Request an Application Form


Note that this is not an application for admission, nor does it commit you to applying to Grinnell College.


Personal Information:

Family Name:

Given Name:

Middle Name:


Contact Information:

Mailing Address:

City:
State/Province: Postal Code:
Country:
City Prefix: City Suffix:

E-mail address:

Phone number:
Country Code (if outside U.S.):
City Code (if outside U.S.):
Area Code: ( ) Phone Number:

Gender: FemaleMale

Date of Birth: 19

Citizenship: U.S.Other country

Are you a U.S. Permanent Resident / Green Card Holder? YesNo

1. Are you Hispanic/Latino/a? Yes, Hispanic or Latino/a (including Spain)No

2. 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)


Current / Previous Secondary School Information:

School name:
School location (city, country):
Secondary school completion date: Month: Year:
What year do you intend to enter Grinnell College? International students may begin their studies at Grinnell College only in the fall (August) semester.

Are you a university transfer student? YesNo

If yes, list current college/university name:
Years completed:


Financial Information:

Do you intend to apply for financial assistance? YesNo

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.


Interest Information:

Proposed field(s) of study in order of importance:

Extracurricular interests:

Grinnell intercollegiate sport(s) in which you wish to participate:

BASEBALL
BASKETBALL
CROSS COUNTRY
FOOTBALL (AMERICAN)
GOLF
SOCCER
SOFTBALL
SWIMMING
TENNIS
TRACK
VOLLEYBALL
WATER POLO


Comments or questions: