Day in the Life - Registration

Student information

University ID number: (9-digits)
First name:
Last name:
Address:
City:
State: Zip/Postal code:
Home phone: (555-555-5555)
Alternate phone: (555-555-5555)
E-mail:
Date of birth: (MM/DD/YYYY)
Grade in school:
Please list any dietary restrictions or allergies:
Have you been offered Admission to Iowa State?
Have you previously attended an official ISU campus visit
through the Admissions Office?
Did you meet with an academic adviser on your previous
visit?

If yes, please indicate who you met with and/or the major:
Name:
Major:

Career interests: Please indicate major(s) you wish to explore: Apparel, Merchandising and Design
Athletic Training
Child, Adult, and Family Services
Culinary Science
Diet and Exercise
Dietetics
Early Childhood Education
Elementary Education
Event Management
Family and Consumer Sciences Education and Studies
Financial Counseling and Planning
Food Science
Hospitality Management
Kinesiology and Health
Nutritional Science

Parent/Guardian contact
information

Contact name:
Relationship:
Emergency phone:
Email:

Date preferences

Dates:

Please enter 3 dates you prefer to visit:

(e.g. January 1, 2011 or 1/1/2011)

Additional comments

Questions/Comments:
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