Undergraduate Information Request Form: Office of Admissions: Indiana University South Bend

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Undergraduate Information Request Form

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*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 South Bend:

Application
IUSB OnTour (Campus Visit Program)
Financial Aid (does not apply for international requests)

1700 Mishawaka Ave. P.O. Box 7111
South Bend, IN 46634
Phone: (574) 520-IUSB

(574) 520-4872

Last updated: 24 January 2008
Comments: admissio@iusb.edu
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