UIC CHE Grad Info Session

Personal Information

First (Given) Name

Last (Family) Name

Email Address

Confirm Email Address

Birthdate

Mobile Phone

Academic Information

Please provide the following details for the most recent school you attended.

School Name

Degree Earned or Expected

Major

Prospect Details

I plan to Study

Expected Entry Term

Additional Details

To help us get a better understanding of our recruitment efforts so that we ensure a diverse applicant pool and diverse student body within the College of Engineering, we make an effort to collect ethnicity/race information. Providing this information is optional.

I consent to having this information collected.

Yes

No

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 UIC, including emails, in-person or automated phone calls, and mail. UIC will not share your information with external organizations.