Thank you for your helping support your child in applying for 2023 summer programs affiliated with the IUPUI campus and the IU School of Medicine. Please complete this parent information form as accurately and honestly as you can. 


Our program aims to provide stipends (maximum of $3,200) for students who have financial need.  To help determine this we require information about the number individuals in the household and household income.  We recognize that this is sensitive  information but assure you that it is not shared byond the program committee.


This form is required for a student's application to be considered and must be completed by March 1, 2023.  For questions, please email


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