Apply Now

Applicant Details

Location - Select - Ames, IA Iowa City, IA Plymouth, MN

First Name

Middle Name (optional)

Last Name

Address 1

Address 2 (optional)

City

State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Citizenship - Select - Canada United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Azerbaijan Austria Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia - Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Cocos Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Democratic Republic Of the Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France Macedonia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Côte d'Ivoire Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea(North) Korea(South) Kosovo Kuwait Kyrgyzstan Lao(People's Democratic Republic) Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldavia Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Islands Northern Mariana Isl. Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland French Polynesia Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Lucia Saint Martin Saint Pierre And Miquelon Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Serbia And Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St.Kitts And Nevis St.Vincent And The Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Taiwan Tanzania Thailand Timor - Leste Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Turtle Island Tuvalu U.S.Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & amp; Futuna Islands Yemen Zambia Zimbabwe

Email

Mobile Number

Mobile Provider (optional)

SSN

Date of Birth

Are you a Veteran? Yes
No

Emergency Contact

Name

Relationship - Select - Spouse Mother Father Brother Sister Grandmother Grandfather Aunt Uncle Other

If other, please specify.

Telephone

Address (optional)

City (optional)

State (optional) - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code (optional)

High School

High School - Select - A.C.G.C. SECONDARY Abraham Lincoln High School ACADEMIC ARTS HIGH SCHOOL ADA-BORUP SECONDARY Adair-Casey Jr-Sr High School ADM Senior High School ADRIAN SECONDARY AFSA HIGH SCHOOL AGWSR High School AHSTW Secondary School AITKIN ALTERNATIVE LEARNING PROGRAM AITKIN SECONDARY SCHOOL Akron Westfield Senior High School ALBANY SENIOR HIGH ALBERT LEA SENIOR HIGH Albia High School Alburnett Senior High School ALDEN-CONGER SECONDARY Algona High School Alta-Aurelia High School School Alternative School Alterntive Learning Cent Ames High School Anamosa High School ANDOVER SENIOR HIGH ANISHINABE ACADEMY Ankeny Centennial High School Ankeny High School ANNANDALE SENIOR HIGH ANOKA SENIOR HIGH Aplington Parkersburg High School APOLLO SENIOR HIGH APPLE VALLEY SENIOR HIGH AREA ADULT LEARNING COOPERATIVE ARONA ACADEMY OF SOBRIETY HIGH ARTECH ASHBY SECONDARY Atlantic High School Audubon Middle-High School AUGSBURG FAIRVIEW ACADEMY AUSTIN SENIOR HIGH AVALON SCHOOL AWARE BADGER SECONDARY BAGLEY ALP BAGLEY SECONDARY Ballard High School BARNESVILLE SECONDARY BARNUM SECONDARY Basics and Beyond Alternative School Battle Creek-Ida Grove Senior High School BATTLE LAKE SECONDARY Baxter High School BCLUW High School BECKER SENIOR HIGH Bedford High School BELGRADE-BROOTEN-ELROSA SEC. Belle Plaine Jr/Sr High