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Student Information
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First Name
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Last Name
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Middle Name
Student ID
Your 7 digit Student ID Number
Email
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Please use your Iowa Central email address
Phone Number
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Which Campus do you plan to attend?
Career Academy
High School
Fort Dodge
Storm Lake
Webster City
Online
8-Week Online
What is your enrollment status
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Career Academy
Full-Time
High School/Dual Enrollment
Online
Part-Time
Second Chance Pell
Specific Accommodation Information
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Please indicate accommodations you wish to receive.
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