School of Public Health Appointment Request (Undergrad)

Please fill out these fields to submit a request for an appointment with a representative from the School of Public Health. Note: This form is for undergraduates only.

Contact Information

First Name

Last Name

Date of birth

Email Address

Preferred Phone

Mobile

Home

Preferred method of contact

Email

Phone

Most Recent School Attended

CEEB

Interest in UIC

Major Interest

Expected Application Type

Expected Term of Entry

We'll be in contact after you submit the form, but please fill out some information so we can come up with some options.

Preferred day of the week (select all that apply)

Preferred time of day (select all that apply)

Preferred meeting format

Online

Phone