IIMF State College Tour Application
Thursday, October 23, 2025
Drake University, DMACC, Iowa State University
Student Name
First Name
Last Name
Address
City
State
Please select...
IA
OH
Zip Code
Phone Number (xxx-xxx-xxxx)
Email Address (
name@noname.com
)
High School
Please select...
Adel DeSoto Minburn High School
Ames High School
Ankeny Centennial High School
Ankeny High School
Carlisle High School
Dallas Center-Grimes High School
Des Moines Central Campus
Des Moines Christian High School
Dowling High School
East High School
Home School
Hoover High School
Johnston High School
Joshua Christian Academy
Lincoln High School
North High School
Norwalk High School
Roosevelt High School
Sacred Heart School
Scavo Alternative High School
Southeast Polk High School
Urbandale High School
Valley High School
Valley Southwoods High School
Waukee High School
West Des Moines Community School
Other
If your high school is not listed above, please insert your school below.
Grade
Please select...
Freshman
Sophmore
Junior
Senior
Graduation Year
Please select...
2024
2025
2026
2027
2028
Gender
Please select...
Female
Male
Non-Binary
Other
Age
Please select...
13
14
15
16
17
18
19
Ethnicity
Please select...
Hispanic/Latino
Non-Hispanic/Non-Latino
Race
Please select...
American Indian/Alaska Native
Asian
Black
More than One Race
Native Hawaiian/Pacific Islander
Other Race
White
If you picked Other, please identify your ethnicity below.
Current shirt size (Please be advised, the polo shirts are in Men sizes)
Please select...
XSmall
Small
Medium
Large
XLarge
XXLarge
XXXLarge
I currently have the following in IIMF long sleeve polo.
Please select...
Purple
White
Black
Are you a refugee?
Please select...
Yes
No
Birth Month
Please select...
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Birth Year
Please select...
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Do you currently receive free or reduced lunch?
Yes
No
List 3 Colleges/Universities that you are interested in attending.
List 3 Majors/Minors that you are interested in pursuing.
List your Honors/Awards/Other Achievements
List your Clubs/Organizations
List your Church/Community Related Activities
Parent/Guardian Name
Parent Address (if different from applicant)
City
State
Zip Code
Phone Number (xxx-xxx-xxxx)
Email Address *(
name@noname.com)
Emergency Contact
Emergency Contact Number (xxx-xxx-xxxx)
Emergency Contact Email Address
(name@noname.com)
Upload 1 Letter of Recommendation from a Personal (mentor, pastor, family friend) or School Official. Letter must be in PDF format.
We will not accept JPEG, TIFF, GIF, PNG or RIF
.
Short Answer #1.
Short Answer #1.
Each short answer should be 4-6 sentences, 150 words.
The first sentence should be a topic sentence, followed by two sentences that support your topic sentence, finally the last sentence concludes your short answer.
Attachments must be in paragraph form in either WORD or PDF format. Paragraph must be double spaced and no more than 160 words. Check the count of each paragraph before submitting.
TOPIC:
What major(s) are you interested in for your college experience and why did you pick those major(s)
Short Answer #2.
Short Answer #2.
Each short answer should be 4-6 sentences, 150 words.
The first sentence should be a topic sentence, followed by two sentences that support your topic sentence, finally the last sentence concludes your short answer.
Attachments must be in paragraph form in either WORD or PDF format. Paragraph must be double spaced and no more than 160 words. Check the count of each paragraph before submitting.
TOPIC:
What is the most influential book you have ever read? How did it affect you?
I certify that information provided in this application is true, complete, and accurate. All statements and short answers are my own work. Participation in Investing In My Future, Inc. State College Tour 2025 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, Inc., its donor, sponsors, and members permission to utilize my name and award amount in publicity and/or marketing materials.
Yes
No
To participate in all activities organized by or through Investing In My Future, Inc. State College Tour, I grant permission to make photographic and digital records (website, newsletter, videos, fliers) for promotional purposes without recourse or compensation.
Yes
No
To participate in the Investing In My Future, Inc. State College Tour 2025, I understand that it will be my sole financial responsibility to provide $20.00 for expenses to cover the cost of the tour for my child. This is a nonrefundable fee. I further understand that acceptable forms of payment are cash/money orders/credit card (processing fee will apply).
Yes
No
This is also my permission for the leader in charge, or designees, to make arrangements for qualified surgical, medical attention or over-the-counter medication for my child/ward in the event of an amergency without necessity of my prior approval. I understand that I will be notified by the quickest means possible if this authority is exercised.
Yes
No
Does your child have a medical condition that IIMF should be aware of before allowing your child to participate on the Tour?
Yes
No
If yes, please state the nature of the medical condition.
I also understand that in order for Investing In My Future, Inc. to maintain a safe and healthy environment for all children, drugs, alcohol, violence, abusive language, and misconduct will not be tolerated at any activity. Therefore, I understand that it will be my responsibility to pick up my child at my own expense if my child needs to be sent home for disciplinary reasons.
Yes
No
Student Signature
:
I, the undersigned, having read, understood, and completed the above, and having been briefed regarding the nature of the program, hereby agree to participate by providing my initials and year I was born below. (SSS-19xx). I also agree to hold IIMF harmless and non-liable for my child contracting the Covid-19 Virus. I understand that IIMF will do everything within their power to keep students and volunteers safe.
Parent Signature:
I, the undersigned, having read, understood, and completed the above, and having been briefed regarding the nature of the program, hereby give my permission for my child to participate by providing my initials and year I was born below. I also agree to hold IIMF harmless and non-liable for my child contracting the Covid-19 Virus. I understand that IIMF will do everything within their power to keep students and volunteers safe. (SSS-19xx)
Use your 3 letter initials (First Name Initial, Middle Name Initial, Last Name Initial and the year you were born). If no middle name, do not use a letter for middle name.
Contact Information
