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FRESHMAN APPLICATION

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     Thank you for considering Indiana University-Purdue University Indianapolis, Indiana’s third largest university campus. With more than
     10,000 classes in hundreds of fields, IUPUI offers one of the state’s broadest ranges of degree programs, is considered the health
     and medical sciences center of the state, and is home to students from across the country and around the world. IUPUI is also
     nationally recognized for many of its schools and programs, including the IU Kelley School of Business, the Purdue School of
     Engineering and Technology, and the IU Herron School of Art and Design. To learn more about our campus, visit www.iupui.edu.
     We look forward to receiving your application.


     FRESHMAN APPLICATION INFORMATION                                                                                                                                    Tips for a Smooth
                                                                                                                                                                         Application Review
     Admission                                              • 3 years of social sciences;                      5. Other Circumstances to be Considered
                                                            • 3 years of laboratory science;                                                                             There are several things you can do to
     Standards                                              • 4 years of some combination of foreign
                                                                                                               Although a high school transcript is the primary
                                                                                                               criteria for admission, the Admissions Committee          make sure that your application is reviewed
     General Admission                                        language, computer science or additional                                                                   quickly and easily. Here are a few tips:
                                                                                                               also considers such things as military experience,
                                                              mathematics, laboratory sciences, social
     Making certain that students are prepared to be                                                           life experiences, and job responsibilities after          #1 Apply online by going to enroll.iupui.edu;
                                                              sciences, or English courses.
     successful is of primary importance to us when                                                            leaving high school.                                         however, if you do use the paper
     making admission decisions. We examine your         3. Grades                                                                                                          application, print clearly in black ink.
                                                                                                               Conditional Admission
     high school record, including courses completed,    Though no grade point average guarantees                                                                        #2 Apply before the priority date for the
     grades earned, class rank, and standardized test                                                          If you do not meet the above criteria, you will
                                                         admission to IUPUI, we generally expect to see                                                                     term you are interested in (see p. 2).
     results. In general, we use the following                                                                 be considered for the possibility of conditional
                                                         students with a “B” average when reviewing                                                                      #3 Answer all questions on the application.
     standards when making admission decisions:                                                                acceptance based on other factors that will
                                                         applications.
                                                                                                               indicate your potential for success at IUPUI:             #4 Enclose a check for $50 if you apply
     1. High School Graduation                           4. Test Results                                       overall quality of your high school coursework,              with a paper application.
     You must have graduated high school or be                                                                 trends in your grades, test scores, and military
                                                         You must provide the results of your SAT or ACT,                                                                #5 Use the same name on all of your
     graduating before enrollment. If you have                                                                 service.
                                                         including the Writing Section of the test (by                                                                      application materials. If you have records
     completed the GED, see the section below            May 1). If your class has graduated and a fall        Deferral to a                                                under other names, please list these
     entitled “GED Admission.” Students who are          semester has passed since you graduated, you          Community College                                            names on the application.
     home-schooled are welcomed as applicants;           do not need to take the SAT or ACT. Adult
     submit your transcript with your application and                                                          If you have significant deficiencies in either            #6 If you are currently enrolled in high
                                                         students over the age of 21 should note that                                                                       school and apply using this paper
     test score results.                                                                                       academic preparation or performance, we will
                                                         SAT or ACT scores are not required. (However, if                                                                   application, complete Part One then
                                                                                                               defer your application until you complete
     2. Courses Completed                                you did take the test, we would like to see the                                                                    promptly forward the application with
                                                                                                               designated courses at any regionally accredited
                                                         results.) The results of the Writing Section assist
     If you are a current Indiana high school student,                                                         two- or four-year college. A deferral contract               application fee to your high school
                                                         you and your academic advisor with placement
     you are expected to complete Core 40 and are                                                              outlining the courses you must complete will be              counselor for completion of Part Two.
                                                         into a writing course. Though test results are
     strongly encouraged to earn the Academic                                                                  sent to you. If you reside in the Indianapolis            #7 Send all your materials in a single
                                                         considered during the admission review, we do
     Honors Diploma. If you are not in an Indiana                                                              region, we have a special program with Ivy Tech              packet.
                                                         not deny students based strictly on their test
     high school, you should complete the following                                                            Community College. You can learn more about
                                                         results. The SAT or ACT is most important when                                                                  #8 Make sure you have taken the SAT or
     core of classes to be considered for admission:                                                           this program by visiting www.iupui.edu/~ivy.
                                                         considering you for scholarships.                                                                                  ACT including the Writing Section, and
         • 4 years of college-preparatory English;                                                                                                                          submit this score to our office no later
         • 3-4 years of mathematics, including
                                                                                                                                                                            than May 1. Our school code is 1325
           second-year algebra. We highly
                                                                                                                                                                            for the SAT and 1214 for the ACT.
           recommend 4 years;


