Special Programs Enrollment Form

NOTE: Fields marked with * are required.

What program are you applying for?*	Legal English MBA Preparatory Program
Indiana UID (10-digit code):*
Last Name:*
First Name:*
Indiana username (if known):
Non-IU email address:*
Date of Birth	Month: Date: Year:
Are you a sponsored student?*	Yes No
	If yes, please identify the name of your sponsor:
I understand that, by submitting this enrollment form to the Intensive English Program (IEP), I have indicated my intention to enroll in the summer intensive programs offered through the IEP. I agree to pay the $1865 program tuition and the $75 enrollment fee on registration day during orientation. Please type “YES” in the box as your e-signature:*