New Student Application

Florida-Georgia District, LCMS
7207 Monetary Drive, Orlando, Florida 32809-5753

Phone: (407)857-5556 Toll Free: (877)457-5556 Fax: (407)857-5665
"The Love of Christ urges us on." (2 Cor. 5:14, NRSV)

Concordia House of Studies - Application for Enrollment

The form below is for students interested in enrolling in Concordia House of Studies. If you are only interested in receiving more information, please e-mail the CHS Director: Dr. Wayne Wilke at: wwilke@flga-lcms.org or call him toll free at: 877-457-5556, ext. 113.

(*) Indicates required fields

Enrollment Intention Date of Enrollment Year: Church Work Program Choose your class/location
Personal Data First name Middle Initial Last Name Social Security No. Permanent Address City State Zip Local Address City State Zip Home telephone Other phone *E-mail address
The following information is used for statistical purposes only and is not a basis for admission: Birth date: City, State of birth: Country of Citizenship: Race: Marital Status: Are you a member of a Lutheran Church? If yes, please select one: If "other" please list Synod: Enter the name of your congregation: Congregation City: Congregation State:
Academic Information High School Name: City/State: *Year of graduation: College Name: City/State: Credits earned: College Name: City/State: Credits earned: College Name: City/State: Credits earned:
Certification To the best of my knowledge, the information provided herein is complete and accurate. I understand that false and misleading information may affect my admission decision and attendance at the Concordia House of Studies. Write your entire name: Date:

You will receive an e-mail from the Florida-Georgia District office following the receipt of this application. If you don't receive an e-mail with 72 hours, please call (toll free) 1-877-457-5556 Ext. 5 to confirm receipt of your application.

Or, if you prefer, download a .pdf version of the above application and mail, e-mail, or fax it to the Concordia House of Studies. Click HERE.

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Concordia House of Studies - Application for Enrollment

Enrollment Intention

Personal Data

Academic Information

Certification

To the best of my knowledge, the information provided herein is complete and accurate. I understand that false and misleading information may affect my admission decision and attendance at the Concordia House of Studies.