School BELLE PLAINE SENIOR HIGH Bellevue High School Belmond-Klemme Community Jr-Sr High School BEMIDJI SENIOR HIGH BENSON SECONDARY Benton Community Senior High School BERTHA SECONDARY Bettendorf High School BIG LAKE SENIOR HIGH BIGFORK SECONDARY BLACKDUCK SECONDARY BLAINE SENIOR HIGH BLOOMING PRAIRIE SECONDARY BLUE EARTH AREA SENIOR HIGH Bondurant-Farrar High School Boone High School Boyden-Hull High School Boyer Valley Middle/High School BRAHAM AREA SECONDARY BRAINERD SENIOR HIGH BRANDON SECONDARY BRECKENRIDGE SENIOR HIGH BROOKLYN CENTER SECONDARY Brooklyn-Guernsey-Malcom Jr-Sr High School BROWERVILLE SECONDARY BUFFALO LAKE-HECTOR SECONDARY BUFFALO SENIOR HIGH BUG-O-NAY-GE-SHIG Burlington Community High School BURNSVILLE SENIOR HIGH BUTTERFIELD SECONDARY BYRON SENIOR HIGH SCHOOL CAL Community High School Calamus-Wheatland Sec Attendance Center CALEDONIA SENIOR HIGH CAM High School Camanche High School CAMBRIDGE-ISANTI HIGH SCHOOL CAMPBELL-TINTAH SECONDARY CANBY SECONDARY CANNON FALLS ALTERNATIVE LEARNING CANNON FALLS SEC. Cardinal Middle-Senior High School Carlisle High School CARLTON SECONDARY Carroll High School Cascade Junior-Senior High School CASS LAKE-BENA SECONDARY Cedar Falls High School Cedar Lake Alternative School CEDAR MOUNTAIN SECONDARY CENTENNIAL SENIOR Center Point-Urbana High School Centerville High School Central City High School Central Community High School Central Decatur MS/Sr High School Central High School A Central High School B Central Jr-Sr High School Central Lee High School Central Lyon Senior High School CENTRAL SENIOR HIGH B CENTRAL SENIOR HIGH A Central Springs High School CENTURY SENIOR HIGH CHAMPLIN PARK SENIOR HIGH CHANHASSEN HIGH SCHOOL Chariton High School Charles City High School Charter Oak-Ute High School CHASKA HIGH SCHOOL CHATFIELD SECONDARY CHERRY SECONDARY CHISAGO LAKES SENIOR HIGH CHISHOLM SECONDARY CHOKIO-ALBERTA SECONDARY CITY ACADEMY Clarinda Academy Clarinda High School Clarion-Goldfield-Dows High School Clarke Community High School Clarksville High School Clay Central-Everly Jr. Sr. High School Clayton Ridge High School Clear Creek Amana High School Clear Lake High School CLEARBROOK-GONVICK SECONDARY CLEVELAND SECONDARY CLIMAX SECONDARY Clinton High School CLINTON-GRACEVILLE-BEARDSLEY SR. CLOQUET SENIOR Colfax-Mingo High School Collins-Maxwell Middle/High School Colo-NESCO Jr./Sr. High School COLUMBIA HEIGHTS SENIOR HIGH Columbus Community High School COMFREY SECONDARY COMMUNITY OF PEACE ACADEMY SEC. COMO PARK SENIOR HIGH COOK COUNTY SENIOR HIGH COON RAPIDS SENIOR HIGH Coon Rapids-Bayard 5-12 Attendance Center Cooper High School Corning High School Creston High School Crestwood High School Cristo Rey Jesuit High School CROMWELL-WRIGHT SECONDARY CROOKSTON SECONDARY CROSBY-IRONTON SECONDARY Dallas Center-Grimes High School Danville Junior-Senior High School DASSEL-COKATO SENIOR HIGH Davis County Community High School DAWSON-BOYD SECONDARY Dayton Center Decorah High School DEER RIVER SECONDARY DELANO SENIOR HIGH DENFELD SENIOR HIGH Denison Alternative High School Denison High School Denver Senior High School Des Moines Central Campus High School DETROIT LAKES SENIOR HIGH Diagonal Junior-Senior High School Dike-New Hartford High School