International Undergraduate Student Information Request Form

* indicates a required field
 Personal Information
Please enter your name exactly as it appears on your passport
*Surname (Family Name) *Given (First) Name:
*Current Street Address:
 *City:
State/Province:
 *Country:
 Postal Code:
Telephone:
Email Address:
 Verify Email Address:
 
Academic Information

*What do you want to study at the University of Indianapolis?


 
Level of Study
Freshman (First Year Student)
Transfer
   When do you want to enroll?
January 2010
August 2010
January 2011
August 2011

TOEFL Score

Academic Record (overall scores in high school or previous university)

 Miscellaneous
How did you learn about the University of Indianapolis?

Additional Comments:
 

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