     Office of Undergraduate Admissions
     Mailing Address:                                         Office Address:                                  Online Services:
     425 University Blvd., Cavanaugh Hall 147                 420 University Blvd.                             Application, policies for transfer of credit and credit
     Indianapolis, IN 46202-5143                              Campus Center 255                                by exam, the University Bulletin, cost, scholarships,
     317-274-4591 Fax: 317-278-1862                           Indianapolis, IN 46202-5147                      financial aid information, and other admissions items
     apply@iupui.edu enroll.iupui.edu                                                                          are available at enroll.iupui.edu.
             F R E S H M A N A P P L I C AT I O N I N F O R M AT I O N
GED Admission                                       The Application                                              months. In this case, attach a note to the front     permission to IUPUI for complete access to
If you have completed the GED, but have not                                                                      of the application stating the month and year        disciplinary records, if any, at the previous
attended a college or university, you are
                                                    Process                                                      you previously applied.                              college or university. For further information
considered a beginning freshman. The following      Admissions Timeline                                          Paying the fee to another campus of Indiana
                                                                                                                                                                      about either of these requirements, call
are the admission requirements:                                                                                                                                       317-274-4591.
                                                    Once your application is complete, you can                   University or Purdue University does not waive
• You must receive an average score of 530
                                                    expect a response within 4-6 weeks. A complete               this fee payment requirement. In cases of            Indiana Residency for
   (53 on the old scale) or higher on the GED
                                                    application will include an application, application         extreme financial need, current high school          Tuition Purposes
   and a score of 500 (50 on the old scale) on
                                                    fee, high school transcript, and SAT or ACT scores           students should consult their high school
   the writing section. If your GED scores are                                                                                                                        Rules determining resident status may be found
                                                    (including the Writing Section).                             counselor and use the College Board, NACAC, or
   below these requirements, you will be deferred                                                                                                                     online at registrar.iupui.edu/resident.html.
                                                                                                                 ACT fee waiver form. Attach the fee waiver form
   to a community college. (See above section       Checking the Status of                                                                                            Transfer Credit and
                                                                                                                 to the front of the application.
   on conditional admission.)                       Your Application                                                                                                  Advanced Standing
• If you are under 19 years of age, you must                                                                     Students with Education
                                                    If you provide us with your email address when
   provide the results of an ACT or SAT test,                                                                    Outside the United States                            If you have completed college level courses
                                                    you apply, you will receive an email with                                                                         while in high school or have military training,
   including the writing section.                                                                                If you are a U.S. citizen, permanent resident,
                                                    instructions on how to create your account and                                                                    DANTES test results, CLEP test results,
                                                    check the status of your application. The email              refugee or asylee and the last year of your
 Application Priority                               will be sent once your application is initially              education was in the United States, you should
                                                                                                                                                                      International Baccalaureate scores, or College
                                                                                                                                                                      Board Advanced Placement (AP) scores, please
 Dates and                                          processed.                                                   apply through the Office of Undergraduate
                                                                                                                                                                      provide us with official score results or college
                                                                                                                 Admissions. U.S. citizens who attend American
 Deadlines                                          Important                                                    schools or international schools that hold U.S.
                                                                                                                                                                      transcripts. Our office will then inform you how
                                                                                                                                                                      to check the credits that have transferred online.
 Priority Dates                                     Information                                                  accreditation or Department of Defense Schools
                                                                                                                                                                      To learn more about these areas and possible
 Fall                                                                                                            also apply through the Office of Undergraduate
                                                    Ethnicity                                                                                                         credit, consult enroll.iupui.edu/cbe.
 • December 1: Priority Date for Maximum                                                                         Admissions. All other prospective students must
   Consideration for Scholarships                   Ethnic information is gathered in compliance with            apply through the Office of International Affairs.   Military Training
 • February 1: Priority Date for                    the definitions and procedures included in the               You may contact them for materials at             Military training will be evaluated for college
   Admissions-Based Scholarships                    1997 revision of the OMB Statistical Policy                  http://iapply.iupui.edu/, by email at             credit. Please include a copy of your DD214 or
 • May 1: Priority Date for Full Consideration      Directive No. 15 and the U.S. Department of                  iapply@iupui.edu, or by phone at                  DD295. You can receive up to eight semester
   for Admission                                    Education Final Guidance on Maintaining,                     317-274-7000.                                     hours of transfer credit for completion of basic
 Spring November 1                                  Collecting, and Reporting Racial and Ethnic Data             Criminal Activity Disclosure training. Additional credits may be granted for
 Summer I March 15                                  to the Department of Education (Federal                      Policy                                            specialized military training listed on these
 Summer II May 1                                    Register, Vol. 72, No. 202, 10/19/2008).                                                                       documents; however, the total credit will be
