IU School of Optometry Summer Camp Application Form (July 2023)

IU School of Optometry Summer Camp Application Form (July 2023)

Please complete the information below.

Please reach out to IUSOCamp@iu.edu if you have questions. Our Camp Leaders (Kevin Schmidt and Nikolas Jones) would be happy to assist you.

1Applicant Information 2Emergency Contact Information 3Personal Statement 4Reference Information 5Unofficial Transcript
Applicant Name First Middle Last
Applicant Address *
Street address Address line 2 City State/Province/Region Postal/Zip code Country
Applicant Email
Applicant Phone - Area Code - Prefix Line Number
Applicant Date of Birth / MM / DD YYYY
Are you a first generation college student? Yes No
Please Indicate Your Race/Ethnicity American Indian or Alaskan Native Asian Black or African American Caucasian Native Hawaiian or Pacific Islander Hispanic or Latino Other Other
Please enter the name of your college/university *
College/University City, State, and Zip *
Please enter your current grade in college Freshman Sophomore Junior Senior
Current College GPA as it appears on transcript *
How Did You Find Out About Our Program? Internet College Counselor/Advisor College Fair Event Friend Eye Doctor Other Other
T-Shirt Size XS S M L XL XXL