Denison-Columbus Alliance Interest

Personal Information

First Name *

Middle Name

Last Name *

Birthdate *

CCS ID # *

Contact Information

Permanent Address *

Country

Street

City

Region

Postal Code

Email Address *

Mobile Phone *

Demographics

Gender *

If you choose, please describe your gender identity

Will you be a first-generation college student? *

Yes

No

Are you Hispanic or Latino?

Please select one or more of the following races that best describe you

Parent/Guardian Information

First Name *

Middle Name

Last Name *

Relationship to you (ie parent, legal guardian, etc.)

Email Address *

Academics

Current High School Name *

CEEB * (6-Digit HS code)

Will you graduate from a Columbus City High School by June 30, 2023? *

Yes

No

School Counselor Name *

School Counselor email address *

IKIC College Advising Manager Name *

IKIC College Advising Manager email address *

What is your anticipated college major or course of study in college?

Interest

Have you ever participated in an I Know I Can-sponsored activity or school event?
If yes, please specify.