IU Bloomington - Visit Cancellation Form

By submitting this form, I understand that my visit will be canceled and space for that date may no longer be available.

Fields marked with an asterisk (*) are required.

Student Name * First Last
Date of Visit * / MM / DD YYYY
Confirmation Number *You can find this number towards the top of your confirmation email.

You can find this number towards the top of your confirmation email.

Must be 6 digits. Currently entered: 0 digits.