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* indicates a required field
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| Student Data |
| *Date of Birth: |
example: January 25, 1985 = 01-25-85 |
| *Gender |
Male
Female |
Please type your name EXACTLY
as it appears on your passport.
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| *First (Given) Name: |
Middle Name: |
*Last (Family) Name: |
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*Current Street Address:
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*City:
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State/Province:
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Post Code: |
*Country:
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Telephone:
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Email Address: |
International Permanant Address
(If different from current address): |
City: |
State/Province: |
Post Code:
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Religious Preference (optional):
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Ethnic Origin (optional):
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| If you are bringing dependents (wife, husband
or children) to the United States, please note the following
information for each dependent: |
- given and family names (as appear on passport),
- date of birth,
- country of birth,
- country of citizenship,
and
- relationship to you.
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Financial
Sponsorship Data
include address information only if different from
applicant's |
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| Citizenship
Data |
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| Education
Data |
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| Enrollment
Data |
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*Do you want
to live on campus?
Yes
No
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| Miscellaneous |
*How did you learn about the University
of Indianapolis?
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Please add any other information you would like the Admissions
Committee to consider in evaluating your application for admission. |
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| Applicant's
Statement |
| I certify
that the information given on this application is complete and accurate
to the best of my knowledge. I understand that all transcripts and
other documents submitted to the University of Indianapolis in support
of my application become the property of the University of Indianapolis
and will not be returned to me. I further understand that any material
misrepresention of any information on this form will render me subject
to immediate dismissal from the university. I hereby apply for admissions
and, if accepted and enrolled, agree to respect the ideals and comply
with the regulations of the University of Indianapolis. |
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| Please
Send the following documents to the address at right. |
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Office of Admissions
University of Indianapolis
1400 East Hanna Avenue
Indianapolis, Indiana 46227-3697
U.S.A.
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Note: Although
limited financial aid is available, ability to meet educational
and living expenses must be documented in order to receive a student
visa.
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The University of Indianapolis
accepts qualified applicants for admission without regard to race,
color, sex, age, religion, creed, or ethnic or national origin.
It furthermore does not disciminate on any such basis in the administration
of its programs and makes all programs available to the physically
challeneged. Graduation rate information is available upon request.
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