DILWORTH-GLYNDON-FELTON SENIOR HIGH DISCOVERY PUBLIC SCHOOL FARIBAULT DOVER-EYOTA HIGH SCHOOL Downtown School Dubuque Senior High School Duluth East High School Dunkerton High School DUNWOODY ACADEMY Durant High School EAGAN SENIOR HIGH Eagle Grove High School EAGLE RIDGE ACADEMY CHARTER SCHOOL EAGLE VALLEY SECONDARY Earlham Senior High School East Buchanan High School EAST CENTRAL SENIOR SECONDARY EAST GRAND FORKS SENIOR HIGH East High School A East High School B East High School C East Marshall Senior High School East Mills Jr/Sr High School EAST RANGE ACADEMY OF TECH-SCIENCE EAST RIDGE HIGH SCHOOL East Sac County High School EAST SENIOR HIGH East Union Middle-High School Easton Valley High School EASTVIEW SENIOR HIGH Eddyville-Blakesburg- Fremont Jr/Sr High EDEN PRAIRIE SENIOR HIGH EDEN VALLEY SECONDARY EDGERTON SECONDARY Edgewood-Colesburg High School EDINA SENIOR HIGH EDISON SENIOR HIGH Edmunds Fine Arts Academy Education Options EL COLEGIO CHARTER SCHOOL Eldora-New Providence High School Elizabeth Tate Alt. High School ELK RIVER SENIOR HIGH ELLSWORTH SECONDARY Emmetsburg High School ENGLISH ACADEMY CAMPUS English Valleys Jr-Sr High School Essex Junior-Senior High School Estherville Lincoln Central High School EVANSVILLE SECONDARY EVELETH-GILBERT SENIOR HIGH ExiraElk Horn-Kimballton High School Expo Alternative Learning Center FACE TO FACE ACADEMY FAIR SCHOOL DOWNTOWN Fairfield High School FAIRMONT HIGH FALLS SECONDARY FARIBAULT SENIOR HIGH FARMINGTON HIGH SCHOOL FERTILE-BELTRAMI SECONDARY FILLMORE CENTRAL SENIOR HIGH FISHER SECONDARY Flex Ed High School FLOODWOOD SECONDARY FOLEY SENIOR HIGH FOND DU LAC OJIBWE SCHOOL Forest City High School FOREST LAKE SENIOR HIGH Fort Dodge High School Fort Madison High School FOSSTON SECONDARY FOUR DIRECTIONS CHARTER SCHOOLS FRAZEE SECONDARY Fremont Mills Junior-Senior High School Fremont-Mills Middle And Senior High School FRIDLEY MOORE LAKE ALTERNATIVE FRIDLEY SENIOR HIGH FULDA SECONDARY G.F.W. SR. Garner-Hayfield-Ventura High School GENERAL JOHN VESSEY JR LEADERSHIP George Washington Carver Academy George Washington High School George-Little Rock Senior High School Gilbert High School Gladbrook-Reinbeck High School GLENCOE-SILVER LAKE SENIOR HIGH GLENVILLE-EMMONS SECONDARY Glenwood Senior High School Glidden-Ralston Jr-Sr High School GMG Secondary School GOODHUE SECONDARY GOODRIDGE SECONDARY Graettinger-Terril High School GRANADA-HUNTLEY EAST CHAIN SEC. GRAND MEADOW SENIOR HIGH GRAND RAPIDS SENIOR HIGH GREAT RIVER SCHOOL GREENBUSH-MIDDLE RIVER SENIOR HIGH Greene County High School Greenview Alternative School GREENWAY SENIOR HIGH Grinnell Community Senior High School Griswold Middle/High School Grundy Center High School GRYGLA SECONDARY Guthrie Center High School H-L-V Junior-Senior High School Hampton-Dumont High School HANCOCK SEC. HARBOR CITY INTERNATIONAL CHARTER HARDING SENIOR HIGH Harlan High School Harmony Jr. Sr. High Harris-Lake Park High School Hartley-Melvin-Sanborn High School HASTINGS HIGH SCHOOL HAWLEY SECONDARY HAYFIELD SEC. HEALY SECONDARY Hempstead High School HENDRICKS SECONDARY HENNING SECONDARY HENRY SENIOR HIGH HENRY SIBLEY SENIOR HIGH HERMAN SECONDARY HERMANTOWN SENIOR HIGH HIBBING HIGH HIGH SCHOOL FOR RECORDING ARTS HIGHER GROUND ACADEMY