alumni Information

Your First Name*

Your Last Name*

Previous Name

Street Address*

Country

Street

City

Region

Postal Code

Class Year*

Current Occupation*

Current Employer*

Phone Number*

Email*

Relationship to the Student*

Anything else about your nominee you think would be helpful during the recruitment process (athletics, music, extra-curricular activities, etc).