                                                    This information will not be used in determining             IUPUI is committed to maintaining a safe
 You may apply as early as one year in                                                                                                                             limited to fifteen hours. Students who are
                                                    your admissibility to IUPUI.                                 environment for all members of the University
 advance of your proposed enrollment.                                                                                                                              admitted into Purdue programs will only receive
                                                                                                                 community. As part of this commitment, IUPUI
                                                    IUPUI prohibits discrimination based on arbitrary                                                              a total of eight semester hours for all of their
 ADMISSIONS MAY CLOSE AFTER THE                                                                                  requires applicants who have (1) been convicted
                                                    consideration of such characteristics as age,                                                                  military experience.
 PRIORITY DATE WITHOUT ADVANCE NOTICE.                                                                           of any felony or a misdemeanor such as simple
 Consult enroll.iupui.edu for additional details.   color, disability, ethnicity, marital status, national       battery or other convictions for behavior that    Final Transcripts
                                                    origin, race, religion, sexual orientation, or               resulted in injury to a person(s) or personal
 Programs with Separate                             veteran status.                                                                                                If you are currently enrolled in either high school
                                                                                                                 property or (2) a history of formal disciplinary
 Deadlines and Additional                                                                                                                                          or college courses, you must arrange for a final
                                                    Social Security Number                                       action at any college or university attended to
 Requirements                                                                                                                                                      transcript to be sent to the Office of
                                                                                                                 disclose this information as a mandatory step in Undergraduate Admissions. The high school
 Dental Assisting                                   Please note that Section 483 and 484 of the                  the application process. A previous conviction or transcript will be reviewed for satisfactory
 Submit an IUPUI application by May 1 and a         Higher Education Act (HEA) of 1965, as                       previous college disciplinary action does not
                                                    amended, provide the Department of Education                                                                   completion of entrance requirements and a
 separate application, available online, by                                                                      automatically bar admission to the University,
                                                    the authority to ask you and your parents the                                                                  college transcript reviewed for credit evaluation.
 June 1. Obtain the application at                                                                               but does require review.
                                                    questions on the FAFSA and to collect the Social                                                               High school seniors who have been admitted
 enroll.iupui.edu/dental. Call 317-274-4407
                                                    Security numbers of you and your parents. State              Complete information must be sent by certified       prior to final grades and who then receive a D or
 for more information on the program.
                                                    and institutional student financial aid programs             mail with the application for admission to the       F in a Core 40 course required to earn the Core
 Radiography                                        also may use the information that you provide                Office of Undergraduate Admissions, 425              40 endorsement must notify the Director of
 Freshman applicants who complete a                 on the FAFSA to determine if you are eligible to             University Blvd., Cavanaugh 147, Indianapolis,       Undergraduate Admissions to discuss enrollment
 minimum of five courses for college credit prior   receive state and institutional aid.                         IN 46202-5143. A form is available to assist         options.
 to entry at IUPUI for direct entry into the                                                                     students in providing the necessary information
                                                    You will be assigned a ten-digit number that will                                                                 Electronic Transcripts
 Radiography Program. This includes English                                                                      by going to enroll.iupui.edu/beha.
 composition, college-level mathematics (MATH       be your University I.D. That number will be                                                                       IUPUI prefers that students submit their high
                                                    included with your admission correspondence.                 Applicants are responsible for maintaining the       school transcripts electronically. Students in
 153), human anatomy and human physiology
                                                    Your Social Security Number will not be used for             receipt certifying that the letter has been          Indiana can have their high school transcripts
 (or human biology I/II) as well as medical
                                                    this purpose.                                                received by IUPUI. Information should be             sent to our office using Indiana’s eTranscript
 terminology. To apply, submit both an IUPUI
                                                                                                                 submitted in English and should include: a           service. We also accept electronic transcripts via
 application and a Health Professions Programs      Application Fee                                              brief explanation, location (city, state,            Docufide and eScrip-Safe. Please check with your
 application by November 15 in the year prior
                                                    A nonrefundable $50 application fee is required              country) of conviction of previous conduct,          guidance counselor on how to initiate the
 to entry. The HPP application can be obtained
                                                    and must be paid by check if applying with a                 dates and court disposition. This statement          process. If your school uses a different method
 by calling (317) 278-4752, emailing
                                                    paper application. Make the check payable to                 must also include a grant of permission to IUPUI     of sending electronic transcripts, please have
 askhpp@iupui.edu or consulting medicine.iu.
                                                    IUPUI. Do not send cash. Applications will                   for complete access to criminal records, if any.     them contact us so we can learn how to receive
 edu/hpp. Applications received after
                                                    not be reviewed until the application fee has                Applicants who have been disciplined at another      them.
 November 15th will be considered for
                                                    been paid.                                                   college or university must provide a statement,
 admission under a pre-professional status.
                                                                                                                 which includes a brief explanation, location and
 Applicants must then submit HPP application        You must pay the application fee unless you
                                                                                                                 name of institution, dates, and disposition of the
 the following year to be considered for entry.     previously applied to IUPUI within the past 18
                                                                                                                 case. This statement must also include a grant of