Highland High School HIGHLAND PARK SENIOR HIGH HILL CITY SECONDARY HILLS-BEAVER CREEK SECONDARY HINCKLEY-FINLAYSON SECONDARY Hinton High School HLWW ALTERNATIVE LEARNING PROGRAM HMONG COLLEGE PREP ACADEMY HS HOLDINGFORD SECONDARY Holmes Junior High School HOME SCHOOLED Hoover High School HOPKINS SENIOR HIGH HOUSTON SECONDARY HOWARD LAKE-WAVERLY-WINSTED SEC. Hudson High School Humboldt High School HUMBOLDT SECONDARY SCHOOL HUTCHINSON SENIOR HIGH IACAC IKM-Manning High School Independence High School Independence Junior Senior High School Indianola High School Individualized Learning Center INDUS SECONDARY Interstate 35 Secondary School Iowa City High School Iowa Connections Academy High School Iowa Falls - Alden High School Iowa Valley Jr-Sr High School Iowa Virtual Academy IRONDALE SENIOR HIGH ISLE SECONDARY JACKSON COUNTY CENTRAL SENIOR HIGH Janesville Junior-Senior High School JANESVILLE-WALDORF-PEMBERTON SEC JEFFERSON SENIOR HIGH JEFFERSON SENIOR HIGH A JENNINGS EXPERIENTIAL HIGH SCHOOL Jesup Community School Jesup High School John F Kennedy High School JOHN MARSHALL SENIOR HIGH John R Mott High School JOHNSON SENIOR HIGH Johnston Senior High School JORDAN SECONDARY KASSON-MANTORVILLE SENIOR HIGH Kee High School KELLEY SECONDARY KELLIHER SECONDARY KENNEDY SECONDARY SCHOOL KENNEDY SENIOR HIGH KENYON-WANAMINGO SENIOR HIGH Keokuk High School Keota High School KERKHOVEN SECONDARY KIMBALL SECONDARY KINGSLAND SENIOR HIGH Kingsley-Pierson High School KIPP MINNESOTA CHARTER SCHOOL KITTSON CENTRAL SECONDARY KNIGHTS ACADEMY Knoxville High School LAC QUI PARLE VALLEY SECONDARY LACRESCENT SENIOR HIGH LAFAYETTE SECONDARY LAKE BENTON SECONDARY Lake Mills Senior High School LAKE OF THE WOODS SECONDARY LAKE PARK AUDUBON SECONDARY LAKES AREA CHARTER SCHOOL LAKES COUNTRY YOUTH EDUC SVCS LAKEVIEW SECONDARY LAKEVILLE NORTH HIGH LAKEVILLE SOUTH HIGH Lamoni High School LANCASTER SECONDARY LANESBORO SECONDARY LAPORTE SECONDARY Laurens-Marathon High School Lawton Junior-Senior High School Le Mars High School LEADERSHIP ACADEMY LEARNING FOR LEADERSHIP CHARTER Lenox High School LEROY SECONDARY LESTER PRAIRIE SECONDARY LESUEUR-HENDERSON HIGH SCHOOL Lewis Central Senior High School LEWISTON-ALTURA SECONDARY LIFE LINES ADULT CONNECTION LIGHTHOUSE ACADEMY OF NATIONS Lincoln High School LINCOLN INTERNATIONAL SCHOOL LINCOLN SECONDARY C LINCOLN SECONDARY A LINCOLN SECONDARY B LINCOLN SENIOR HIGH Linn-Mar High School LIONSGATE ACADEMY Lisbon High School LITCHFIELD AREA LEARNING PROGRAM LITCHFIELD SENIOR HIGH LITTLE FALLS SENIOR HIGH Little Husky Learning Center LITTLEFORK-BIG FALLS SECONDARY LK CRYSTAL-WELLCOME MEMORIAL SEC. Logan-Magnolia Jr-Sr High School Lone Tree Junior-Senior High School LONG PRAIRIE-GREY SENIOR HIGH Louisa-Muscatine High School Loyola High School Luther College LUVERNE SENIOR HIGH LYLE SECONDARY Lynnville-Sully High School M.A.C.C.R.A.Y. AREA LEARNING PROG. M.A.C.C.R.A.Y. SENIOR HIGH MABEL-CANTON SECONDARY MADELIA SECONDARY Madrid High School MAHNOMEN SECONDARY MAHTOMEDI SENIOR HIGH MAIN STREET SCHOOL PERFORMING ARTS MANKATO EAST SENIOR HIGH MANKATO WEST SENIOR HIGH Manson Northwest Webster Junior High/High School MAPLE GROVE SENIOR HIGH MAPLE LAKE SECONDARY MAPLE RIVER SENIOR HIGH Maple Valley-Anthon