UIC Graduate International Applicant
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__________________________________________________________________________________

Last / Family Name / Surname                               First / Given / Personal                            Middle



Address:                  _______________________________________________________________



City, State:   ____________________________________   Nation:   ________________________



Zip:  _______________________



Application Term:     _____Fall _____Spring _____ Summer              Year: 20_____



Intended Program _____________________________



Date of Birth:    _________________     Social Security Number (optional):   _________________________


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 sent it to the Office of International Services as soon as possible.

Also, have your Test of English as a Foreign Language (TOEFL) scores sent directly to UIC by ETS 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 nonrefundable 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 and Professional Admissions (MC 018)
Box 7994
Chicago, Illinois 60680-7994
U.S.A