General Information: Please supply information about yourself as requested. Once you click the Next-> or Skip-> button on any page, that page will be saved and you will be able to return and complete other parts of your application at a later time.

United Lutheran Seminary is in compliance with Section 504 of the Rehabilitation Act of 1973. Students who seek academic and/or physical modifications or accommodation need to contact the Section 504 Coordinator (Registrar and Senior Assistant to the Dean Julie Ritter, jritter@uls.edu, 717-338-3007) at least six weeks prior to the start of the semester. You may read more about Section 504 here ; and read about ULS accommodations for students with disabilities in the Student Handbook (on page 58) here

PLEASE NOTE: References submitted to ULS are written in strict confidence and are considered the property of those who have written them. Applicants will not be able to access these written references at any time.
First Name

Middle Name/Initial

Last Name

Suffix

Any Prior Last Name(s)

Prefered Name (NickName)

Date of Birth
  (mm/dd/yyyy)

Gender

Email Address

Primary Phone
Area Code
Phone (xxxxxxx)

Other Phone
Area Code
Phone (xxxxxxx)

Current Street Address

(Continued)

(Continued)

City

State / Province
Postal Code
+ 4

Country


    required and     optional