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GEOL-X377/G549 APPLICATION FOR ADMISSION

DATES: MAY 17–JUNE 23, 2017.

DEADLINE FOR APPLICATIONS IS MARCH 31, 2017. The course fills quickly, so applicants are encouraged to apply as soon as possible. Questions and comments should be directed to Jackson Njau or Jim Brophy

 

START HERE: PRELIMINARY ONLINE FORM

COURSE REQUIRED

X377

G549

BASIC INFORMATION
Name (Last, First, Middle) REQUIRED
Male Female (check one)
Email address REQUIRED
CURRENT ADDRESS
Street Address:
City and State:
Zip Code: Country
Current Phone # Permanent Home Phone #
PERMANENT HOME ADDRESS
Street Address:
City and State:
Zip Code: Country
School Now Attending:
Date first enrolled at IU: Anticipated Graduation Date (Month/Yr):
STUDENT STATUS
Freshman Sophomore Junior Senior Post-Bachelor Graduate School
Please indicate courses completed by summer 2017 (control-click to choose all that apply).
GEOL X377/549 basic requirements additional subjects taken for X377/549

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Indiana University, as an equal opportunity/affirmative action employer, complies with applicable federal and state laws prohibiting discrimination, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973. It is the policy of Indiana University that no person, on the basis of race, sex, color, religion, national origin or ancestry, age, marital status, handicap, or Vietnam Era Veteran status, shall be discriminated against in employment, educational programs and activities, or admissions. Inquiries or complaints may be addressed to the Campus Affirmative Action Office, Bryan Hall, Indiana University, Bloomington, IN 47405 (812) 855-4859.