IUPUI

Affiliation with IUPUI *

• Faculty
• Staff
• Student
• Guest

I am registering for NIW as... *

• An individual
• A member of a team (see below)

If you are registering as a member of a team, please put the name of the sponsoring group in the relevant location:

• Class/course:
• Academic unit/Office:
• Residence Hall:
• Student organization:
• Other:

Will you be acting as the team captain for your team?
Team Captains will be responsible for making sure the entire team registers and will help distribute NIW information to team members.

Yes No

If you are signing up as a member of a team, what is the team name?

Additional comments or concerns?