                                                                                                             2
      Areas of study (For question 16, please write the entire area of study description in the space provided.)

Accounting                                     Clinical Laboratory Science (Pre-Clinical Lab Sci)   Health Services Management                           Physics & Accelerated Masters in Mechanical Engineering
Actuarial Science (Mathematics)                Communication Studies                                Health Tourism*                                      Physics Teaching
Africana Studies                               Computer & Information Technology                    History                                              Policy Studies, Public Affairs
African Studies*                               Computer Engineering                                 Human Communication in a Mediated World*             Political Science
American Sign Language/English Interpreting    Computer Engineering Technology                      Human Computer Interaction*                          Pre-Agriculture (completes at Purdue University)
American Sign Language/English Interpreting*   Computer Graphics Technology                         Human Resource Management                            Printmaking (Herron Pre-Fine Arts)
Anthropology                                   Computer Science                                     Human Resource Management*                           Psychology BA degree
Architectural Technology                       Computer Science – Applied*                          Individualized Major Liberal Arts BA degree             Pre-Dentistry
Art Education                                  Construction Management*                             Individualized Major Science BS degree                  Pre-Law
Art (Herron Pre-Fine Arts)                     Construction Engineering Management Technol-         Informatics                                             Pre-Medicine
Art History                                    ogy                                                  Information Technology*                                 Pre-Occupational Therapy
Arts & Humanities (2-year program)             Criminal Justice                                     Interdisciplinary Engineering                           Pre-Optometry
Beverage Management*                           Cultural Heritage Tourism*                           Interdisciplnary Studies Major Science BS degree        Pre-Pharmacy
Biology BA                                     Cytotechnology (Pre-Cytotechnology)                     Pre-Dentistry                                        Pre-Physical Therapy
   Pre-Dentistry                               Dental Assisting*                                       Pre-Law                                              Pre-Veterinary
   Pre-Law                                     Dental Hygiene (Pre-Dental Hygiene)                     Pre-Medicine                                      Psychology BS degree
   Pre-Medicine                                Earth Science (secondary teaching)                      Pre-Optometry                                        Pre-Dentistry
   Pre-Occupational Therapy                    E-Commerce*                                             Pre-Pharmacy                                         Pre-Law
   Pre-Optometry                               Economics                                               Pre-Veterinary                                       Pre-Medicine
   Pre-Pharmacy                                Electrical Engineering                               Interior Design Technology                              Pre-Occupational Therapy
   Pre-Physical Therapy                        Electrical Engineering Technology                    International Studies                                   Pre-Optometry
   Pre-Veterinary                              Electronic Journalism                                Journalism                                              Pre-Pharmacy
Biology BS                                     Elementary Education                                 Labor Studies                                           Pre-Physical Therapy
   Pre-Dentistry                               Energy Engineering                                   Labor Studies*                                          Pre-Veterinary
   Pre-Law                                     English                                              Leadership Studies*                                  Public Relations Journalism
   Pre-Medicine                                English Education (teaching)                         Lodging Management*                                  Public Safety Management
   Pre-Occupational Therapy                    Environmental Health Science                         Management SPEA                                      Radiation Therapy (Pre-Radiation Therapy)
   Pre-Optometry                               Environmental Science BS                             Marketing                                            Radiography (Pre-Radiography)
   Pre-Pharmacy                                   Pre-Dentistry                                     Math Teaching                                        Rehabilitation & Disability Studies*
   Pre-Physical Therapy                           Pre-Law                                           Mathematics                                          Religious Studies
   Pre-Veterinary                                 Pre-Medicine                                         Pre-Dentistry                                     Respiratory Therapy (Pre-Respiratory Therapy)
Biology Teaching                                  Pre-Optometry                                        Pre-Law                                           Sculpture (Herron Pre-Fine Arts)
