IAU Online Registration Form Spring 2022 | International American University College of Medicine

Student Information
Last Name*
First Name:*
My University Email*
My Primary Email*
My Primary Phone Number*
My Whatsapp Number*
My Current Mailing Address*
My Permanent Mailing Address*
Passport/Visa Verification Information
Student Passport Number*
Citizenship*
- USA/Canada
- Other
Date of Issue of Passport*
Date of Expiration of Passport*
Passport Issued Out of*
(Name City, State & Country)
Student Housing
If you are not in St. Lucia please answer N/A
Local Address*
Landlord Name*
Landlord Phone Number*
On-Island Emergency Contact Person*
On-Island Emergency Contact Number*
Off-Island Emergency Contact Person*
Off-Island Emergency Contact Number*
Academic Information
If you do not know, please answer NOT SURE
What was the first academic term and year you joined IAU?*
ex: Spring 2022
What was the first semester you joined?*
What year do you plan to graduate?*
What year do you plan to MATCH for Residency?*
Registration Documents
Please download, review, and sign to verify your acknowledgement of each of these documents, and upload them here to complete your Online Registration.
- IAU Media Consent Form
- IAU IT Policy Acknowledgment Form
Upload Signed IAU Media Consent Form*
Accepted file types: pdf.
Upload Signed IAU IT Policy Acknowledgment Form*
Accepted file types: pdf.
Email
This field is for validation purposes and should be left unchanged.

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Online Registration Form Spring 2022