EmailMeForm
Quad Cities Campus Tour Registration
Please fill out the form and any additional information regarding your requested tour. One of our tour guides will reach out to you to plan your visit!
Student Name
*
First
Last
Student Email
*
Please use your personal email address. School emails may block messages from the college preventing you from receiving your confirmation.
Parent or Guardian Email
*Only provide if you would like your parent/guardian to receive a copy of emails.
Phone
###
-
###
-
####
Address
Street Address
City
State / Province / Region
Postal / Zip Code
High School Graduation Year
High School
What are you interested in studying?
Do you plan on transferring to a 4-year college or university after attending Black Hawk?
Please select
Yes, I intend to transfer.
No, I do not plan on transferring.
Undecided
Please suggest some possible dates or times for your visit and any other comments or questions.