Biomedical Engineering                            Pre-Pharmacy                                         Pre-Medicine                                      Social & Behavioral Science (2-year program)
Biomedical Engineering Technology                 Pre-Veterinary                                       Pre-Optometry                                     Social Studies Education (teaching)
Biotechnology                                  Events Management*                                      Pre-Pharmacy                                      Social Work
   Pre-Dentistry                               Exercise Science                                        Pre-Veterinary                                    Sociology
   Pre-Law                                     Exploratory                                          Mechanical Engineering                               Spanish
   Pre-Medicine                                Finance                                              Mechanical Engineering Technology                    Spanish Education (teaching)
   Pre-Optometry                               Fitness Studies                                      Media Arts & Science                                 Sports Management
   Pre-Pharmacy                                Food Production Services*                            Medical Coding*                                      Sports Journalism
   Pre-Veterinary                              Forensic & Investigative Sciences                    Medical Imaging Technology (Pre-Medical Imag Tech)   Supply Chain Management
Business Foundations*                             Pre-Dentistry                                     Motorsports Engineering                              Technical Communication*
Business Management                               Pre-Law                                           Motorsport Engineering Technology*                   Theatre & Performance*
Ceramics (Herron Pre-Fine Arts)                   Pre-Medicine                                      Museum Studies*                                      Tourism, Conventions, & Event Management
Chemistry BA                                      Pre-Optometry                                     Music Technology                                     Translation Studies*
   Pre-Dentistry                                  Pre-Pharmacy                                      Network Security*                                    Travel Planning*
   Pre-Law                                        Pre-Veterinary                                    Newswriting Journalism                               Visual Communication (Herron Pre-Fine Arts)
   Pre-Medicine                                French                                               Nuclear Medicine Technology (Pre-Nuclear Med Tech)
   Pre-Occupational Therapy                    French Education (teaching)                          Nursing                                              * indicates certificate, generally a one-year program
   Pre-Optometry                               Furniture Design (Herron Pre-Fine Arts)              Organizational Leadership & Supervision
   Pre-Pharmacy                                Geographic Information Science*                      Painting (Herron Pre-Fine Arts)                      Important Note: Depending on the
   Pre-Physical Therapy                        Geology BA                                           Paralegal Studies*                                   requirements for admission to your
   Pre-Veterinary                              Geology BS                                           Paramedic Science (Pre-Paramedic Sci)                desired area of study, students will
Chemistry BS                                      Pre-Dentistry                                     Personal Training*
                                                                                                                                                         either be considered for admission to
   Pre-Dentistry                                  Pre-Law                                           Philanthropic Studies
                                                                                                    Philosophy
                                                                                                                                                         University College or for dual admission
   Pre-Law                                        Pre-Medicine
   Pre-Medicine                                   Pre-Optometry                                     Photography (Herron Pre-Fine Arts)                   to University College and the school of
   Pre-Occupational Therapy                       Pre-Pharmacy                                      Physical Education & Health Education (teaching)     your desired major. Regardless of the
   Pre-Optometry                                  Pre-Veterinary                                    Physics                                              admission option offered, all students
   Pre-Pharmacy                                German                                                  Pre-Dentistry                                     will have the benefit of the University
   Pre-Physical Therapy                        German Education (teaching)                             Pre-Law                                           College orientation, placement testing,
   Pre-Veterinary                              Gerontology*                                            Pre-Medicine                                      advising, and support services.
Chemistry Teaching                             Global Health & Rehabilitation Studies*                 Pre-Optometry
Chinese Studies*                               Health Information Administration                       Pre-Pharmacy
Civic Leadership                               Health Sciences                                         Pre-Veterinary

