Freshman App

8/16/2019 Freshman App

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Areas of studyMost programs only require this application for consideration and have the same applic ation priority dates listed on page 1. Others, marked below, may have different priority dates and

require additional documentation or applications. See enroll.iupui.edu/admissions/appinfo for details on the programs marked below.

For this application, please write the entire area of study in the space provided on question 16.

AccountingActuarial Science (Mathematics)African Studies1 Africana StudiesAgriculture (completes at Purdue

University)American Sign Language/EnglishInterpreting

American Sign Language/EnglishInterpreting1

AnthropologyArchitecture Interior Design1

Arts & Humanities2

Beverage Management Services1 Biology BABiology BSBiology EducationBiomedical EngineeringBiomedical Engineering Technology

Biotechnology (with Biotechcourses completed at Ivy Tech)

Business Foundations1

Ceramics (Herron Pre-Fine Arts)Chemistry BAChemistry BS (including

Biochemistry)Chemistry EducationChild Abuse & Neglect1

Chinese Studies1 Civic LeadershipClinical Laboratory Science (Pre-

Clinical Lab Sci)Communication Studies

Computer & InformationTechnology

Computer EngineeringComputer Engineering TechnologyComputer Graphics TechnologyComputer Science – AppliedComputer Science – Applied1 Computer Science BSComputer Technology Applications1

Construction Management1

Construction EngineeringManagement Technology

Criminal JusticeCultural Heritage Tourism1

Cytotechnology (Pre-Cytotechnology)

Dental Assisting1,2

Dental Hygiene (Pre-DentalHygiene)

Dental Hygiene (Public Health)Drawing and Illustration (Herron

Pre-Fine Arts)E-Commerce1

EconomicsElectrical EngineeringElectrical Engineering TechnologyElementary EducationEnergy EngineeringEnglish

English EducationEnvironmental Science BSEvents Management1

Exercise ScienceExploratory

FinanceFitness Management and PersonalTraining

Forensic & Investigative SciencesFrenchFurniture Design (Herron Pre-Fine

Arts)Geographic Information Science1 GeographyGeology BA (Including Earth Science –

Education)Geology BSGermanGerontology1

Global Health & RehabilitationStudies1

Healthcare Engineering TechnologyManagement

Healthcare Engineering TechnologyManagement2

Health Information AdministrationHealth SciencesHealth Services ManagementHerron – Art HistoryHerron – Art EducationHerron – Studio Art and Design MajorsHistoryHospitality Management1

Human Communication in a MediatedWorld1

Human Computer Interaction1 Human Resource Management1

Individualized Major Liberal Arts BAIndividualized Major Science BSInformaticsInformation Technology1

Interdisciplinary EngineeringInterdisciplinary Studies Major

Science BSIntegrative Studio Practice (Herron

Pre-Fine Arts)Interior Design Technology2

Interior Design TechnologyInternational Leadership1

International StudiesJournalism (Tracks in Journalism,

Public Relation, or Sports)Journalism1

Labor StudiesLabor Studies1

Labor Studies (2-year program)Leadership Studies1

Lean Six Sigma Green Belt1

Legal Informatics1

Management (Business)Management (nonprofit/public)Marketing

Math EducationMathematics (including Actuarial

Science)Mechanical EngineeringMechanical Engineering Technology

Media & Public AffairsMedia Arts & ScienceMedical Coding1

Medical Humanities and HealthStudies

Medical Imaging Technology (Pre-Medical Imag Tech)

Motorsports EngineeringMotorsports Engineering Technology1

Motorsports Studies1

Museum Studies1

Music TechnologyMusic Therapy1

Network Security1

NeuroscienceNonprofit Management1

Nuclear Medicine Technology (Pre-Nuclear Med Tech)

NursingOrganizational Leadership &

SupervisionPainting (Herron Pre-Fine Arts)Paralegal Studies1 Paramedic Science (Pre-Paramedic

Sci)Personal Training1

Philanthropic StudiesPhilosophy

Photography (Herron Pre-Fine Arts)Physical Education Teacher EducationPhysics (including Biophysics)Physics/Electrical Engineering Dual

BS DegreePhysics & Accelerated Masters in

Mechanical EngineeringPhysics EducationPolicy StudiesPolitical SciencePrintmaking (Herron Pre-Fine Arts)Psychology BAPsychology BSPublic Affairs1

Public Health1

Public Health – Community HealthPublic Health – Environmental Healt

SciencePublic Management1

Public Relations1

Public Safety ManagementQuality Assurance1

Radiation Therapy (Pre-RadiationTherapy)

Radiography (Pre-Radiography)2

Rehabilitation & Disability Studies1

Religious StudiesRespiratory Therapy (Pre-Respirator

Therapy)Sculpture (Herron Pre-Fine Arts)Social & Behavioral Science2

Social Studies EducationSocial WorkSociology

SpanishSports ManagementSports Tourism Development1 Supply Chain ManagementSustainable Management & PolicySustainable Technology1

Technical CommunicationTechnical Communication1 Theatre & Performance1

Tourism, Conventions, & EventManagement

Translation Studies1

Travel Planning1

Visual Communication (Herron Pre-

Arts)Youth Physical Wellness Programmin1 Indicates certificate, generally a one-year program2 Programs with separate deadlines and additional

requirements. See enroll.iupui.edu/admissions/appindetails before applying.