Oto High School Maquoketa Community High School Maquoketa Valley Senior High School Marcus-Meriden-Cleghorn Jr/Sr High School Marion High School MARSHALL COUNTY CENTRAL HIGH MARSHALL HIGH SCHOOL Marshalltown High School Martensdale-St Marys Jr-Sr High School MARTIN COUNTY WEST SENIOR HIGH Mason City High School MATH AND SCIENCE ACADEMY MAYO SENIOR HIGH MCGREGOR SECONDARY MEDFORD SECONDARY Mediapolis High School Melcher-Dallas High School MELROSE SECONDARY MEMORIAL SECONDARY MENAHGA SECONDARY MESABI EAST SECONDARY Metro High School METROPOLITAN LEARNING ALLIANCE MFL MarMac HS Mid City High Mid-Prairie High School Midland Middle/High School MILACA SECONDARY HIGH MINISINAAKWAANG LEADERSHIP ACADEMY MINNEOTA SECONDARY MINNESOTA NEW COUNTRY SCHOOL MINNESOTA TRANSITIONS ALP MINNETONKA SENIOR HIGH MINNEWASKA SECONDARY MINNEWASKA SECONDARY ALTERNATIVE PG Missouri Valley High School MOC-Floyd Valley High School MONTEVIDEO SENIOR HIGH Montezuma High School MONTGOMERY-LONSDALE SECONDARY MONTICELLO ALTERNATIVE PROGRAM Monticello High School MONTICELLO SENIOR HIGH MOORHEAD HIGH SCHOOL MOOSE LAKE SECONDARY Mora High School MORA SECONDARY Moravia High School Mormon Trail Jr-Sr High School MORRIS AREA SECONDARY Moulton-Udell High School MOUND-WESTONKA HIGH SCHOOL MOUNDS VIEW ADULT BASIC ED. MOUNDS VIEW SENIOR HIGH Mount Ayr High School Mount Pleasant High School Mount Vernon High School MOUNTAIN IRON-BUHL SECONDARY MOUNTAIN LAKE SECONDARY MTS HIGH SCHOOL MTS PEASE ACADEMY MURRAY COUNTY CENTRAL SECONDARY Murray Jr/Sr High Muscatine High School NASHWAUK SECONDARY NAY-AH-SHING Nevada High School NEVIS SECONDARY NEW CENTURY CHARTER SCHOOL NEW HEIGHTS SCHOOL, INC. NEW LONDON ALTERNATIVE SCHOOL New London Jr-Sr High School NEW LONDON-SPICER SR. NEW PRAGUE SENIOR HIGH NEW ULM HIGH SCHOOL NEW YORK MILLS SECONDARY Newell-Fonda High School Newton Senior High School NICOLLET SECONDARY Nishnabotna High School Nodaway Valley High School NORMAN COUNTY WEST SECONDARY NORMAN COUNTY EAST SECONDARY NORTH BRANCH SENIOR HIGH North Butler Jr/Sr High School North Cedar Jr/Sr High School North Fayette High School North High School A North High School B North High School C North Iowa High School NORTH LAKES ACADEMY 56 North Mahaska Jr-Sr High School North Polk High School North Scott Senior High School NORTH SENIOR HIGH B NORTH SENIOR HIGH A North Tama High School North Union High School NORTH WOODS SECONDARY North-Linn Senior High School Northeast Middle-High School NORTHEAST RANGE SECONDARY NORTHERN LIGHTS COMMUNITY SCHOOL NORTHFIELD SENIOR HIGH NORTHLAND SECONDARY NORTHOME SECONDARY NORTHWEST PASSAGE HIGH SCHOOL Northwood-Kensett Jr-Sr High School Norwalk Senior High School NOVA CLASSICAL ACADEMY UPPER SCHOOL NRHEG SECONDARY Odebolt-Arthur-BC-IDA Grove High School Oelwein High School Ogden High School Ogilvie High School OGILVIE SECONDARY Okoboji High School ONAMIA SECONDARY OPEN WORLD LEARNING COMMUNITY OPEN WORLD LEARNING SECONDARY Orient-Macksburg Senior High School ORONO SENIOR HIGH ORTONVILLE SECONDARY Osage High School OSAKIS SECONDARY Oskaloosa High School OSSEO SENIOR HIGH Ottumwa High School OUT OF STATE OWATONNA SENIOR HIGH PACT CHARTER SECONDARY PALADIN ACADEMY Panorama High School PARK CENTER IB WORLD SCHOOL PARK RAPIDS