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G433 APPLICATION FOR ADMISSION

COURSE Dates: June 22 – August 5, 2015.
APPLICATIONS WILL BE ACCEPTED FROM OCTOBER 1, 2014 TO MARCH 15, 2015.

NOTE: This course is physically demanding. Students should be in good health, capable of strenuous hiking on rugged terrain while carrying daypack and field gear.

A letter of recommendation is required for enrollment and to be considered for scholarships. You must submit the name of the person you wish to make a recommendation on your behalf within two weeks of submitting your application. Click here to complete a form with this information.

Questions and comments should be directed to iugfs@indiana.edu.

ONLINE FORM

COURSE

G433

Basic Information

Name
(Last, First, Middle):
Male Female (check one)
Email address:

Current Address

Street Address:
City and State:
Zip Code: Country
Current Phone # Permanent Home Phone #

Permanent Home Address

Street Address:
City and State:
Zip Code: Country
School Now Attending:
Anticipated Graduation Date (Month/Yr):

Student Status:

Junior Senior Post-Bachelor Graduate School (M.S. or Ph.D.)

Please check courses completed by summer for interested course (control/apple-click to check all that apply)

G433 basic requirements additional subjects taken

Other

Other

Indiana University, as an equal opportunity/affirmative action employer, complies with applicable federal and state laws prohibiting discrimination, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973. It is the policy of Indiana University that no person, on the basis of race, sex, color, religion, national origin or ancestry, age, marital status, handicap, or Vietnam Era Veteran status, shall be discriminated against in employment, educational programs and activities, or admissions. Inquiries or complaints may be addressed to the Campus Affirmative Action Office, Bryan Hall, Indiana University, Bloomington, IN 47405 (812) 855-4859.