The Media School Virtual Visit

Student Contact Information

Student first name

Student last name

Student preferred name

Student pronouns

Other pronouns

Student birthdate

Student email address

Student mobile phone number

I consent to receive SMS communications from Indiana University Bloomington. I understand that consent is not a condition of application or enrollment.

Are you a U.S. Citizen/Permanent Resident?

Yes

Student mailing address

Country

Street

City

Region

Postal Code

Education Information

Name of high school or current institution

Student type

High school graduation year

Expected IU entry term

Major of interest

Secondary major of interest

Have any of your parents, guardians, or your spouse served in the United States Armed Forces, currently or in the past?

Yes

Are you a member or veteran of the United States Armed Service?

Yes

Are you a TSAP Student? (Ivy Tech/Vincennes students only)

Yes

Guest Information

I would like a parent or guardian to receive email reminders about this event registration.

Yes

Relationship to student

Parent or guardian first name (limit 1)

Parent or guardian last name (limit 1)

Parent or guardian email address (limit 1)