SENIOR HIGH PARK SENIOR HIGH PARKERS PRAIRIE SECONDARY Paton-Churdan Jr-Sr High School PAYNESVILLE AREA HIGH SCHOOL PCM High School Peet Junior High School Pekin Community High School PELICAN RAPIDS SECONDARY Pella High School PEQUOT LAKES SENIOR HIGH PERHAM SENIOR HIGH PERPICH CENTER FOR ARTS EDUCATION Perry High School PHOENIX LEARNING CENTER PILLAGER AREA CHARTER SCHOOL PILLAGER SECONDARY PINE CITY SECONDARY PINE ISLAND SECONDARY PINE RIVER SECONDARY PIPESTONE SENIOR HIGH PLAINVIEW-ELGIN-MILLVILLE HIGH Pleasant Valley High School Pleasantville High School Pocahontas Area Middle/ High School Pocahontas Area Regional Learning Center Prairie High School PRAIRIE SEEDS ACADEMY Prairie Valley High School PRINCETON SENIOR HIGH PRIOR LAKE HIGH SCHOOL PROCTOR SENIOR HIGH PROJECT RETURN QUEST ACADEMY RAHNCLIFF ABE DIPLOMA PROGRAM RANDOLPH SECONDARY RED LAKE COUNTY CENTRAL HIGH SCHOOL RED LAKE SENIOR HIGH Red Oak High School RED ROCK CENTRAL SECONDARY RED WING SENIOR HIGH REDWOOD VALLEY SENIOR HIGH Remsen-Union High School RENVILLE COUNTY WEST SENIOR HIGH Riceville High School RICHFIELD CAREER EDUCATION PROGRAM RICHFIELD SENIOR HIGH Ridge View High School River Valley Junior- Senior High School RIVER'S EDGE ACADEMY RIVERBEND ACADEMY Riverside Community High School RIVERWAY SECONDARY ROBBINSDALE ARMSTRONG SENIOR HIGH ROBBINSDALE COOPER SENIOR HIGH ROCHESTER OFF-CAMPUS CHARTER HIGH ROCHESTER STEM ACADEMY Rock Valley Jr-Sr High School Rockford Junior-Senior Rockford Senior High ROCKFORD SECONDARY ROCORI SENIOR HIGH ROGERS SENIOR HIGH Roland-Story High School Roosevelt High School ROOSEVELT SENIOR HIGH ROSEAU SECONDARY ROSEMOUNT SENIOR HIGH ROSEVILLE AREA SENIOR HIGH ROTHSAY SECONDARY ROUND LAKE SECONDARY ROYALTON SECONDARY RTR HIGH SCHOOL Rush City High School RUSH CITY SECONDARY RUSHFORD-PETERSON SENIOR HIGH Ruthven-Ayrshire High School S.O.L.O. ALTERNATIVE PROGRAM SABATHANI CAMPUS SAGE ACADEMY CHARTER SCHOOL Saint Anthony Village High School SARTELL SENIOR HIGH SAUK CENTRE SECONDARY SAUK RAPIDS-RICE SENIOR HIGH Saydel High School Scavo Alternative High School SCHAEFFER ACADEMY SCHOOL OF ENVIRONMENTAL STUDIES SEBEKA SECONDARY Sergeant Bluff-Luton Senior High School Seymour High School SHAKOPEE SENIOR HIGH SHAPE ALP Sheldon High School Shenandoah High School SIBLEY EAST-ARLINGTON SENIOR HIGH Sibley-Ocheyedan High School Sidney High School Sigourney Jr-Sr High Sch SIMLEY SENIOR HIGH Sioux Center High School Sioux Central High SLEEPY EYE SEC. Smouse Opportunity School SO. WASHINGTON ALT LEARNING CNTR SOBRIETY HIGH SOUTH Solon High School South Central Calhoun High School South Hamilton Middle And High School South O'Brien Secondary School South Page Senior High School SOUTH RIDGE SECONDARY SOUTH SENIOR HIGH SOUTH ST. PAUL SECONDARY South Tama County High School South Winneshiek High School Southeast Polk High School Southeast Warren Jr-Sr High School Southeast Webster High School SOUTHLAND SENIOR HIGH SOUTHWEST SENIOR HIGH SOUTHWEST STAR CONCEPT SECONDARY SPECTRUM HIGH SCHOOL Spencer High School Spirit Lake High School SPRING GROVE SECONDARY SPRING LAKE PARK SENIOR HIGH SPRINGFIELD SECONDARY Springville Secondary School St Ansgar High School St Croix Lutheran High School ST PAUL CONSERVATORY PERFORMING ART