Indian Hills/UNI 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
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 rst 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
By answering yes to below you state that you are interested in being part of the Indian Hills/University of Northern
Iowa Pathway Program and give permission for Indian Hills and the University of Northern Iowa to share your
personal data and educational documents with each other
Yes, I agree to these terms No, I do not agree
Submit Application to:
Freddy Miranda, M.A.E.
Director of International Aairs
1-800-726-2585, ext. 5266
freddy.miranda@indianhills.edu
www.indianhills.edu/internationalstudents
Indian Hills/UNI 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
EDUCATIONAL INFORMATION
Have you applied for admission or are you
currently a student at Indian Hills
Community College?
Yes
No
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
By answering yes to below you state that you are interested in being part of the Indian Hills/University of Northern
Iowa Pathway Program and give permission for Indian Hills and the University of Northern Iowa to share your
personal data and educational documents with each other
Yes, I agree to these terms . No, I do not agree .
Submit Application to:
Kristi Marchesani
University of Northern Iowa
Kristi.marchesani@uni.edu
Phone: 319-273-2281
Fax: 319-273-2885