Application Form
Click here to download an application form for printing (96 KB pdf).

Mail completed application to:

Dawn Kluber, Director, Executive Engineer Dual Master’s Degree Program
Henry B. Tippie School of Management
The University of Iowa
100 Pomerantz Center, Suite E446
Iowa City, Iowa 52242-7700

Iowa State University and the University of Iowa do not discriminate on the basis of race, color, age, religion, national origin, sexual orientation, marital status, disability, or status as a U.S. Vietnam Era Veteran. Any persons having inquiries concerning this may contact the ISU Director of Equal Opportunity and Diversity, 3680 Beardshear Hall, (515) 294-7612, or the UI Director of Affirmative Action, 202 Jessup Hall, (319) 335-0705.

The University of Iowa and Iowa State University request this information for the purpose of admission to the Executive Engineer Dual Master's Degree Program. No persons outside the university are routinely provided this information. Responses to the items marked "optional" are optional; responses to all other items are required. If you fail to provide the required information, the university may not consider your application.