Full Name:
Student’s Email:
Parent’s Email:
High School Year Graduation:
Number of guests you'll bring with you: (maximum
of two guests, please)
Phone Number: ( )
Address:
City, State, Zip:
I would like to attend
on Saturday, December 6th, 2008
I would like to
attend on Saturday, February 28th, 2009
I would like to
attend on Saturday, March 28th, 2009
I would like to
attend on Saturday, April 18th, 2009
I would like
to have lunch with Engineering Student Ambassadors prior to the program (11:15,
Burge Hall)
I would
like to attend a University
of Iowa General
Information session and/or a campus walking tour
***To attend a morning
University of Iowa
General Information session and/or a campus walking tour, please contact the Admissions Visitors Center
at 1-800-553-IOWA
I
am unable to attend an Engineering Day, but I would like to receive information
about: