UIC Graduate Domestic Applicant
Payment page
__________________________________________________________________________________
Last / Family Name / Surname First / Given / Personal Middle
Address:
_______________________________________________________________
City, State: ____________________________________ Nation:
________________________
Zip: _______________________
Application Term: _____Fall _____Spring _____ Summer Year:
20_____
Date of Birth: _________________ Social
Security Number: _________________________
Thank you for applying for admission to the University of Illinois at Chicago
(UIC). To complete your file, please have your official test scores and
transcripts sent to the Office of Admissions. Please refer to the
Graduate College Admissions website for further application requirements
for your intended department. If you are paying your $50 application fee
(by check or money order, please print & complete this document, include your
check and send both to:
University of Illinois at Chicago
Office of Graduate Admissions (MC 018)
University of Illinois at Chicago
Box 7994
Chicago, Illinois 60680-7994