Ivy Tech Community College of Indiana

Request Information

General Information About You

First Name:		Last Name:
Street Address:		City:
State:		Zip Code:
Phone:		Email:
Anticipated Semester to Start:

General Information Wanted

Choose a campus to contact.

East Chicago
Gary
Michigan City
Valparaiso

Please send me
(You may select more than one.)

viewbook		International packet for F-1 Visa
schedule of classes		you are currently holding an F-1 Visa
application for admission		College for Working Adults Brochure

Please select areas you are interested in studying
(You may select more than one.)

Applied Science and Engineering Technology		Health Sciences
Business		Liberal Arts and Sciences
Education		Public and Social Services
Fine Arts and Design		Technology

Where did you hear about Ivy Tech?
(You may select more than one.)

Radio		Website
Television		Guidance Counselor
Newspaper		Teacher
Received information in mail		Friends/Family
Ivy Tech Recruiter/Staff		Billboard

Additional comments or questions:

Changing Lives...
Changing Northwest Indiana

Ivy Tech Community College
East Chicago, Gary,
Michigan City, Portage
& Valparaiso
1-888-IVY-LINE