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Showcase Days Reservation Form

This registration form should be completed for each prospective student who will attend a Showcase Day. You may bring parents/guardians as guests, but we ask that all students register separately.

Please note that photos may be taken of participants during the Showcase Day which could be used in promotional material. If you do not wish your photo to be used, please contact the Office of Admissions.

If you have any additional concerns or a special request, please let us know at 574-520-4839

Required fields marked with *

  
*Legal First Name:
*Legal Last Name:
*Street Address:
*City:
*State:
*Zip Code:
*Daytime Phone Number:
*E-mail Address:
*Date of birth:
*Gender:
Semester to begin at IU South Bend:
 
Academic Session Information
 
As part of Showcase Days you may meet with someone from your area of interest.
To learn more about a particular discipline, please select an option from the drop-down
menu. For a complete list of majors within a school or college, please go to:
http://bulletins.iu.edu/iusb/2014-2015/index.shtml
 
Preferred Academic Session:
 
Event Information Event Name: Extended Tours # of Guests:

Selected Event Date

Special Instructions

Please only click the register button once.
By providing your email address, you are opting to receive emails from Indiana University.
Would you like to create an Indiana University Guest Account? Simply enter as well as confirm a password and your email address will be used to create an account for you!


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