The application and all pertinent forms should be on file with the Undergraduate Studies office at least four weeks prior to the beginning of the desired starting academic term. Students are encouraged to submit their application at least six months prior to their desired term of entry.

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General Information


Mailing Address (for all correspondence)

Permanent Address

Background Information

U.S. Citizens

Educational Information

Referral information

List all institutions you have attended (chronologically). Do not abbreviate.

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Voluntary Information

Who was most influential in your decision to apply?

To finish your application process you must also:

  • Print, sign and return the application certification form (PDF)
  • Include a $50150 non-refundable application and evaluation processing fee
  • Official transcripts from all high schools and attended/attending colleges must be sent directly from the school or college.
  • Print, sign and return the Evaluation form (PDF)

Note: Supporting documents will be held for 30 days without an application.

Department of Undergraduate Studies
Palmer College of Chiropractic
1000 Brady Street
Davenport, Iowa 52803-9989

Do you agree to the following?

  • I am submitting this form which serves as my authorization to Palmer College of Chiropractic to process my application.
  • I certify the information submitted in my application form is correct and accurate and realize that failure to provide official transcripts and other required information may result in the cancellation of admission or registration.
  • I understand that revocation of this application must be made in writing and sent to the Office of College Enrollment at Palmer College of Chiropractic.
  • I agree and understand that I am to notify the Admissions Department (in writing), if I am convicted / plead guilty / plead no contest to / forfeit bail for any criminal conduct under law or ordinance excluding any minor traffic violations.
  • I understand that a complete background check is required prior to matriculation into any of Palmer’s programs.
  • I agree and understand that I am to notify the Admissions Department (in writing), if I am dropped or dismissed from a college, graduate or professional school.
  • I understand that my application will not be processed until I have paid the $15050 application fee.
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Palmer College of Chiropractic

Mail to:

Department of Undergraduate Studies
Palmer College of Chiropractic
1000 Brady Street
Davenport, Iowa 52803-9989
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Notice of Non-Discrimination and Reservation of Rights > View Notice


In order to provide an environment that encourages respect, dignity and equal opportunity and is in compliance with applicable federal and state laws and regulations, Palmer College of Chiropractic and its respective colleges do not discriminate in employment or in educational programs, services or activities on the basis of age, race, creed, color, sex, national origin, ancestry, citizenship status, religion disability, veteran status or other characteristics protected by law.

Palmer College of Chiropractic reserves the right, without notice, to modify its requirements for admission or graduation; to change the arrangements or content of its courses or the instructional materials used or the tuition and other fees charged; to alter any regulation affecting the student body; to refuse admission or re-admission to any student at any time, or to dismiss any student at any time, should it be in the interest of the College, or of the student, to do so. The College also reserves the right to change, without notice, any information conveyed in any and all College publications. It is the responsibility of the student to inquire about the currency and possible changes to all such information.

This application may be denied admissions based on a number of factors including, but not limited to, past academic performance, past academic or ethics violations, criminal activity or dishonesty in the admissions process. If you wish to withdraw your application at anytime, contact your Admissions Representative for processing.


Application Procedures
Applicants are promptly notified as documents are received and each step of the application is completed. Only written communication directly from Undergraduate Studies shall be considered official. Acceptance is based on the approval of the completed file. Applicants will be notified of their current status. The balance of the first academic term tuition is due on orientation day. If the applicant does not begin Palmer in the academic term requested and Undergraduate Studies is unable to make contact, the file will be destroyed. The prospective student must then reapply and resubmit all necessary documents.