Returning Student Application

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

* 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?

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 information pertaining to any of the circumstances described below. A previous disciplinary action, charge, conviction, or conduct of the sort identified here does not automatically disqualify applicants from admission to IU Bloomington, but it does require review by the campus admissions committee.

PLEASE NOTE: By submitting your application, you acknowledge and agree that you have a continuing obligation to inform the university of any formal disciplinary action that occurs from now until your enrollment at IU. You must provide information to the campus admissions committee prior to class registration or class attendance, whichever is applicable. At that time, the campus admissions committee will review the information provided and may consider whether to delay or rescind your admission to IU.

Yes

No

Yes

No

Yes

No

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.