Tell us more about you! - Iowa Western Community College

Future Student Information Form

We are delighted that you would like more information on Iowa Western Community College. To serve you with the best information possible, we need to learn more about you and your interests. Please complete the form below and click on the ‘submit’ button so that we can send you information about Iowa Western. We will process your request and send you the information within about two weeks, so be sure to watch your mail!

Name(Required)

First Last

Date of Birth(Required)

Personal Email(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

High School Information

Year of Graduation / HISET / GED(Required)

High School Attended(Required)

City State

Academic Interest

Which term would you begin attending IWCC?(Required)

Major/Program of Study Interested In(Required)