Page 1 of 4

Geriatric and Care Facility Ministry - 100% Grant

This three-credit course offered online by Martin Luther College. Course viability deadline is three weeks prior to the course start date. If the course has insufficient enrollment on the date of the course viability deadline, the course may be canceled. Courses that have sufficient enrollment on the date of the course viability deadline will accept registrations up to the first day of class. Each class is limited to a maximum of 20 students. Martin Luther College (MLC) requires the following information for enrollment.
Prefix(*)
Invalid Input

First Name(*)
Please type your first name.

Middle Name or Initial
Invalid Input

Last Name(*)
Please type your last name.

Gender(*)
Invalid Input

Married(*)
Invalid Input

E-mail(*)
Invalid email address.

Page 2 of 4...
Mailing Address(*)
Invalid Input

Address Line 2
Invalid Input

City(*)
Invalid Input

State(*)
Invalid Input

Zip Code(*)
Invalid Input

Phone(*)
Invalid Input

Phone Type(*)
Invalid Input

Date of Birth(*)
Invalid Input

Last Four Digits of SS#(*)
Invalid Input

Racial or Ethnic Backgound(*)
Invalid Input

Citizenship(*)
Invalid Input

All members of WELS or ELS congregations are eligible for the Citizens of Heaven Tuition Grant.
Are you a member of a WELS or ELS congregation?(*)
Invalid Input

What is the name of your congregation and the city and state in which it is located.
Invalid Input

Is your congregation a member of the Martin Luther Memorial Home Association?(*)
Invalid Input

Congregation...
Invalid Input

To send a copy of this form to your Pastor, please enter his e-mail address here.
Invalid Input

Page 3 of 4...
Do you have a valid state teaching license?(*)
Invalid Input

For which state?
Invalid Input

Did you graduate from a college or university?(*)
Invalid Input

Please list the name, city and state of the college or university.
Invalid Input

For which program are you taking this course?
Invalid Input

Please list other program(*)
Invalid Input

Please note: Completion of a free online session “Introduction to Online Learning” is required of all new MLC online students and available to any other students who feel they would benefit. The orientation can be completed in one sitting or spread across several days. With this in mind, please select one of the following:
Please Choose:(*)
Invalid Input

Page 4 of 4...
Billing Policies

Geriatric and Care Facility Ministry three credit course tuition and fees.
Tuition for undergraduate three credits ($310.00 per credit) - $930.00
No additional fees
Total cost to be billed by E-Mail by Martin Luther College - $930.00
Less the 100% Citizens of Heaven Tuition Grant. Check will be sent to Martin Luther College by WELS Special Ministries.
To minimize SPAM - please enter the 6 characters shown below in the box. To show different characters - click REFRESH.
Security Feature(*)
Security Feature
Refresh Invalid Input

Go to top