Request Information
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If you are an international student, please see Request an Application Form.

Yes, please send me an application for admission to Grinnell College.

Mr.Ms.

Full Name:
E-mail address:
Mailing address:


City:
State: Zip Code:
Telephone number:
Area Code: ( ) Telephone Number:
OPTIONAL:
Parent/Guardian Full Name:
Family E-mail address:


Current / Previous School Information

School name and location (city and state):
High school graduation date: Month: Year:

Are you a college transfer student? YesNo

Are you a U.S. Citizen? YesNo

Country of Citizenship:

When do you intend to enter college?

FallSpring

Year:
If you wish, please describe yourself:
African-American, BlackAsian or Pacific Islander (including Indian sub-continent)American Indian or Alaskan Native (tribal affiliation)HispanicWhiteMulti-racial (explain)




Proposed field(s) of study:
Extracurricular interests:
Grinnell varsity sport(s) in which you may participate, if any:

1.
2.


Comments or questions: