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NATIVE EYES ONLINE APPLICATION

Please use this application only if you are applying for the Native Eyes Distance Learning Program.

Starting Semester Fall Spring
Name
SS#
Sex
M   F
Address
City
State
Zip
Phone
Birth Date
Email
U.S. Citizen
Yes No
Marital Status
Married Single
Have you previously attended IAIA? Yes No
Major
Year entered
 
 
High School Diploma? :
Yes No
 
List all colleges or schools attended and degrees received beyond high school.
Statistical Data  
This information is used for statistical purposes only. It is not used for determination of eligibility for admission to the Institute of American Indian Arts or to any of its programs.
   
How did you hear about IAIA? (check all that apply)
Admissions Representative
Friend
Relative
Alumni
Newspaper Advertisement (Which Newspaper? )
Radio Advertisement (Which Radio Station?)
Higher Education Office
IAIA Web Site
Pow Wow
Conference
Direct Mail
Other


Was IAIA your:

1st 2nd 3rd (or) 4th choice of online higher education?

Further Qualifications (If Any):

(List course(s) and call number you are registering for:)


If you are applying for the Native Eyes Distance Learning Program check here.
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