PLU Automatic Admission Partnership Acceptance Form

Please note: This form should take only about 5 minutes to complete!

Biographical & Contact Information

First Name

Last Name

Preferred First Name

Email Address

Cell Phone

Text?

Yes

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Birthdate

Gender Identity

Pronouns

Current Address

Country

Street

City

Region

Postal Code

Are you a citizen of the United States?

Yes

Hidden: US Citizen

Primary Country of Citizenship

Secondary Country of Citizenship
If applicable

Are you a permanent resident (green card holder) of the United States?

Yes

Current U.S. Visa Type

Other Visa Type

DeleteCourse _ID_
Current Courses
Add Current Course Here

Click Here to Add Course Name

DeleteFuture Course _ID_
Future Courses
Add Future Courses Here

Click Here to Add Future Course

Family Information

Parent/Guardian 1

Relationship Type

First Name:

Last Name:

Deceased:

Email:

Phone:

Education Level:

Did this parent attend PLU?

Yes

College Attended:

Occupation

Business, Organization, or Employer:

Graduation Year:

Parent/Guardian 2

Relationship Type

First Name:

Last Name:

Deceased:

Email:

Phone:

Education Level:

Did this parent attend PLU?

Yes

College Attended:

Graduation Year:

Occupation

Business, Organization, or Employer:

Would you like to add another parent/guardian?

Yes

Other Parent/Guardian 1

Relationship Type

First Name:

Last Name:

Deceased:

Email:

Phone:

Education Level:

Did this parent attend PLU?

Yes

College Attended:

Occupation

Business, Organization, or Employer:

Graduation Year:

Other Parent/Guardian 2

Relationship Type

First Name:

Last Name:

Deceased:

Email:

Phone:

Education Level:

Did this parent attend PLU?

Yes

College Attended:

Graduation Year:

Occupation

Business, Organization, or Employer:

Educational Plans

Please indicate your intended major or academic program

Please indicate a minor or second major interest (if applicable)

Additional Information

What will be your housing plans for the 2026-27 academic year? (PLU requires students live on-campus unless they meet certain criteria. You can see the residency requirement here.)

On Campus

At Home with Parents

At Home

Review and Digital Signature

Pacific Lutheran University subscribes to the principles and laws of the State of Washington and the federal government, including applicable executive orders pertaining to civil rights. This institution is committed to the policy that all persons shall have equal access to programs and facilities without regard to age, color, creed, marital status, national or ethnic origin, disabling conditions, race, religion, gender or sexual orientation.

By submitting this form to Pacific Lutheran University (PLU), I hereby certify that the information contained in it is true and complete to the best of my knowledge and belief. I understand and agree that if PLU discovers at any time during my enrollment that I have provided inaccurate or untruthful information in my application (or any related documents), PLU may immediately terminate my enrollment and/or housing without reimbursement or refund to me of any costs, tuition, fees, or rent. Permission is hereby given to release appropriate academic records requested by Pacific Lutheran University.

In place of your signature, please type your full legal name: