Blue and Gold Homecoming Visit Day

Saturday, October 1, 2022 at 9:00 AM until 1:00 PMCentral Daylight Time

Map and Directions

Clarke University Ia
1550 Clarke Dr
Dubuque, IA 52001
United States

Fields marked with an * are required

Origin Code - HIDDEN

Student Information

Student Email Address* Please use a personal (non school) email address to ensure you receive your visit information.

First Name*

Last Name*

Preferred Name

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Student Cell Phone*

Parent/Guardian Phone Number

Academic Information

Enrolling As*

Enrollment Term*

Current School (or most recent)*

Anticipated High School Graduation Year*

What major are you interested in studying?*

Extracurricular Information

Are you interested in playing a sport in college?

Yes

Men's or Women's Sport?

Sport

Are you interested in participating in choir, band, strings, or theater in college?

Yes

Choose all that apply:

What instrument(s) do you play?

Visit Information

Do you plan to stay for lunch on campus?*

Do you plan to attend the Homecoming Football Game?

Anticipated number of guests (including student)*

Please list any accommodations that you may need (i.e. Spanish interpreter, wheelchair, food allergies, etc.) We will try our best to make proper accommodations for your visit to campus

General Information

How did you hear about this event?*

Do you know any other students registered for this event?*