UIC Graduate International Applicant
Payment page

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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 and Records. Please refer to the Graduate College Admissions website for further application requirements for your intended department. If you have not already done so, complete the Declaration & Certification of Finances Form and send it to our office as soon as possible.

Also, have your Test of English as a Foreign Language (TOEFL) scores sent to us if you do not qualify for a waiver of this requirement. Please see the International Graduate Application Instructions for further information about the English language waiver. If you are paying your $60.00 application fee by check or money order, please print & complete this document and send it, along with your check to:
University of Illinois at Chicago
Office of Graduate Admissions (MC 018)
Box 7994
Chicago, Illinois 60680-7994
U.S.A