Important Note: Depending on the requiremefor admission to your desired area of study, you will either be considered for admissionto University College or for dual admission toUniversity College and the school of your desi major. Regardless of the admission option offered, all students will have the benefit of tUniversity College orientation, placement tes

advising, and support services.

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A P P L I C A T I O N F E E H E R E < <

FRESHMAN APPLICATION

Indiana University - Purdue University IndianapolisOffice of Undergraduate Admissions425 University Boulevard, CA147Indianapolis, IN 46202-5143317-274-4591 FAX: 317-278-1862Email: [email protected]

PRINT WITH BLACK INK OR TYPE

Part One – To be completed by the student.

1. Name: ____________________________________________________________________________________________________________________________________________

First/Given Middle Last/Family

2. Other names on transcripts: _______________________________________________________________________________________________________________________

3. Birthdate: ___________________________________________________________ 4. Gender: c Malec Female Month / Day / Year

5. Social Security Number: _________ _________ _________ - _________ _________ - _________ _________ _________ _________Please note: Federal law requires that you provide your SSN to be considered for federal financial aid. State and institutional financial aid programs may use the information you provide on the FAFSA to determine if you areeligible to receive state and institutional aid. If you consent to the use of the SSN for these purposes, please supply your SSN above. Go to enroll.iupui.edu/admissions/appinfo for more information on SSN policy and use.

6. Home address: ___________________________________________________________________________________________________________________________________ Number Street

________________________________________________________________________________________________________________________________________________________________________________ City State ZIP

7. County (Indiana residents only): _________________________________________ 8. Phone: Home ( ) ____________________________________ Cell ( )________________________________

9. Email: ____________________________________________________________________________________________________________________________________________ Email will be the primary method by which we communicate with you. Please list an account you will check regularly for notices on how to check the status of your application, items missing fromyour application, notifications of decisions, and invitations to IUPUI events. Be sure to update your email spam filters to allow emails from ‘@iupui.edu’ to be delivered.

10. What is your country of citizenship? _________________________________________________________________________________

11. If you are NOT a US citizen, what is your immigration status? c Permanent Resident c Refugee c Deferred Actionc Political Asylee c F or J Visa c Other ___________________________________________

12. Ethnicity and Race Are you Hispanic or Latino? c Yes c No What is your race? (Select one or more. Go to enroll.iupui.edu/admissions/appinfo for more information on ethnicity and race policy and use.)c American Indian or Alaska Native What is your Tribal affiliation? ________________________________________________________________________________

What is your Tribal Enrollment Number? ______________________________________________________________________ c Asian c Black or African American c Native Hawaiian or Other Pacific Islander c White

13. If you have served in the US Armed Forces, list the branch of service and approximate dates of military service. (Veterans may receive credit for their militaryservice experience by filing a copy of their DD Form 214 or DD Form 295. Go to enroll.iupui.edu/admissions/appinfo for more information on credit for military service.)

________________________________________________________________________________________________________________________________________________________________________________ 14. Have you received an honorable discharge from military service? c Yes c No c Not Applicable c Not Yet Discharged

15. Did your parents, guardians, or spouse serve in the US Armed Forces? c Spouse c Parent(s) or Guardian(s)

16. When do you wish to enroll at IUPUI?(Check only one.) c August c May c June c January Year ________________

17. Intended major: Select a major from p. 2 and write the entire name here. _________________________________________________________________________________________ Pre-professional Interests: (Choose all that apply to your interests. Students can generally major in any undergraduate program and prepare for the above future professional study. Providinginformation about your possible interest(s) will assist your academic advisor in preparing you for your future studies.) c Pre-Dentistry c Pre-Law c Pre-Medicine c Pre-Occupational Therapy c Pre-Optometryc Pre-Pharmacy c Pre-Physical Therapy c Pre-Veterinary Science

18. High School/Home School Information (If you have a GED, skip to question 19.):

__________________________________________________________________________________________________________________ Graduation Date ______ / ______ High School or Home School Name City State Month Year

19. If you did not graduate from high school, you must provide a copy of your GED scores. Date of GED ______ / ______

Month Year GED Overall Score: _____________________ GED Writing Score: _____________________

20. Have you attended a college, university, business school, or technical school (including for dual enrollment)? c Yes c No(If you answered yes, please identify the institution, including city and state.)

