College Credit Application for 
Project Lead The Way (PLTW) Engineering Courses

Student Information

* Student First Name
Student Middle Name
* Student Last Name
* Student Birthdate   
* Gender
* Race/Ethnicity
* Expected High School Graduation Year
* Street Address
* City
* State
* Zip
* County
* Student Phone
* Student's Email Address

Parent / Guardian Information

Set parent/guardian's
address the same as
the student's?
* Parents Name
Parent's Address
Parent's City
Parent's State
Parent's Zip Code
* Parent's Email Address

Course Information

* High School
Other High School
(if not listed above)
* Selected PLTW Course
* Teacher's Name
* Teacher's Email

Have you ever received college credit from the University of Iowa for a different PLTW course?

Received Credit

Signature

In the field below, please enter your FULL NAME. This will serve as a binding electronic signature for this form. Your electronic signature indicates that the University of Iowa has your permission to exchange Project Lead The Way information with your parent/guardian and your PLTW teacher and/or school designee.

* Signature

Total Cost: $150.00, due at time of this application. After you click the NEXT button at the end of this application, you will be redirected to a page with a link where you can pay the non-refundable $150.00 application fee by credit card.

Please note that American Express is not accepted.

Congratulations on receiving college credit for your Project Lead The Way course!

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Middle School and High School Student Survey
PLTW is committed to delivering a student experience that is engaging, relevant, and challenging, and they want to hear how they're doing. That’s why, starting on Monday, May 8, PLTW is inviting middle school and high school students to provide their feedback – in a formal and measurable way – through a student survey. Students’ survey responses will influence how PLTW continues to create engaging and inspiring learning experiences and deliver them to all students.

Core Training Registration will open on April 3.
Visit the Professional Development page on pltw.org for information.

myPLTW Store
The myPLTW Store is an easy-to-use online guided experience, allowing users the opportunity to build customized lists of equipment and supplies for PLTW programs, generate detailed quotes, purchase select PLTW products with a credit card or purchase order, view the status of an order, and pay open invoices. Don’t have a myPLTW account? To be added to your organization’s account, please contact your Program Coordinator or the PLTW Solution Center at solutioncenter@pltw.org or 877.335.PLTW.

Software: Downloading, Installing, Troubleshooting
If you need assistance downloading, installing, or troubleshooting software, please visit our Software page.

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