The RIDE
Online Registration
Sunday, June 8th – Wednesday, June 11th

In addition to completing this form, please send your $15 REFUNDABLE registration fee (payable to Iowa ACAC) via check or money order to Tim Hauber, AIB College of Business, 2500 Fleur Drive, Des Moines, IA 50321. Your registration will hold your place on the bus and be returned to you when you arrive for the event on Sunday, June 10. If you cancel your registration the check will be used to pay for your Iowa ACAC membership.

For those interested in college credit for participating in The RIDE, there will be forms available at the beginning at the RIDE. The course is called “SW Iowa RIDE” and will cost $100. The assignment will be to complete a journal of the RIDE and how you will use the information learned.  Renea Ogren will be the facilitator of credit through Morningside, and will collect the assignments and fees at the end of the RIDE.

 

First Name:
Last Name:
Nickname:
Institution Name:
School Address:
School City:
School State:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
School Zip:
Work Telephone:
Alternative Telephone:	The Number Listed Above Is: Home Cell Other
E-mail Address*:	*All information about The R.I.D.E. will be communicated via e-mail.  Please make sure you have access to the e-mail address you list above during the summer months.
Do you require special assistance?:
Do you require special meal accommodations?:
Are you interested in continuing education credit?:	Yes No

IOWA ASSOCIATION FOR COLLEGE ADMISSION COUNSELING

providing information to make the transition from secondary to post-secondary institutions

PROSPECTIVE STUDENTS • PARENTS • HIGH SCHOOL COUNSELORS • ADMISSION PROFESSIONALS

IOWA ACAC