Early College Academy Application

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Please fill out the information below. All application information must be completed and submitted by December 15.

Full Name *

Address (including City, State, and ZIP) *

Best Contact Phone Number *

Date of Birth *

Email Address *

Home High School *

Abraham Lincoln

Thomas Jefferson

St. Albert

Lewis Central

Other:

Council Bluffs Schools Student Number *

Weighted High School Grade Point Average *

What AP and CE courses have you completed? *

List any school activities in which you are involved. *

Do you work? If so, where and how many hours per week? *

Which academic program at IWCC are you interested in pursuing? *

What are your career goals? *

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