Request for Information — Education (Undergraduate)

Student Information

First Name

Last Name

Email Address

Confirm Email Address

Please note: To best ensure you receive email from UIC, please add applyedu@uic.edu to your address book or safe sender list.

Birthdate

Academic Information

Most recent school attended

CEEB Code

Academic Interest / UIC Major

Type of application

Expected entry term

Do you have a question for UIC Education?

Yes, I have a question

No, I just want to be added to your contact list

What's the topic of your question?

Admissions Information

Tuition and Financial Aid

Program Exploration

Other

Complete your message here

Optional Demographic Information

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

Are you Hispanic or Latino?

Yes

No

Please select any ethnic group to which you identify

By submitting this form, I am opting-in to receive communications from the UIC admissions office, including emails, in-person or automated phone calls, and mail. UIC will not share your information with external organizations.