IAU ~ International American University College of Medicine

REQUEST MORE INFORMATION
If you wish to receive information from one of our admissions counselors, please fill in the form below. Items in bold are required for us to send you materials. We also have our new brochure available for download. Click on the link to the right to download this printable pdf (it is a large file, 80mb).

Student Name

Street Address

City

State/Province

Zip/Postal Code

Country

Phone Number #1

Phone Number #2

Email Address

Email Address (again)

Gender: Female Male

Are you a U.S. citizen or resident? Yes     No
If no, of which country are you a citizen?

In which program are you interested?
Four-Year MD Program
Pre-medical plus Four-Year MD Program

To which semester will you apply (if applicable)?
September '08 (Fall)   January '09 (Winter)
May '09 (Summer)     September '09 (Fall)

How did you originally hear about IAU?
Friend or Family
Dallas Morning News
Dallas Observer
Radio Salaam Namaste
Texas Jewish Post
Dallas Chinese Times
Asian Gazette
valuemd.com
caribbeanmedicine.com
on-campus recruitment
National Public Radio (NPR)
Town and Country Magazine
ZeeTV
Google
Yahoo or other search engine
India Abroad
Other source

An email or a phone call will be received by one of our admissions counselors based out of our U.S. office in Dallas, Texas. We respect your privacy, so if you wish to be deleted from our database let us know and we will take care of it immediately.