                                                                                                           3
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                                                                                                                                                                                                                                        Freshman Application
                                            Indiana University - Purdue University Indianapolis
              sp LINE
            re N .
                                            Office of Undergraduate Admissions
                                            425 University Boulevard, CA147
         ter LY O edu                       Indianapolis, IN 46202-5143
      fas PP       u i.                     317-274-4591 FAX 317-278-1862
  r a e A l.iup                             Email: apply@iupui.edu
Fo as rol                                   PRINT WITH BLACK INK OR TYPE                                                         Freshman Application
   ple t en
        a       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 Male c 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 also may use the information




                                                                                                                                                                                                >> ATTACH $50 APPLICATION FEE HERE <<
          that you provide on the FAFSA to determine if you are eligible to receive state and institutional aid. If you consent to the use of the SSN for these purposes, please supply your
          SSN above. See page 2 for more information.

       6. Home address: ___________________________________________________________________________________________________
                                    Number                                Street

            _____________________________________________________________________________________________________________________________

            _____________________________________________________________________________________________________________________________
                                          City                              State                                  Zip

       7. County (Indiana residents only): ________________________                   8. Phone: Home (           ) ____________________            Cell (     )____________________

       9. Email: ___________________________________________________________________________________________________________
          Your email address is important. Please list an account that you will check regularly for notices on how to check the status of your application, items missing
          from your application, notifications of decisions, and invitations to IUPUI events.

     10. What is your country of citizenship?___________________________________________________________

     11. If you are NOT a U.S. citizen, what is your immigration status? c Permanent Resident c Refugee c Other ___________________
                                                                         c Political Asylee   c F or J Visa

     12. Ethnicity and Race (If you are a US Citizen, Permanent Resident, Refugee, or Political Asylee, please respond.)
         Are you Hispanic or Latino? c Yes c No
         What is your race? (Select one or more; see page 2 for more information.)
         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 U.S. Armed Forces, list the branch of service and approximate dates of military service. (Veterans may receive credit for
         their military service experience by filing a copy of their DD Form 214 or DD Form 295. See p. 2 for more information.)
            _____________________________________________________________________________________________________________________________
     14. Did your parents/guardian or spouse serve in the United States armed forces? c Spouse c Parent(s)/Guardian(s)
     15. When do you wish to enroll at IUPUI? (Check only one.) c August c May c June c January Year________________
     16. Intended major: ___________________________________________________________________________________________________
         (See p. 3 for a list of areas of study.)
     17. Your high school information (If you have a GED, skip to question 18.):
            ___________________________________________________________________________________ Graduation Date ______ / ______
              High School or Home School Name            City                  State                             Month     Year
     18. If you did not complete high school, you must provide a copy of your GED scores. Date of GED _______________ / _______________
                                                                                                            Month             Year
           What are your GED Scores? ___________________________________________________________________________________________________
     19. 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 ______ /______
     20. Have you been convicted of a felony, been subject to formal disciplinary action at any college or university, or have you engaged in
         behavior that resulted in injury to person(s) or personal property? (See page 2 for more information.)
         c Yes c No
     21. Check here if you would like information about Army ROTC: c

     22. Have you participated in any of the following:                   c Head Start c Upward Bound/Trio c 21st Century Scholars
                                                                                                   4
  Parent Information
  (Complete if you are under the age of 21)

