Dinner with 12 Hoosiers

Required fields are in bold
  1. SAA Member
    Yes, I am already a member
    No, I am currently not a member
    I am not sure
  2. First Name:
  3. Last Name:
  4. E-mail:
  5. Phone:
  6. Class Standing:
  7. Major:
  8. How did you hear about Dinner With 12 Hoosiers :
    If Other :
  9. Dinner Preferred:
    Oct. 8 - Host: Danny Lopez
    Oct. 22 - Host: Mayor Mark Kruzan
Other Information

Dietary restrictions, please let us know if you are vegetarian or have food allergies, etc.


Physical restrictions, please let us know if you have any physical restrictions that may limit what dinners you can attend. For example, a home that does not have wheel chair accessibility, etc.


I understand that alumni, faculty, and staff are opening up their home to me.  By Submitting this form, I am making a commitment to respect them and their home, and represent Indiana University to the best of my abilities.  If I cancel less than 48 hours before the dinner, I understand I may not be eligible for future dinners.