Personal Visit Days

Personal Visit Day

What would you like to do on your visit to IU Kokomo?

AdmissionsFinancial AidTour of Campus

Any Additional Comments?

First Name

Middle Initial

Last Name

Phone Number

Birthdate

Street Address	City
State	Zip Code

I will enroll as:

High School Information

Current High School

Expected Graduation Date

College Information

Most Recent College Attended

Graduation Date

When do you plan to enroll at IU Kokomo?

Academic Area of Interest:

Available Opportunity Fields

Career - Prospect

Institution - Prospect

Required Opportunity Fields (can leave hidden but must stay on the form)

Required Campaign Member Fields (keep hidden but need to keep on form)

Status

Required Campaign Fields (may keep hidden but need to keep on form)

Campaign ID	Event Spaces Left
Parent Campaign ID	Status