Returning Student Application

* Required fields

Personal Information

*First Name:

*Last Name:

Former Name:

University ID Number:

IU Email Address:

*Birth Date:

*Non-IU email where you can be reached:

* Are you an International Student? Yes No

Leave of Absence Information

* Semester you plan to return to IU:

*If you will be returning later than the semester listed above, please come back later.

* Have you attended another college or university since you were last enrolled at IUB? Yes No

* Name(s) of College or University Attended:

* I understand that I must send an official transcript from all schools I attended during my leave of absence to the IUB Admission Office.(Please check the box to acknowledge)

* Did you complete a TSAP program at Ivy Tech or Vincennes University? Yes No

*Have been away from IU Bloomington for 3 or more years?

Yes

Please take note of IU''s Fresh Start Policy.

* Desired Graduation Term

Behavioral Disclosure

Indiana University is committed to maintaining a safe learning environment. As part of that commitment, we require applicants to disclose if they:

have been subject to formal disciplinary action (including for example, but not limited to, suspension or expulsion) for a violent offense or sexual misconduct at any high school, post- secondary institution, college or university;
have been charged with or convicted of a crime (or a foreign legal equivalent) that has not been expunged by a court; and/or
have engaged in behavior that caused injury to person(s) or personal property (including for example, but not limited to, vandalism or behavior that led to a restraining order against you) which resulted in some sort of formal discipline or intervention.

A previous disciplinary action, charge, conviction or conduct of the sort identified here does not automatically disqualify applicants from admission to Indiana University, but they do require review by the campus admissions committee.

PLEASE NOTE: By submitting your application to Indiana University, you acknowledge and agree that you have a continuing obligation to inform the University of:

any formal disciplinary action at an educational institution;
any legal charges and/or convictions (or foreign legal equivalents) that have not been expunged by a court; and/or
any behavior that causes injury to person(s) or property that results in some form of discipline or intervention.

You must provide updated information to the campus admissions committee prior to class attendance. At that time, the campus admissions committee will review the information provided and may consider whether to delay or rescind your admission to the University.

Behavioral/Discipline Disclosure

* Have you been subject to disciplinary action (including for example, but not limited to, suspension or expulsion) for a violent offense or sexual misconduct (including for example, but not limited to, physical violence; hazing; sexual harassment, violence, assault or exploitation; or similar offense) at any high school, post-secondary institution, college or university?

Yes

* Have you ever been arrested or convicted of a crime (or a foreign legal equivalent) that has not been expunged by a court? Also select “Yes” if you have any currently pending criminal charges (or a foreign legal equivalent) against you.

Yes

Submission of this Returning Student Form does not guarantee acceptance of return by the Kelley School of Business. You may wish to review the Leave of Absence Frequently Asked Questions.

*Signature

Submit Date

11/23/2024