Indian Hills/MMU Transfer Pathway Program Application
PERSONAL INFORMATION
Last Name (Family/Surname)
First Name (Given)
Date of Birth (Month, Day, Year)
Country of Citizenship
E-mail
CURRENT MAILING ADDRESS
Number and Street
City
State / Province
Postal Code
Country
Submit Application to:
Freddy Miranda, M.A.E.
Director of International Aairs
1-800-726-2585, ext. 5266
freddy.miranda@indianhills.edu
www.indianhills.edu/internationalstudents
By answering yes to below you state that you are interested in being part of the Indian Hills/Mount Mercy
University Pathway Program and give permission for Indian Hills and the Mount Mercy University to share
your personal data and educational documents with each other
Yes, I agree to these terms No, I do not agree 
EDUCATIONAL INFORMATION
Have you applied for admission or are you  Yes
currently a student at Indian Hills  No
Community College?
If yes, what will be or was your first semester of enrollment at Indian Hills?
Year   Term 
If no, please move ahead with this process by submitting the Indian Hills admission application at
www.indianhills.edu/internationalstudents