University of Southern Indiana

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Contact Information

First Name*

Last Name*

Email Address*

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Cell Phone

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Date of Birth*(mm/dd/yyyy)

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Street Address

Apt #, Suite, etc.

City*

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Academic Information

Plan to enter USI in:*

Will enter USI as a...*

Academic Level*

Interested in studying*
Academic Programs include Bachelor of Science (B.S.);
Bachelor of Arts (B.A.) - requires a foreign language;
Associate of Science (A.S.) and Associate of Arts (A.A.)

Academic Programs include Bachelor of Science (B.S.);
Bachelor of Arts (B.A.) - requires a foreign language;
Associate of Science (A.S.) and Associate of Arts (A.A.)

Account Information

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