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Individual College Visit Form

You'll know whether ECC is right for you when you take the time to experience Ellsworth by visiting our campus. Complete this short form and we'll get the process started.

Preferred date of visit (Click on the calendar tool below to select a date)(Required)

* Please select a date at least 48 hours from when you complete this form, which will give us time to process your request.

* Panther Football has set aside specific dates for football prospects. If you are interested in playing football at ECC, please select one of the following dates: January 4. 5, 8, 18, 19, 25, 26 or February 1 or 2.

Preferred time of visit(Required)

Name(Required)

First Last

Email Address(Required)

Student Date Of Birth(Required)

MM slash DD slash YYYY

High School Name(Required)

High School Graduation Date (e.g. May 2025)(Required)

Permanent Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Permanent Home Phone Number (xxx-xxx-xxxx)

Cell Phone Number (xxx-xxx-xxxx)

Please list your intended major or program of interest(Required)

What is your preferred T-Shirt size? (S, M, L, etc.)(Required)

If you would like to meet with a coach, please select all sports that apply

Men's Baseball

Men's Basketball

Women's Basketball

Men's Football

Women's Softball

Women's Volleyball

Men's Wrestling

Women's Wrestling

Co-ed Cheerleading

Esports

Music

Are you currently attending another college/university?(Required)

Yes

If you select "No", please move on to the "Any other appointments you would like to schedule or goals for your visit" question.

If yes, please list the college/university you are currently attending.

If you are attending another college/university and are playing sports, do you have a release form?

Yes

Please indicate any other appointments you would like to schedule or goals for your visit

How many people will be accompanying you on your visit?(Required)

Please enter a number from 0 to 10.

If you will have guests accompanying you, please list their names here.(Required)

This field is for validation purposes and should be left unchanged.

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Let's Do This

Iowa Valley Community College District does not discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, actual or potential family, parental or marital status, or other protected classes. If you have questions or complaints related to compliance with this policy, please contact the Vice President of Administration, serving as the District Equity Officer, 3702 S. Center Street, Marshalltown, IA 50158, 641-844-5530, Equity@iavalley.edu, or the Director of the Office for Civil Rights U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 0604-7204, Telephone: 312-730-1560 Facsimile: 312-730-1576, TDD 800-877-8339 Email: OCR.Chicago@ed.gov.

Campus

1100 College Avenue
Iowa Falls, Iowa 50126

CONTACT

641-648-4611

1-800-322-9235

eccinfo@iavalley.edu

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