Information Request Form: Office of Admissions: Indiana University Kokomo


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Office of Admissions

Information Request Form

*Required fields

*Legal Name (Last Name, First Name, MI):
Preferred Name (Last Name, First Name, MI):
*Street Address:
*City:
*State:
*Zip Code:
Daytime Phone Number:
*E-mail Address:
*Date of Birth (MM/DD/YYYY):
Male Female
Semester to Begin at IU Kokomo:
Last school attended	Graduation date
*What is your area of academic interest?