Campus Visit Signup - Transfer Students

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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:

SEARCH: