Warning

Please enable JavaScript in your browser and reload to access this form.

Select a month

Select the month that works best for you? (* required)

Which day works best for you? (* required)

Which day works best for you?

Reason for Visit

What would you like to do on your visit to IU Kokomo?

Any additional comments?

IU Kokomo Multicultural Center

Would you like to get connected with IU Kokomo’s Multicultural Center? If so, select the center of interest below and a member the community will reach out to you.

Black Student Center

LGBTQ+ Center

Latinos Unidos: Hispanic Center

Student Information

First Name (* required)

Middle Name

Last Name (* required)

Birthdate (* required)

Email (* required)

Phone

Street Address (* required)

City (* required)

State (* required)

Zip Code (* required)

I will enroll as: (* required)

Academic Information

When do you plan to enroll at IU Kokomo? (* required)

Academic Area of Interest (* required)

Visitor Agreement for On Campus Visit Participation

While on campus, visitors must follow IU Kokomo’s on-campus guidance which include but is not limited to: all persons wearing a mask, physical distancing, and staying home if ill.
A person who has COVID-19 symptoms or who is being treated for COVID-19 or potential COVID-19 may not visit campus.
A visitor who develops COVID-19 symptoms while on campus or within 14 days after visit, must immediately inform the university through AVPPSIA@iu.edu.
The max number of persons per visit is the student and two additional individuals 16 years and older (three total).

Yes, I have read the above acknowledgments and I understand and accept them. (* required)

I accept

Cancel