Springfield Campus Nursing Application Q&A

Event Details

Number attending (including yourself)

Student Information

First Name (Given or Chosen)

Last Name (Surname)

Birthdate

Mobile Phone Number

Would you like to opt-in to receive SMS messages from UIC?

Yes

Email Address

Confirm Email Address

Would you like an additional confirmation email sent to someone other than the student?

Yes

We'll also send a confirmation message to this email

Academic Information

Other Information

Mailing Address

Country

Street

City

Region

Postal Code

How do you plan on getting to campus?

By car

By public transit

Other / not sure

Accommodation Request

We're happy to provide accommodations in accordance with state and federal laws that ensure equality of access for students and guests with disabilities at our events. (Note: Requests for American Sign Language (ASL) must be made at least 72 hours before the date of the event.)

Would you like to make a request for specific aids or accommodations to participate in this event?

Yes

Select the type of accommodation

Visual

Audio

Mobile

Other

Thank you! We'll follow up by email soon!

Complete your registration

I agree to the following:

While on campus, visitors must follow all of the on-campus guidance applicable to members of the UIC community.