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Indiana University Kokomo
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Orientation Confirmation Form

First Name:
Last Name:
10 Digit Student ID#:
Email:
Major:
Academic Advisor:

Please check the appropriate response:

Date: Saturday, June 23, 2012

Yes, I plan to attend June 23, 2012 orientation/registration.
No, I cannot attend June 23, 2012, but I plan to attend July 21, 2012.
No, I cannot attend June 23, 2012, but I plan to attend August 9, 2012.
I do not plan to attend IU Kokomo.
By checking this box, I agree that I understand that I am required to be on campus
from 8:00 am to 4:00 pm. on orientation day.

Attend Convocation

Date: Tuesday, August 14, 2012

Yes, I plan to attend Convocation on August 14, 2012.
No, I can not attend Convocation on August 14, 2012.

Please indicate reason(s) for not attending IU Kokomo:

Plan to attend another College or University
Plan to attend another IU campus
Financial reasons
Personal reasons
Job
Other



I would like to change my admit term to IU Kokomo from Spring 2012 to:

(If you have questions regarding admit term call 765-455-9217)

Summer 2012 (May)
Fall 2012 (August)
Other Date

Please submit this form prior to orientation

If you have questions about orientation call the Office of Student Success and Advising at 765-455-9309.


IU Kokomo Cougar sports
Talk to your advisor about early registration!
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Regional transformation - regional transformation through entrepreneurship and innovation

Campus Info

2300 S. Washington St.
Kokomo, IN 46904-9003
Phone: (765) 453-2000

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