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Orientation Registration Wednesday, June 18, 2014

Emmetsburg Campus
 

Associate Degree Nursing

Indicates a Required Field
I plan to attend Orientation/Registration Day:
Yes
No
If you answered NO, please mark reason why:
If not attending this fall please list other plans:
First Name:
Last Name:
Date of Birth:
Street Address:
City:
State:
Zip:
Cell phone number:
Cell phone provider:
May we have permission to text you? (This will be used to send you a reminder. Texts are for academic purposes only and numbers will not be shared with anyone outside the college.):
Yes
No
Email Address:
Number of people attending (including yourself):
I plan to take the ASSET or COMPASS placement exam:
Yes
No
Do you have any special needs to be considered?:
No
Yes
If yes for special needs, please describe:
Verification Code:
Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
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