Download a Paper Application

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Fill out the form below to download a printable application and application instructions. You may also apply online.

All fields are required except as indicated and should be completed by the student.

High School Graduation Year

Type of Admission

Intended Program

Are you interested in receiving information about the Cook Honors College?

First Name

Last Name

Your Birth Date

Month

Day
,

Year

Your E-mail Address

Home Phone

Cell Phone (Optional)

Text Messages
If providing a Cell Phone number, would you like to receive text messages from IUP?

Address Line 1

Address Line 2 (Optional)

City

State

Zip Code/Postal Code

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