Application - Indiana University Judson Mead Geologic Field Station

Applicants are encouraged to apply as soon as possible in order to increase the probability of enrollment. (See course descriptions.)

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

Printable Form

The application form is available in PDF format, and it is downloadable via the link below.
Application [PDF, 64 KB]

Online Form

Course

103 3 credits

G103 S103 (honors)

Basic Information

Name
E-Mail Address

Sex

Male
Female

Student ID #

Current Address:

Street
City State Zip
Country Phone ()

Permanent Address:

Street
City State Zip
Country Phone ()

Academic Information

School and/or Dept (e.g. COAS, SPEA, HPER, Chemistry, Biology, Music, Business, etc.) *
Date first enrolled at IU:
Semester (fall/spring/summer)
Year

Current cumulative grade point average (A = 4.0)

Expected Graduation Date (Month/Yr)

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.