College Credit Application for 
Project Lead The Way (PLTW) Biomedical Science 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 (Principles of Biomedical Science is $75.00), 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 (or $75 for Principles of Biomedical Science) 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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PLTW Termination of the University of Iowa as Affiliate
Effective September 1, 2018, the University of Iowa will no longer be a PLTW Affiliate University. This summer will be our last providing professional development to Iowa PLTW teachers.

College Credit Ends at University of Iowa
As of Monday, December 31, 2018 at 11:59 pm, the University of Iowa will no longer accept college credit applications.

pltwiowa.org Website Ending
As of December 31, 2018, the pltwiowa.org website will no longer be active.

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