UIC Graduate Certificate Applicant
Last / Family Name / Surname First / Given / Personal Middle
City, State: ____________________________________ Nation: ________________________
Application Term: _____Fall _____Spring _____ Summer Year: 20_____
Intended Program _____________________________
Date of Birth: _________________ Social Security Number (optional): _________________________
Thank you for applying for admission to a certificate program at the University of Illinois at Chicago (UIC). To complete your file, please have your official transcripts, and test scores if required, sent to the Office of Admissions and Records. Please refer to the Graduate College Admissions website for further application requirements for your intended program.
If you are paying the $60.00 nonrefundable application fee by check or money order, please print and complete this document, include your check and send both to:
University of Illinois at Chicago
Office of Graduate and Professional Admissions (MC 018)
Chicago, Illinois 60680-7994
Have your Test of English as a Foreign Language (TOEFL) scores sent to us directly by ETS if you do not qualify for a waiver of this requirement. Paper score reports will not be accepted as official scores unless they are sent to our office directly by ETS. Please see the International Graduate Application Instructions for further information about the English language waiver.
If you are applying to a certificate program where the instruction method is face to face or blended, complete the Declaration & Certification of Finances Form and send it to the Office of International Services. This form is not required if you are applying to an online certificate program.