Individual Visit Registration Form

All fields in bold are required.

*
First name
Middle name
*
Last name
Preferred name
*
Gender Female
Male
*
Street Address
*
City
County
*
State
(please list "Foreign Address" if you have an international address)
*
Zip/Postal Code
Home Phone
(xxx-xxx-xxxx)
*
Email
*
I will be a … Freshman
Transfer
Readmit
*
Term of Anticipated Enrollment Fall
Spring
Summer

Year
If Transfer Student – last college or university attended:
*
Academic Program 1
Academic Program 2
Please indicate your high school athletic participation.
Tennis

Are you interested in participating in college athletics? If yes, what sport?
Tennis (MW)
*
High School Name
CEEB Code (Look it up!)
*
High School City
*
High School State
*
High School Graduation Date
*
Number of guests coming with you:
*
Will you be considering full- or part-time enrollment? Full-time
Part-time

*
Will you be attending classes during the day or evening? Day
Evening

*
If faculty are available, would you like to visit with someone in your area of interest? Yes
No

*
Would you like to meet with someone in Financial Aid? Yes
No

*
Would you like a campus tour? Yes
No

*
Would you like to see campus housing? Yes
No

Campus visits are scheduled Monday through Friday from 8:30 a.m. – 3:00 p.m. If you would like to make arrangements for another time, please contact your Admissions Counselor at 515-263-2810.
*
Select a date and time for your campus visit.

*

Preferred appointment time.
(hour, minute, a.m./p.m.)

*
Select an alternate date and time for your campus visit.

*

Preferred appointment time.
(hour, minute, a.m./p.m.)