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Contact Information

First Name

Last Name

Email Address

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Cell Phone

Home Phone

Is this an International Address?YesNo

Birth Date

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Address

City

Are you an Iowa resident?

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Entry Term:

Admit Type:

Traditional - Currently enrolled in high school planning to attend college shortly after high school graduation.
Non-Traditional - Student who has been out of high school for 1 year or more.

Academic Program

If you are a guest student you may choose NONDEGREE.

Account Information

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