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
Patient/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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