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Campus Visit Day Registration: Emmetsburg

Emmetsburg Campus: Friday, March 1, 2013

 

Indicates a Required Field
First Name:
Last Name:
Gender:
Male
Female
Date of Birth:
Email Address:
Phone Number:
Cell phone number:
Street Address:
City:
State:
Zip:
High School name:
Expected graduation date:
Program of Interest (Emmetsburg):
Persons attending:
I will attend by myself
I will attend with my parent(s)
Do you plan to take the COMPASS test?:
Yes
No
Do you have any special needs to be considered?:
No
Yes
If yes for special needs, please describe:
Other activities (check all that apply):
Band/Choir
Honors Program
Intramurals
Newspaper
Student Ambassadors
Student Senate
Trio-SSS
Athletic Interests:
Baseball
Men’s Basketball
Women’s Basketball
Cheerleading
Cross Country (M&W)
Dance
Golf (M&W)
Soccer (M&W)
Softball
Swimming and Diving (M&W)
Volleyball
Wrestling
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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