Registration

Name*

First Last

Preferred First Name (To be used on nametag)*

Student Birthdate*

Address*

Street Address Address Line 2 City State ZIP Code

Main Phone*

Cell Phone

Email*

Gender

Are you Hispanic or Latino/a?

To which racial group(s) do you belong?

Intended College Major*

Total Number in Party (including student). In order to accommodate as many families as possible, please limit your party size to 3.*

Choose 4 sessions you would like to attend in priority order (you will attend 3 sessions).

First Choice Session*

Second Choice Session*

Third Choice Session*

Fourth Choice Session*

Have you attended a campus visit program before?

*programs offered by the Office of Admissions such as a Daily Visit, Experience Iowa State, or another prospective student visit program.

Would you like to sign up for the following:

These options are for first-time visitors.

If anyone in your party will need special assistance or has any special dietary needs, please explain below.

Email

This field is for validation purposes and should be left unchanged.