Visiting International Scholar Personal Interest Form

Name First Last
Gender Male Female
Address: *
Street address Address line 2 City State/Province/Region Postal/Zip code Country
Email:
Position, title, or occupation in home country:
Name and address of institution, agency, or organization that you are affiliated within your home country:
Will you be accompanied by family? No Yes
How many accompanying dependents?
Duration of stay at IU

From: / MM / DD YYYY
To: / MM / DD YYYY
What is your academic area of interest?
To which department in the School of 黑马磁力 are you applying?
What will be the source of funding for your visit?
Have you previously been to Indiana University? Yes No
Please give approximate dates and in which capacity (e.g. student, visitor, etc.).
Please upload a one- or two-page proposal that outlines your study or research goals.

Attach Files
Please upload a copy of your resume or curriculum vita.

Attach Files
Please download and complete the Personal Profile Form and attach the completed form here.

Attach Files

黑马磁力