IIMF Virtual State College Tour - October 30, 2020 University of Northern Iowa

IIMF Virtual State College Tour - October 30, 2020 University of Northern Iowa

Student Name (First and Last Name)

Address

City

State

Zip Code

Phone Type

Phone Number (xxx-xxx-xxxx)

Email Address (name@noname.com). Please double check that your email is written correctly. This is our main forms of communicating with you.

High School

Gender

Grade

Unisex Shirt Size (Adult Male Sizes)

Ethnicity

African American/BlackAmerican Indian/Alaska NativeAsianCaucasianHispanic/LatinoOther

List 3 Colleges/Universities that you are interested in attending.

List 3 Majors/Minors that you are interested in pursuing.

Honors/Awards/Other Achievements

Clubs/Organizations

Church/Community Related Activities

Parent/Guardian Name

Parent Address (if different from applicant)

City

State

Zip Code

Phone Type

Phone Number (xxx-xxx-xxxx)

Email Address (name@noname.com)

Parent/Guardian Name

Address (if different from applicant)

City

State

Zip Code

Phone Type

Phone Number (xxx-xxx-xxxx)

Email Address (name@noname.com)

I certify that information provided in this application is true, complete, and accurate. Participation in Investing In My Future State College Tour 2020 may be denied or revoked if any information contained herein is found to be inaccurate. Should I receive an opportunity to participate in the Program, I hereby give Investing In My Future State College Tour 2020, its donor, sponsors, and members permission to utilize my name and award amount in publicity and/or marketing materials.

YesNo

To participate in all activities organized by or through Investing In My Future State College Tour, I grant permission to make photographic records (website, newletter, fliers) for promotional purposes without recourse or compensation.

YesNo

Contact Information