23. Parent’s name: __________________________________________                                           c Mother c Father c Other Relationship ________________________

     Parent’s email: _______________________________________________________________________________________________________

     Parent’s home address: (Number/Street, City, State, Zip) _________________________________________________________________________

     What is the language spoken at home? c English c Spanish c Other_____________________________________________________

24. Did either of your parents earn a four year college degree? c Yes c No

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

26. What state do you claim as your legal residence?__________________________________________________________________________

         If you are claiming Indiana as your legal residence, please answer the following.
         Dates you have lived in Indiana (you must check one): c Birth to present c From (mo/yr) ______ / ______ to (mo/yr) ______ /______
                                                                           c Never resided in Indiana
     (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.)

27. 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.

                                                  First Semester                                                                      Second Semester

     ____________________________________________________________________________________________________________________

     ____________________________________________________________________________________________________________________

     ____________________________________________________________________________________________________________________

     ____________________________________________________________________________________________________________________

     ____________________________________________________________________________________________________________________

     ____________________________________________________________________________________________________________________

     ____________________________________________________________________________________________________________________

28. Signature – The application must be signed by the applicant. By signing, you acknowledge the following:
     I certify that all statements on this application are correct and complete, including a list of all schools attended. I understand that withholding pertinent information requested on this application
     or giving false information constitutes grounds for immediate withdrawal of my application from further consideration and cancellation of admission or registration.
     If necessary, I have enclosed a letter describing any criminal or disciplinary 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 permission to officials at all institutions and agencies involved to release information needed by IUPUI to
     substantiate statements I have made in my application or my letter.

     Applicant’s Signature ___________________________________________________________________________________ Date ________________________

  Part Two – For high school counselor or principal. Required for all applicants who have not yet graduated from high school. The completed
  application should be forwarded to the Office of Undergraduate Admissions, 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.
Please send the transcript electronically if you are able to do so.
 1. Applicant ranks: ______________ in a class of ______________
     Current grade point average: ______________ on a 4PT 5PT 6 PT 8PT 10PT 12PT                                                       ______________ other scale
                                                              (circle scale)
     Date of graduation (mo/yr): ______ / ______                       Your College Board 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 residents only (check if appropriate):
    a. Student will receive: c Core 40 with Academic Honors c Core 40 diploma c Core 40 diploma with Technical Honors
    b. 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.
COUNSELOR RECOMMENDATION: Please attach any comments on a separate piece of paper.
                                                                                                    5
Indiana University - Purdue University Indianapolis
Office of Undergraduate Admissions
425 University Boulevard, CA147
Indianapolis, IN 46202-5143

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Freshman Application                                                                                                                                  Key Facts:
                                                                                                                                        Location                Indianapolis, Indiana
We think you should consider Indiana University-Purdue University Indianapolis for your college education. IUPUI is Indiana’s
                                                                                                                                        Metro Population                 1.3 million
urban public university with top-level undergraduate, graduate, and professional degree programs.
                                                                                                                                        Student Body                        30,000+
Being a joint campus of both Indiana University and Purdue University, our students receive degrees from these nationally-              Undergraduate Students              22,000+
recognized institutions while studying in the heart of Indianapolis. Indianapolis is the economic center of Indiana, and through        Graduate Students                     8,000+
strategic partnerships and alliances with the city, IUPUI students have resources right at their doorstep to take their education out   Undergraduate Majors                    200+
of the classroom and into the real world.                                                                                               Student/Faculty Ratio                16-to-1
                                                                                                                                        Campus                             509 acres
To learn more about IUPUI, be sure to check out our website. There you can:                                                             Alumni                            140,000+
• Apply online                                                                                                                          % of Classes with 30 or
• Join our mailing list                                                                                                                    Fewer Students                       69%
• Investigate IUPUI’s world-renowned programs                                                                                           Average H.S. GPA of Admitted Students B+
• Keep up-to-date with news from campus
                                                                                                                                        % of Admitted Students in
• Find out about our many opportunities for scholarships                                                                                   Top Third of H.S. Class              69%

                                            enroll.iupui.edu                                                                            % of Freshmen Admitted                  61%

                                                                                                                                            Office of Undergraduate Admissions 2011-2012

				
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