Application

Right Click (Control Click for Mac) on the “Application Form” link below and select “Save File As”  or “Save File to” to download the file to your computer. Then open it with Acrobat Reader or Acrobat Pro. You need Acrobat Reader or Acrobat Pro (select either link to download) to complete the form with proper alignment and to show the fields for completion.

Acrobat Reader is free to anyone and Acrobat Pro is free to IU employees and retirees.

The Preview PDF reader on the Mac does not work satisfactorily.

Senior Academy Application (editable PDF file)

The e-mail field is partially filled out as is the state field. Both may be edited.

Print the completed form, sign it and mail it to the address provided.

If you have any trouble with the electronic document, please request a paper form from:

IUPUI Senior Academy
355 N. Lansing Street, AO 139
Indianapolis, IN 46202