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Information Request

*Please use Mozilla Firefox or Google Chrome to complete the forms below.

First Name:
Last Name:
Street Address:
City:
State:
Zip: 
Country (if not USA):
Home Phone:
Student Cell Phone:
Email:
Date of Birth:  (mm/dd/yy) 
Gender:
Enrolling As:
Enrollment Term:

Academics

What major are you interested in studying?
(If you're not sure, you can submit 'Open')

 

Athletics
Which, if any, of Clarke's NAIA Division II varsity athletic teams are you interested in competing?

Men's Athletic Teams

  Women's Athletic Teams




Interests 
Please check collegiate activities in which you are interested in participating.
                                                         
Other:

List the most recent high school you attended, and include the date of graduation or anticipated date of graduation. If you have received your GED in lieu of graduation, please give date.
     Name of High School:  
     Graduation/GED Year:  
 
Transfer Students:
List the most recent college or university you have attended since high school.
     Name of Institution:  
     City:  
     State:  
     Dates of Attendance:  

General information packets include basic Clarke University information based on your above selections.  Please indicate below if you have any specialized requests for information, or if you wish to have any specific question(s) answered by your personal admissions counselor.

 Requested Information:    

 
 
  • CONNECT 2015
  • IPCW 2015
  • Homecoming 2015