Nursing Inquiry Form
Contact information
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Country:
Primary Phone: ( ) -
Cell Phone: ( ) -
 You may send me text messages
E-mail:
Confirm E-mail:
 
In which program / track are you interested?
 
I would also like to receive information about the following program.
 
Anticipated enrollment
Fall     Spring     Summer       Year 
 
I will be enrolling as:
an incoming Freshman
a Transfer student
a Graduate student
 
Education / degree(s) that I have include(s)
 
Have you applied to ISU?
Yes     No     I am already an ISU student
 
Have you requested that your official transcript
(high school, other educational institutions) be sent to ISU?
All electronic transcripts must be sent to: Admissions@indstate.edu
Yes     No    
 
Have you previously requested information from the nursing program at ISU?
Yes     No    
 
Additional Comments or Questions: