Extreme Makeover Entry Form

Entries will be accepted Monday, June 9 – Wednesday, July 9, 2025

Entries received after 11:59 AM CDT, Wednesday, July 9, 2025 will not be accepted

Official Rules
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Daytime Phone
Evening Phone
Email*
Birth Date*
Month
Day
Year
Have you ever attended NIACC in the past?
- Yes
- No
How did you hear about the contest?*
Please list how you heard about the contest*
Tell us about your current employment/life situation.*
What have you gained from your life or work experiences that would help you successfully complete an education at NIACC?*
What are your educational and career goals?*
How would winning Extreme Makeover change your life?*
Why should you be the winner of the NIACC Extreme Makeover?*
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