Information Request Form: Indiana University Kokomo

Information Request Form

*Required fields

The following information is available online for you to view or download. In addition, you may request that we mail you a copy of the information by filling in the following request form.

Please check the appropriate boxes to request specific information be mailed to you.
Undergraduate Application
Financial Aid Information
Viewbook
Transcript Request Form
Ivy Tech Course Transfer Guide

*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
Ethnic Information:
Semester to Begin at IU Kokomo:
Last school attended	Graduation date
*What is your area of academic interest?