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Get Application For Classification As A Reciprocity Student - Ius

RESIDENT TUITION RATES at Indiana University Southeast SUBJECT TO THE CONDITIONS list on the back of this application. PLEASE FILL OUT THE INFORMATION REQUESTED BELOW FALL SPRING SUMMER YEAR: NAME: Last First PHONE #: Middle E-MAIL: UNIVERSITY ID #: DATE OF BIRTH: PLACE OF BIRTH: If you are under 21, who is your parent or legal guardian? What is the State and County of residence of your parent or legal guardian? Check KY County of Residence: Bullitt Jefferson Oldham Shelby Trimb.

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