Request Information

Thank you so much for your interest in IU East! Please feel free to contact us with any questions at applynow@iue.edu or (765) 973-8208.

First Name

Last Name

Phone XXX-XXX-XXXX

Type of Admissions

When would you like to begin?

Academic Interest

Available Contact Fields

Citizenship	Birthdate
Citizenship Country Code
Ethnicity (check all that apply) Ethnic-African American Ethnic-American Indian Ethnic-Asian Ethnic-Hawaiian Ethnic-Hispanic Ethnic-White	Gender
Type of Admission	Middle Name
Mobile Country Code	Phone
Previous Last Name (primary)	Primary City
Primary Country	Primary First Name
Primary Last Name	Primary Middle Name
Primary State/Province	Primary Street
Primary Zip/Postal Code	Salutation
Suffix	Twitter Handle
Visa Status Date	Visa Type

Available Opportunity Fields

Area of Interest
Contacted IU Online Via	Enrollment Term
Career - Prospect	Institution - Prospect
	Program Code - Prospect
Recruiting Center	Recruiting Region Code - Prospect
Referral Source Code

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Available Campaign Fields

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Status

Required Campaign Fields (may keep hidden but need to keep on form)

Campaign ID	Event Spaces Left
Parent Campaign ID	Status