Indiana University Kokomo
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Division of Continuing Studies

ACCELerated Evening College/General Studies
Information Session
October 29 or November 12, 2009
Registration Form

Please complete the following information to register.

Contact Information:

 

First name *
Last name *
Address *
City *
State *
Zip *
Work Phone
Home Phone *
E-mail *
Date you are attending*

* denotes a required field