Main Content
Indiana University-Purdue University Fort Wayne
Interest Form

IPFW classes begin August 25 , but registration starts March 31. To register for a class that will fit your high school schedule, you should begin the application process right away. Please note that this form only indicates your interest in participating in the program and which courses you are interested in attending. You must complete the application process in order to be admitted to IPFW.

Personal Information

Name           

Email Address              

Street Address

City      State   ZIP Code

    Telephone 1 - -        Telephone 2 - -

Name of High School

I believe I am eligible for financial aid (consult Financial Aid Requirements).

Course Information

Please indicate the IPFW course you are interested in taking.
Note:
You will only be registered in your second choice if your first choice is full.

First Choice

Course Title:        Course Number:

Day(s):       From: a.m. p.m.       To: a.m. p.m.

Second Choice

Course Title:       Course Number:

Day(s):       From: a.m. p.m.       To: a.m. p.m.


Additional Course(s)

If you would like to enroll in two classes, please indicate the additional course below.
Note: You will only be registered in your second choice if your first choice is full.


First Choice

Course Title:       Course Number:

Day(s):     From: a.m. p.m.        To: a.m. p.m.

Second Choice

Course Title:       Course Number:

Day(s):    From: a.m. p.m.       To: a.m. p.m.

Note: You will only be registered in your second choice if your first choice is full.

Comments (optional):

     

Photo of Pencil Erasers
Footer Links
  • News
  • Events
  • Maps
  • People
 Indiana University-Purdue University Fort Wayne