International Student Information Request Form

Given Name (First): *

Middle Name:

Family Name (Last, Surname): *

Contact Information

Mailing Address: *

City: *

State/Province:

Postal Code:

Country: *

Email: *

Phone Number

Country Code (Outside US): *

Phone Number: *

(When calling from the U.S.)

Gender: *

Male

Female

Date of Birth: *

Citizenship: *

Are you a Hispanic/Latino/Latina?:

Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you::

American Indian or Alaska Native (including all Original Peoples of the Americas)

Asian (including Indian subcontinent and Philippines)

Black or African American (including Africa and Caribbean)

Native Hawaiian or Other Pacific Islander (Original Peoples)

White (including Middle Eastern)

Other

Current / Previous Secondary School Information

School Name: *

School location (city, country): *

Secondary school completion date: *

What year do you intend to enter Grinnell College?: *

Are you a university transfer student?: *

If yes, list current college/university name:

Financial Information

Do you intend to apply for financial assistance?: *

$: *

How much (in U.S. dollars) do you think you and your family will be able to pay for each year of your education in the United States?
[Grinnell College offers a full range of financial aid opportunities.]

Other Stuff

Comments/Questions?:

By submitting this form, you accept the Mollom privacy policy.

About

Academics

Admission

Alumni

Athletics

Libraries

Offices

Resources For:

Featured Links

Office of Admission