Institution name: ______________________________________________________________________ City, State: ________________________________________________

From Mo/Yr ______ / ______ to Mo/Yr ______ / ______ Cumulative GPA: __________________ Credits Earned: ___________________

21. Have you been convicted of a felony or misdemeanor, have a charge currently pending, been subject to formal disciplinary action at any college oruniversity, or have you engaged in behavior that resulted in injury to person(s) or personal property? (If you answer YES, go to enroll.iupui.edu/admissions/appinfo formore information on felony conviction policy and use of this information.)c Yes c No

22. Would you like more information about Army ROTC? c Yes c No

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23. Have you participated in any of the following? c Head Start c Upward Bound/Trio c 21st Century Scholars

24. Parent/Guardian Information (required if you are under 21 at the time of your anticipated enrollment at IUPUI)

Parent/Guardian Name: ______________________________________________________________ c Mother c Father c Other Relationship ________________________

Parent/Guardian Email: _______________________________________________________________________________________________________________________________

Parent/Guardian Home Address: (Number/Street, City, State, Zip) ______________________________________________________________________________________________

25. What is the primary language spoken in your home? c English c Spanish c Other _________________________________________________________________

26. Did any of your parents or legal guardian(s) attend a college or university?c Yes c No

Highest Education Level of Parents/Legal Guardian(s): c Less than HS Graduate c HS Graduate or Equivalent c Some College

c Technical School c 2-Year College Degree c Bachelor’s Level Degree c Some Graduate School c Master’s Level Degreec Doctorate (Academic) c Doctorate (Professional) c Post-Doctorate

27. Did either of your parents attend IUPUI? c Yes c No

28. If you are claiming Indiana residency, please provide the dates you have lived in Indiana. (You must check one. If you currently do not live in Indiana and are claiming Indiana

residency, please attach a written explanation of why you claim Indiana as your legal state of residence.) c Birth to present c From (mo/yr) ______ / ______ to (mo/yr) ______ / ______

c Never resided in Indiana

29. If you are currently enrolled in high school, please list your entire senior year schedule.Do not leave this section blank, even if your schedule appears on your

transcript. Leaving this question blank will delay the review of your application.

First Semester Second Semester

________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________

30. Signature – The application must be signed by the applicant. By signing, you acknowledge the following:

I certify that all statements on this applicatio n are correct and complete, including a list of all schools attended. I understand that withholdin g pertinent information requested on this applicatio n or giving false information constitutegrounds for immediate withdrawal of my application from further consideration and cancellation of my admission and/or registration. I understand that providing false information could also impact the classification of tuition residencystatus for fee-paying purposes and scholarship eligibility.

If necessary, I have enclosed a letter describin g any criminal or disciplina ry history as described in this application. The letter and application will be sent by certified mail, and I will keep the receipt certifying it was received by IUPUI.The letter contains a statement granting my permis sion to officials at all institutions and agenci es involved to release information needed by IUPUI to substantiate stateme nts I have made in my application or my letter. I also understandthat it is my responsibility to notify the University of any changes in my disclosed criminal or disciplinary history and/or any new or additional criminal or disciplinary charges that occur after I submit this application.

Applicant’s Signature ______________________________________________________________________________________________________________________________________ Date _______________________

Part Two – For high school counselor or principal. After completion, the application should be forwarded to the Office of UndergraduateAdmissions, CA147, 425 University Blvd., Indianapolis, IN 46202-5143.

Note for Counselor: Please complete the questions below, attach a copy of the student’s transcript and test scores, and return the application and documents to our office. If possible, send the transcriptelectronically.

1. Applicant rank: ______________ in a class of ______________

Current grade point average: ______________ on a 4pt 5pt 6pt 8pt 10pt 12pt ______________ other scale(circle scale)

Date of graduation (mo/yr): ______ / ______ Your school’s College Board CEEB code: __________________________________

SAT: CR: ____________ MA: ____________ WR: ____________ ESSAY: ___________ Test date (mo/yr): ______ / ______

SAT: CR: ____________ MA: ____________ WR: ____________ ESSAY: ___________ Test date (mo/yr): ______ / ______

ACT: EN: _________ MA: _________ RE: __________ SR: __________ CO: __________ WR: __________ Test date (mo/yr): _____ / ______

ACT: EN: _________ MA: _________ RE: __________ SR: __________ CO: __________ WR: __________ Test date (mo/yr): _____ / ______

If test scores are not yet available, when is the student scheduled to take either the SAT or ACT with the writing section? (mo/yr): _____ / ______

2. For Indiana high schools only (check if appropriate):a. Student will receive: c Core 40 with Academic Honors c Core 40 diploma c Core 40 diploma with Technical Honorsb. Has the student passed the ISTEP+ (GQE)? c Yes c No

3. Counselor name: __________________________________________________________________________ Title: __________________________ Phone: ______________________

Counselor email: ______________________________________________________________________________________________________________________________________

Counselor signature: _____________________________________________________________________________________________________ Date: ________________________

FEE WAIVER: All student applicants must submit an application fee or request a waiver using a College Board, NACAC, or ACT Waiver Form.High school counselors may request a fee waiver on school letterhead.

Office of Undergraduate Admissions 2014-201

Freshman App

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Transcript of Freshman App