ST. ANTHONY VILLAGE SENIOR HIGH ST. CHARLES SECONDARY ST. CLAIR SECONDARY ST. CROIX PREPARATORY ACADEMY UPPER ST. FRANCIS HIGH ST. JAMES SECONDARY ST. LOUIS PARK SENIOR HIGH ST. MICHAEL-ALBERTVILLE SENIOR HIGH ST. PETER SENIOR HIGH Stanton High School STAPLES-MOTLEY SENIOR HIGH Starmont High School STEP ACADEMY CHARTER SCHOOL STEPHEN SENIOR HIGH STEWARTVILLE SENIOR HIGH STILLWATER AREA HIGH SCHOOL Storm Lake High School SUCCESS ACADEMY Sumner-Fredericksburg HS SWANVILLE SECONDARY TARTAN SENIOR HIGH TECHNICAL SENIOR HIGH Test Thomas Jefferson High School Thomas Jefferson High School Tipton High School TRACY SECONDARY TREKNORTH HIGH SCHOOL Treynor High School Tri-Center High School Tri-City United High School Tri-County High School TRI-COUNTY SECONDARY Trinity Christian High School Tripoli Middle/Sr High School TRITON HIGH SCHOOL TRUMAN SECONDARY Turkey Valley Jr-Sr High School Twin Cedars Jr-Sr High School TWIN CITIES ACADEMY HIGH SCHOOL TWO HARBORS SECONDARY UBAH MEDICAL ACADEMY CHARTER SCHOOL ULEN-HITTERDAL SECONDARY Underwood High School UNDERWOOD SECONDARY Union High School United North United South UNITED SOUTH CENTRAL HIGH SCHOOL UNITY CAMPUS UPSALA SECONDARY Urbandale High School UTEC CAMPUS Valley High School Van Buren High School Van Meter Jr-Sr High School VERNDALE SECONDARY VESTA SECONDARY Vinton-Shellsburg High School VIRGINIA SECONDARY VOYAGEURS EXPEDITIONARY HIGH SCHOOL WABASHA-KELLOGG SECONDARY WABASSO SECONDARY WACO High School WACONIA SENIOR HIGH WADENA-DEER CREEK SENIOR HIGH WALKER-HACKENSACK-AKELEY SEC. Wapello Senior High School Wapsie Valley High School WARREN-ALVARADO-OSLO SECONDARY WARROAD HIGH SCHOOL WASECA SENIOR HIGH WASHBURN SENIOR HIGH Washington High School A Washington High School B WASHINGTON TECH SECONDARY MAGNET WATERSHED HIGH SCHOOL WATERTOWN MAYER HIGH WATERVILLE-ELYSIAN-MORRISTOWN SR. WAUBUN SECONDARY Waukee Senior High School Waukon High School Waverly-Shell Rock Senior High School Wayne Community Jr-Sr High School WAYZATA HIGH Webster City High School WELLSTONE INTERNATIONAL HIGH West Bend-Mallard High School West Branch High School West Burlington High School WEST CENTRAL AREA SEC. West Central Charter High School West Central Valley High School West Delaware High School West Fork High School West Hancock High School West Harrison High School West High School A West High School B West High School C West Liberty High School West Lyon High School West Marshall High School West Monona High School West Senior High School West Sioux High School WESTBROOK-WALNUT GROVE SECONDARY Western Dubuque High School Westside Junior-Senior High School Westwood High School WHEATON SECONDARY WHITE BEAR NORTH CAMPUS SENIOR WHITE BEAR SOUTH CAMPUS SENIOR Whiting Senior High School Williamsburg Jr-Sr High School WILLMAR SENIOR HIGH WILLOW RIVER SECONDARY Wilton Jr-Sr High School WIN-E-MAC SECONDARY WINDOM SENIOR HIGH Winfield-Mt Union Jr-Sr High School WINNETKA WINONA SENIOR HIGH Winterset Senior High School WisdomQuest Education Center Woodbine High School Woodbury Central High School WOODBURY SENIOR HIGH Woodward Academy Woodward-Granger High School WORTHINGTON SENIOR HIGH WRENSHALL SECONDARY YELLOW MEDICINE EAST SENIOR HIGH ZIMMERMAN HIGH SCHOOL ZUMBROTA-MAZEPPA SENIOR HIGH

