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Graduate Admissions

Enrollment Verification Form

Complete this form to verify your enrollment at IUP.

All fields are required unless otherwise noted. If you are not attending IUP, please complete the Reason field before submission.

Program

Enrollment Plans

I plan to enroll at IUP for the semester indicated in my letter of acceptance.
I plan to enroll at IUP, but need to defer until the next semester.
My plans have changed and I will not be attending IUP for the following reason: (Complete the field below)

Reason (if not attending)

Contact Information

First Name

Last Name

Student (Banner) ID

E-mail Address

Mailing Address

Address Line 1

Address Line 2 (Optional)

City

State

Zip Code/Postal Code

School of Graduate Studies and Research
Stright Hall, Room 101
210 South Tenth Street
Indiana, PA 15705-1048
Phone: 724-357-2222
Fax: 724-357-4862
graduate-admissions@iup.edu

Office Hours
Monday through Friday
8:00 a.m. – 4:30 p.m.
Summer: 8:00 a.m. - 4:00 p.m.

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