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Clarke IPCW Registration

First Name  
Last Name  
Address  
City  
State  
Zip  
E-mail  

Preferred Phone Number:
(Please select a phone number type)


Secondary Phone Number:
(Please select a phone number type)


High School  
Graduation Year  
Transferring Institution   (if applicable)

Interests
Academic Interest(s)
Click here for a list of options.
 
 
Please check collegiate activities in which you are interested in participating.
                                                                                                                              
If other interest, please list:  
Athletic Interest(s)
If you would like to meet with a coach, please select from the list provided. 

 
 
                                           

 
                                           
If other athletic interest, please list:  
 
Select Date
 
 
IPCW Session  M  A
IPCW Lunch (optional)  I plan on having lunch after the morning session.
 I plan on arriving early and attending lunch before the afternoon session.
Are you interested in the optional Fine Art or Science Tour for a more in depth look at Clarke's Fine Art and Science Facilities?


 
Number of Visitors (including yourself)

  
Are any of your visitors Clarke Alumni?

If yes, list the name and relation of alum below.
Name:  

Relationship to the Attendee:

 

Please list any accommodations that you may need (i.e. Spanish interpreter, wheelchair, etc.) *We will try our best to make proper accommodations for your visit to campus.
        
   
  • Fall Visit Days 2016
  • Arts at Clarke
  • Homecoming 2016