Thank you for your interest in our school!

We will communicate with you using the phone number and/or email you provide, So please make sure your entries are accurate.

We look forward to meeting you!

Please type your name as it appears on legal documents.
Enter an email address you can access easily and check frequently. Please make sure that you only use ONE email account, and that the email account belongs only to you, as email accounts cannot be shared. If you do not have an email, click here for instructions on how to create one.

We communicate important messages to students via text message. If you do not currently have a mobile phone, please list a mobile phone number of a trusted family member or friend so that you can receive messages.

You can leave this blank if you do not have a home phone number.

Providing your SSN helps us match records and accurately report program outcomes. If you have a Social Security Number, please enter it.

Note: Your SSN is protected and will only be used for official data reporting purposes.

Thank you for your interest in our school. We are excited that you want to learn, but our program is only for students aged 16 or older. Please check with us again when you are eligible.

Please call Mr. Heck at ((260) 467-1064) to schedule an appointment.

Currently registration is closed for this program option.

Currently all registration appointments for this program are closed. Please make sure that your email and phone number are correct, then click Submit if you would like to be contacted when appointments are open.

Currently registration is closed for this location option.

Currently all registration appointments for this location are closed. Please make sure that your email and phone number are correct, then click Submit if you would like to be contacted when appointments are open.

This question is required by federal law so our program can continue receiving funding to offer free education to adult learners.

At this time we are unable to verify your eligibility. Please click SUBMIT so that we can talk further with you about it.

Because we are using this for your student ID, please include only your head and shoulders in the image.

NOTE: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race, refers to Hispanic ethnicity.

As adult learners, we all have barriers that contribute to our need for school resources. Please select the barrier that is your primary need right now.

Please select the goals you would like to accomplish with us. Check all that apply.

Please select the goals you would like to accomplish with us. Check all that apply.

I understand that the records to be disclosed include my social security number and other personally identifiable information from my education records. I acknowledge that the purpose of the disclosure is to assist the Iowa Department of Education in obtaining and reporting information concerning the placement and retention of participants in employment as required by section 212 of Title II of the Workforce Innovation and Opportunity Act (WIOA). I understand that the personally identifiable information will be disclosed by the educational institution to other WIOA partners (including but not limited to Iowa Workforce Development, Iowa Vocational Rehabilitation Services, and the Iowa Department for the Blind) and the National Student Clearinghouse. This information may not be re-disclosed to others and will be destroyed as soon as all statistical analysis has been performed, or when the information is no longer needed, whichever date comes first.

Education is our priority. Anything that threatens the educational environment will result in disciplinary action (see board policy 500 series for additional information).

  • Computers are available for language learning or academic projects only.
  • Children under 17 are NOT allowed in the computer lab or classrooms.
  • I am prepared to show a photo ID each time I use the computer lab.
  • E-mail and Internet are allowed for communication and research purposes.
  • No Chat Rooms, non-educational games, social media, or offensive websites (pornographic, dating, etc.) are allowed.
  • No food or beverages are allowed in the computer labs.
  • Students are expected to follow classroom and center rules assigned by teachers and staff.
  • This is an adult learning institution and it is expected that all students treat their teachers, peers, and staff with respect and behave in a manner that is mature and promotes a safe and effective learning environment.
  • These rules are subject to change at any time by the teachers or staff for the improvement or security of the students.

The undersigned hereby gives permission and authorization to Iowa Valley Community College District and its components to use any photograph, audio or videotape, motion picture, written testimonial or subject matter of and by him/her for instructional or promotional purposes, including internet and/or social media usage.

The undersigned releases Iowa Valley Community College District, its components and assignees, from any and all claims for damages for libel, slander, invasion of the right of privacy or any other claim based on the use of said material.

Please type your full legal name, as this will serve as your electronic signature. This signature acknowledges that the information provided in this form is correct and that you agree to the releases contained in this registration form.

Parent/Guardian, please type your full name, as this will serve as your electronic signature. This signature acknowledges that the information provided in this form is correct and that you agree to the releases contained in this registration form.

Eastern Iowa Community Colleges requires a signed "Release of Information" form (download here) on file to share information regarding your educational plan, status and outcomes with applicable individual(s) and/or organization(s). This may include, but not be limited to: transcripts, attendance, academic achievements and test results. This form must be signed in person and will be available at orientation.

  • If you are age 17 or under, please download and print the Permission to Attend form.
  • This form must be completed, signed and dated by a legal parent or guardian and presented at orientation
  • If you are 17 or 18, you must provide proof of that you are not currently enrolled in high school
  • Proof can be: drop slip, letter of non-enrollment or transcript that shows withdrawal status
  • If you did not attend an area high school, you can contact the local high school for proof that you are not enrolled
  • Students who are 16 are not permitted to test by law.
  • Students who are within three months of their 17th birthday will be permitted to enroll but must wait to test until on or after their 17th birthday.
  • Graduates will not receive a diploma until they have reached 18 years of age and/or the applicant's class from ninth grade has graduated.

There is no fee for materials, instruction, technology access or pre-assessments.

Orientation is required for all new and returning students who have been inactive for more than one year. Your orientation will be scheduled after you complete your initial assessments.