GPA

Graduation Date

Honors & Extracurricular Activities (optional)

College / University (optional)

Institution Name

City

State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Major / Coursework

GPA

Graduation Date

Honors & Extracurricular Activities

Training Facility (optional)

Facility Name

City

State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Major / Coursework

GPA

Graduation Date

Honors & Extracurricular Activities

Employeer Detail (optional)

Name

Address

City

State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Telephone

Position / Title

Annual Income

Hire Date

End Date

General Questions

How did you hear about us? - Select - Billboard Current Student EventBrite Facebook (Ames, IA) Facebook (Iowa City, IA) Facebook (Plymouth, MN) Google Google+ Graduate Guest Instagram Pinterest Snapchat Staff TV Twitter Website Yelp

What year do you expect to start? (optional) - Select - 2022 2023 2024 2025 2026 2027 2028

Why do you want to enter this career? (optional)

Do you have any health issues that could impact your training? (optional)

Do you require any of the following while attending school? Check all that apply. Transportation
Financial Assistance
Part-Time Work
Housing
Tutor

Do you verify that all statements made in this application are complete and true. Verified as true

I would like to receive promotional emails, text messages and phone calls Yes

Application Fee

A $100 Application Fee payable upon submission will allow you to proceed with the enrollment process.

---

Card Number

Expiration Month

Expiration Year

CVV What's this?

Card Holder Name

Card Holder Address

Card Holder Zip

Fill Name

By submitting this form, I agree that PCI Academy may call, text and/or email me about their educational services at the contact information provided, including a wireless number, using automated technology. Please note, this consent is not required to attend their institutions and you may unsubscribe at any time.