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Indiana University Bloomington

Undergraduate Department

 

* Required Fields
Returning Student Application

Student Information

*First Name *Last Name:
 Middle Name  Former Name:

If you attended IUB under another name, you must submit a name change to the Office of the Registrar.

 University ID: Social Security Number: (last 4 digits)
*Street Address: Telephone: (include area code)
*City:  Preferred Cell:
*State: *E-mail Address:
*Zip Code: *Date of Birth:
*Country:

*Year and Semester you wish to return to IUB  

*Since last enrolled at IUB, did you attend another school:  
College:   Dates:   Degree:  
If you completed coursework at another college or university since you were last enrolled at an IUB campus, you will need to send an official transcript from that school to the IUB Admissions Office, 300 North Jordan Ave.

Are you currently enrolled at an IU Regional campus?   Hours currently enrolled:
Your IU Regional campus coursework will automatically be reflected on your IUB transcript.

When were you last registered on the Bloomington campus?   Semester: Year:

Did you complete I-Core:   Expected Graduation Term:  

Did you complete all courses required for your major?   How many classes do you have left to complete?  

*Signature:   Date: 4/20/2014

Note: Submission of this Returning Student Form does not guarantee acceptance of student by the Kelley School of Business.
You may wish to read the Leave of Absence frequently asked questions.