If you wish to enroll in any of
the following
business courses, please send a copy of your transcript (can be unofficial)
along with this application. The Eberly College of Business must approve
your admission to these courses: BTST 321, FIN 310, FIN 320, FIN 324, IFMG 300,
MGMT 300, MGMT 310, MGMT 330, MGMT MGMT 454, MGMT 459, MGMT 495, MKTG 320,
MKTG 321, MKTG 351, MKTG 421, MKTG 440, MKTG 442 QBUS 215.
If you wish to
enroll in PSYC 320 or PSYC 321 please contact the Psychology Department (724-357-2426)
or the department chairperson (mlzanich@iup.edu).
(Mail a copy of the instructor's message granting permission along with the
application form.)
If you wish to enroll in GEOS
101, please email the instructor kcercone@iup.edu before applying. (Mail a copy of the instructor's
message granting permission along with the application form.)
If you wish to enroll in CRIM
225, CRIM 344, CRIM 384, or CRIM 400 contact the Criminology Department
(724-357-2720) or
Erika Frenzel 724-357-2720 or dvmm@iup.edu
for permission.
If you wish to enroll in MATH
105 contact Department Chairperson (Gary Stoudt
gsstoudt@iup.edu 724-357-2608) for
permission.
Please enroll me in the courses selected below:
(Example: ACCT 201 would be listed
as: Subject: ACCT, Course: 201; CRN#: 30928; Course Title: Accounting
Principles I)
Subject
Course
CRN#
Course Title
Subject
Course
CRN#
Course Title
Subject
Course
CRN#
Course Title
Subject
Course
CRN#
Course Title
Social Security Number:
-
-
Name:
Title: (please choose one)
If Other, please specify:
Last Name
First Name
Middle Initial
Have you previously taken IUP college credit courses?
Yes
No
Last name used at that time
What college do you presently attend?
Preferred Mailing Address for Billing and Distance Education Course Materials:
Street Address
City
State
Zip Code
PA County
Day Phone
Evening Phone
Preferred Email Address
PA Resident Yes
No If yes, for how many
years
Date of Birth:
Your date of birth will be kept confidential and used solely for registration
and statistical purposes.
Month Day Year
Are you an IUP employee, or the daughter/son of an IUP employee?
Yes
No
If yes, please indicate employee name if other than
yourself.
Optional Information:
The information requested is voluntary. It is intended for statistical
purposes only, and will not be used as a factor in determining your eligibility
for distance education courses.
Gender:
Ethnic Identity:
If Other, please specify:
International Student Information
US Citizen Permanent resident
Green Card
Other (specify visa type)
Note: International applicants will receive international
information forms upon receipt of this application which must be completed in
addition to this application.
Is English your native language?
Yes
No
If no, have you taken the Test of English as a Foreign Language (TOEFL)?
Yes
No
If you have taken the TOEFL, provide date of exam? Month
Day Year
Total score
High School Information:
School Name
High School Graduation/Projected Date: Month
Year
Are you a graduate of:
High School
Yes
No
If GED: Year
College
Yes
No
Have you earned a bachelors degree?
Yes
No
How did you learn about IUP's Distance
Education Courses?
Policy Governing Non-IUP Students Taking
Undergraduate Distance Education Courses:
Enrollment in distance education courses does
not constitute acceptance into any degree or certificate program at IUP.
Students interested in completing a degree or certificate, which would require
on-campus attendance, should submit a formal application to the appropriate
office: Admissions (Full-time) or School of Continuing Education (Part-time).
In order for your application to be official,
please complete, print, and sign and date this form. Mail your
completed application package to the address below.
Indiana University of Pennsylvania
School of Continuing Education
Keith Hall, Suite 100
390 Pratt Drive
Indiana, Pennsylvania 15705-1092
There is a one time
$35 nonrefundable application fee (make check payable to Indiana University of
Pennsylvania). Once enrolled, you will receive written confirmation
along with your Banner ID and instructions for accessing IUP email. Your
course information will be sent to your IUP email account several weeks prior to
the first day of class. If, for some reason we are unable to register you
for your selected course(s), we will contact you by phone or by the email
address you have supplied above. Also, once enrolled, if you decide you
would not like to participate in the course, you must contact the School of
Continuing Education via e-mail at
ce-info@iup.edu
or
telephone 1-800-640-7421 BEFORE the two-thirds point of the semester or
session. Failure to notify IUP will result in continued billing, the
complete loss of tuition and fees paid, and a failing grade in the course(s).
By my signature I attest that all information
on this application is complete and correct. Any omission, falsification, or
misrepresentation on the part of the applicant is cause for denial, cancellation
or dismissal from IUP if subsequently discovered. All documents submitted in
support of the application become the property of IUP. I also understand the
application fee is nonrefundable.
Thank you for completing your application to Indiana University of Pennsylvania.
Correspondence
regarding this site should be sent to its maintainer,
Karen Pizarchik.
Please see IUP's statement
regarding pages that do not officially represent the university.
