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Indiana University Bloomington

University Division

Returning Student Application

Full Legal Name:

First:         Middle: Last:

          If you do not have a middle name, please type "none".

Former Name:
    If you attended IUB under another name, you must submit a name change to the Registrar in Franklin Hall 100.

Email Address:

Your Ten-Digit University Identification Number:     Date of Birth:

If you do not know your ten-digit IU ID number, you may look it up on the IT Account Management site.

Home Address:

Street Address:

City: State:      Zip:

Phone:        

Year and semester you wish to return to IUB:

Year:   
January (Spring) May (Summer I) June (Summer II) August (Fall)

School or Division Last Enrolled:

Intended Major:

Have you attended any other college or university since you last attended an IU campus?
 Yes No

If Yes, then please list those schools, dates attended, and degree:


If you completed coursework at another college or university since you were last enrolled at an IU campus, you will need to send an official transcript from that school to the IUB Adminssions office.

Are you currently enrolled at an IU Regional campus: Yes No

Regional Campus:
Columbus East Fort Wayne Indianapolis
Kokomo Northwest South Bend South East

Hours currently enrolled:  

Indiana University Bloomington is committed to maintaining a safe learning environment for all members of the university community. As part of this commitment, Indiana University Bloomington requires applicants who have been charged with or convicted of a misdemeanor or a felony, or who have engaged in behavior that resulted in mental or physical injury to person(s) or personal property, to disclose this information as mandatory step in the application process.

Have you been charged with or convicted of a misdemeanor or a felony, or engaged in behavior that resulted in mental or physical injury to person(s) or personal property?

Yes    No