Visit Request Form

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:
Country:
Phone Number (Home):
Phone Number (Cell):
Email: *
High School:
Graduation Year:
GPA:
Class Rank: out of
ACT/SAT I Score:
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? YesNo
Please list their name(s):
1.
2.
3.
4.
Would you like to meet any of the following?
1. Faculty: Yes No
- Subject Area:
2. Coach: Yes No
- Specify Sport:
3. Financial Aid: YesNo
Notes/Comments: