Iowa Private College Week - Registration Form

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Iowa Private College Week - Registration Form

August 4-8, 2008
Group sessions are offered daily at 9 a.m. and 1:30 p.m. Check out the daily schedule. During the sessions, you will tour the campus, explore the outstanding academic programs at Simpson and meet students, faculty and coaches.


First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone Number:
Cell Phone Number
Email: *
High School:
Graduation Year:
GPA:
Class Rank:	out of
ACT/SAT I Score:

Select a session you would like to attend:
Monday, August 4 9:00 a.m. 1:30 p.m.
Tuesday, August 5 9:00 a.m. 1:30 p.m.
Wednesday, August 6 9:00 a.m. 1:30 p.m.
Thursday, August 7 9:00 a.m. 1:30 a.m.
Friday, August 8 9:00 a.m. 1:30 p.m.

Will your parents be joining you? * Yes No
Please list their names:
Will anyone else be joining you? Yes No
Please list their names:

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