Ivy Tech2MSJ Connections Scholars Application

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I am a current Ivy Tech student

Your Ivy Tech location:
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School CEEB

Connections Scholar Applicant

Ivy Tech ID

Current Ivy Tech major

Anticipated Ivy Tech Graduation Year

First Name

Middle Name

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

May we text you?

Yes

No

Cell Phone (required if you would like to receive text messages)

Home Phone

I am a prospective:
Adult Transfer I have been out of high school for 4 or more years and have attended college.
Transfer I have attended college and been out of high school less than 4 years.

Select One

What semester do you plan to enroll?

What MSJ major are you interested in?

Are you interested in this program on-campus or online/virtual?

Have you attended any other colleges or universities other than Ivy Tech?

Yes

No

By submitting this form I give my permission to Ivy Tech to release my enrollment status, earned hours, and GPA to Mount St. Joseph University.

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Ivy Tech2MSJ Connections Scholars Application