UIC FreeApp Request Form

UIC FreeApp Request Form

 

 

Month/Day/Year

answer must be date like mm/dd/yyyy

Month/Day/Year

 

 

 

 

answer must be phone number with area code like 217-333-1000

 

 

required9. Gender

required9. Gender

required10. Ethnicity

required10. Ethnicity

 

 

(A=4.0)

(A=4.0)

 

required16. Graduate Degree of Interest

required16. Graduate Degree of Interest

 

required18. Indicate if Applicable

required18. Indicate if Applicable