returning-student: Undergraduate: NON-CAS: Current Students: Indiana University

I. Student Information

Last Name*

First Name*

If you were previously registered under a different name, please list:

University ID*

Date of Birth*

Complete Mailing Address:

Street*

City*

State*

Zip*

Phone*

Email Address*

I intend to enroll*:

   Fall
   Spring
   Summer

Year:

Last semester/summer session attended IU*:

   Fall
   Spring
   Summer

Year:

If you have completed any college coursework since last enrolled at IU, please complete the following:

College*

Date*

Degree*

If you enrolled at another college/university after beginning studies at IU, you must submit official transcripts from the school(s) that you attended and meet requirements for reenrollment at IU.

Behavior Disclosure

We are committed to maintaining a safe learning environment. As part of that commitment, Indiana University requires applicants to disclose if they

have been subject to formal disciplinary actions (including for example, but not limited to, suspension or expulsion for academic or non-academic reasons at any high school, postsecondary institution, college or university;
have been charged with or convicted of a crime (or a foreign legal equivalent) that has not been expunged by a court;
and/or have been engaged in behavior that caused injury to person(s) or personal property (including for example, but not limited to, vandalism or behavior that led to a restraining order against you) which resulted in some form of discipline or intervention.

Please note: A previous disciplinary action, charge, conviction, or conduct of the sort identified here does not automatically disqualify applicants from admission to IU, but they do require review by the campus admissions committee. Furthermore, the review of any behavior disclosure information provided will be conducted independently of the evaluation of your academic eligibility for admission and will only be shared with the admissions committee and/or with other officials at IU who have a need to know as part of the behavior review process.

Please answer the following questions:

Have you been subject to formal disciplinary action (including for example, but not limited to, suspension or expulsion) for academic or non-academic reasons at any high school, post-secondary institution, college or university? *

YES
NO

Have you ever been charged of a crime (or a foreign legal equivalent) that has not been expunged by a court? Also selection “yes” if you have currently pending criminal charges (or a foreign legal equivalent) against you. *

YES
NO

If you answered yes to any of the above questions, you must provide additional documentation that contains a complete explanation (in English) of:

the disciplinary action, charges, conviction, or other behavior that cause injury to person(s) or property which resulted in some form of discipline or intervention;
the dates and court disposition (court ruling or result),
the location (city, state and country),
the impact the incident(s) had on you, and
a statement granting your permission to officials at all institutions and agencies to release information needed by IU to substantiate statements made in your application or letter.

Option: If you you answered 'YES':

Please note the campus behavior committee may require additional information from you and that additional time may be required to review the information you provide. You also have a continuing obligation to inform the committee of any formal disciplinary action that occurs prior to class registration or attendance, whichever is applicable.

Signature: *

Date*

* Indicates a required field.

Current Students

returning-student

Returning Student Status Update Form

Additional links and resources

returning-student

Returning Student Status Update Form

Current Students resources

Additional links and resources