High School Workshop Registration Financial Aid Monday, October 5, 2026 DMACC Urban Campus Building 71144 7th Street, Room #231, 2nd Floor, Des Moines, IA 5:00 pm

Student Name

First Name

MI

Last Name

Student Email Address

Student Phone Number (xxx-xxx-xxxx)

Student School Information

High School

If you picked "other" for High school, please enter the name below.

Graduation Year & Grade

Age

Demographics

Ethnicity

Hispanic/LatinoNon-Hispanic/Non-LatinoEthnicity Unknown

Gender

FemaleMaleNon-BinaryOther

Receive Free/Reduced Lunch

YesNo

Refugee Status

RefugeeNot a RefugeeRefugee Status Unknown

Parent/Guardian Information

First Name	Last Name
Phone Number (xxx-xxx-xxxx)	Email