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Admission

Request Information

Home › Admission › Meet Us › Contact Us › Request Information

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International students: Please use International Students — Request an Application Form.

Your Contact Information

Title:

Mr.

Ms.

Family Name (Last, Surname): *

Given Name (First): *

Middle Name:

E-mail: *

Mailing address:

City:

State:

ZIP:

Telephone:

(999) 999-9999

Family Information (Optional)

Parent/guardian full name:

Family e-mail:

Current / Previous School Information

School name and location (city and state):

High school graduation date:

Month and year

When do you intend to enter college?:

Fall

Spring

Year:

Are you a college transfer student?:

Yes

No

Are you a U.S. citizen or permanent resident?:

Yes

No

Country of citizenship:

Areas of Interest

Academic interests:

Extracurricular interests:

Grinnell varsity sports in which you may participate:

Baseball

Basketball - Men's

Basketball - Women's

Cross Country - Men's

Cross Country - Women's

Football

Golf - Men's

Golf - Women's

Indoor Track - Men's

Indoor Track - Women's

Outdoor Track - Men's

Outdoor Track - Women's

Soccer - Men's

Soccer - Women's

Softball

Swimming - Men's

Swimming - Women's

Tennis - Men's

Tennis - Women's

Volleyball

Are you Hispanic/Latino(a)?:

Yes

No

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 (please indicate tribal affiliation below)

Asian (including Indian subcontinent and the Philippines)

Black or African American

Native Hawaiian or Other Pacific Islander (Original Peoples)

White (including Middle Eastern)

Tribal affiliation:

Comments:

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

Admission

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Ask Admission

Office of Admission
John Chrystal Center
1103 Park St., 2nd Floor
Grinnell, IA 50112
USA
(800) 247-0113
Fax: (641) 269-4800

To:

Name:

Email:

Subject:

Message: *

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