Campus Visit Signup Form - Transfer Students

Fill out the following form to schedule a campus visit. If you prefer, you may call us toll-free at 1-800-362-2454, locally at 515-961-1660, or email Debra Lord, our campus visit coordinator to make arrangements.

Which day would you like to visit?
 
What time would you like to arrive?
Gender: Male Female
First Name:
Last Name:
Street Address:
City:
State:
Zip/Postal Code:
Country:
Phone Number (Cell):
Phone Number (Home):
Email: *
High School:
Graduation Year:
GPA:
ACT/SAT I Score:
College:
College GPA:
Street Address:
City:
State:
Zip/Postal Code:
 
Years Attended:
PTK Member: Yes No
Academic Interests:
Other Interests:
Will your parents be joining you? Yes No
Please list their name(s):
1.
2.
3.
4.
Will anyone else be joining you? Yes No
Please list their name(s):
1.
2.
3.
4.
Would you like to meet any of the following?
1. Faculty:
  - Subject Area:
2. Coach:
  - Specify Sport:
3. Financial Aid Yes No
Notes/Comments: