CUC - Online Application

Concordia University Chicago
Application for Graduate Admission

Contact Information

Salutation *

Ms.

Mrs.

Miss

Mr.

First Name *

Last Name *

Middle Name

Former/Maiden Name

Citizenship *

Citizen

Permanent Resident

Non-citizen

International

*If your birth country is the United States and you are currently residing in the United States, please choose Citizen.

Are you studying through the Saudi Arabia Cultural Mission *

Have you recently studied in Canada and need to complete your program? *

Do you hold a current Visa? *

Yes

No

Current Visa Type *

Permanent Resident Number

Are you looking to apply for a visa through Concordia-Chicago? *

Yes

No

Are you: *

Looking to change your current visa to an F-1/Student visa

Applying from aboard for an F-1/Student or J-1/Exchange Vistor visa

Street Address *

Address Line 2

City *

State *

Zip Code *

Area Code *

Home Phone (No Dashes) *

Area Code *

Cell Phone (No Dashes) *

Area Code

Work Phone (No Dashes)

Ext

Mailing Address (if different from above)

City

State

Zip Code

Email Address *

Nation of Citizenship *

International Permanent Street Address *

International Permanent Address City *

International Permanent Address Territory / State *

International Permanent Address Zip *

International Permanent Address Country *

International Mailing Address (If Different from Above)

International Mailing Street Address

International Mailing Address City

International Mailing Address Territory / State

International Mailing Address Zip

International Mailing Address Country

International Home Phone *

International Cell Phone

International Work Phone

Nation of Birth *

Language

Sponsor of your education in the U.S.

Are you bringing dependents to this country? *

Yes

No

How many dependents are you bringing? *

Personal Information

Date of Birth
(mm dd yyyy)

Month *

Day *

Year *

Gender *

Male

Female

Country of Birth

Program Information

Anticipated Start Date *

Summer 2023

Fall 2023

Type of Program - Summer 2023 *

Education Masters Programs

Doctoral Programs

Masters Programs (Other)

Type of Program - Fall 2023 *

Education Masters Programs

Doctoral Programs

Masters Programs (other)

Doctoral Cohort Format *

Face to Face

Doctoral Programs Format - Fall 2023 *

Online

Face to Face

Doctoral Programs Format - Summer 2023 *

Online

Face-to-Face

Late Registration Doctoral Cohort Format *

Online

Masters Program (other) Format - Summer 2023 *

Online

Masters Program (other) Format - Fall 2023 *

Online

Face to Face

Masters Program (other) Format* *

Face to Face

Education Masters Programs Format *

Face to Face

Education Masters Programs Format - Fall 2023 *

Online

Face-to-Face

Education Masters Programs Format - Summer 2023 *

Online

Face-to-Face

Education Masters Programs Format Late Registration *

Online

Face to Face

Area of Concentration (Teaching, Secondary Education) *

Online Education Master’s Programs - Summer 2023 *

Online Master’s Programs (Other) - Summer 2023 *

Online Doctoral Programs - Summer 2023 *

Education Master’s Programs Locations - Summer 2023 *

Education Master’s Programs - Summer 2023 *

River Forest Education Master’s Programs - Summer 2023 *

University Center of Lake County Education Master’s Programs - Summer 2023 *

West 40 Education Master’s Programs - Summer 2023 *

Doctoral Programs Locations - Summer 2023 *

River Forest Doctoral Programs - Summer 2023 *

West 40 Doctoral Programs - Summer 2023 *

Online Education Master’s Programs - Fall 2023 *

Online Master’s Programs (Other) - Fall 2023 *

Online Doctoral Programs - Fall 2023 *

Education Master’s Programs Locations - Fall 2023 *

University Center of Lake County Education Master’s Programs - Fall 2023 *

River Forest Education Master’s Programs - Fall 2023 *

West 40 Education Master’s Programs - Fall 2023 *

Master’s Programs (Other) Locations - Fall 2023 *

Master’s Programs (Other) - Fall 2023 *

Doctoral Programs Locations - Fall 2023 *

River Forest Doctoral Programs - Fall 2023 *

West 40 Doctoral Programs - Fall 2023 *

Doctoral Face to Face Cohort Locations - Spring 2023 *

Spring 2023 Late Registration Location *

Education Master’s Programs Locations - Spring 2023 *

Spring 2023 Masters Program (other) Locations *

Spring 2023 Late Registration Online Cohort Programs *

River Forest Cohort Programs - Spring 2023 *

2023 River Forest Cohort Programs - Late Registration *

Cohort Programs - Spring 2023 *

2021 - Illinois Principal Preparation Cohorts *

River Forest Cohort Programs - Summer 2021 *

River Forest Doctoral Programs - Spring 2023 *

Summer 2021 River Forest Doctoral Face-to-Face Programs *

Spring 2023 Late Registration - Doctoral Online Cohort Programs *

Spring 2023 River Forest Masters Programs (other) *

Clinical Mental Health Counseling

International Anticipated Start Date *

Fall 2023

International Type of Program - Fall 2023 *

Education Masters Programs

Masters Program (other)

Doctoral Programs

International Education Masters Program Format - Fall 2023 *

Online

Face to Face

International Education Masters Program Format - Spring 2023 *

Online

Face to Face

International Master’s Programs (Other) Format - Fall 2023 *

Online

International Master’s Programs Other Format - Spring 2023 *

Online

International Doctoral Programs Format - Fall 2023 *

Online

Face to Face

International Doctoral Programs Format - Spring 2023 *

Online

Face to Face

Spring Education Masters Programs (Online) *

Online International Education Masters Programs - Fall 2023 *

Online International Master’s Programs (Other) - Fall 2023 *

Online International Doctoral Programs - Fall 2023 *

International Education Masters Programs Locations - Fall 2023 *

International Education Masters Programs - Fall 2023 *

International Doctoral Programs Locations - Fall 2023 *

International Doctoral Programs - Fall 2023 *

International Education Masters Programs Face to Face Location - Spring 2023 *

International Doctoral Programs Face to Face Location - Spring 2023 *

Spring Education Masters Programs (Face to Face) *

Spring Masters Program Online (other) *

Fall Online Doctoral Programs *

Spring Online Doctoral Programs *

Spring Face to Face Doctoral Programs *

Do you currently hold a valid Illinois Professional Educators License (PEL)? *

No

Yes

If yes, indicate Type *

Please provide your IEIN – Illinois Educator Identification Number: *

Do you hold a valid Teaching License from another state? *

No

Yes

State *

If yes, indicate Type *

Are you planning to enroll in the Illinois Principal Prep or Superintendent program? *

No

Yes

Please provide your years of lead teaching/administrative experience *

Academic History

For Master’s Completion Students and applicants requesting a transcript review, please list all schools
where you obtained your graduate-level credits.

Do not include junior or community colleges. Only include colleges and universities in which a degree was conferred.

Please list all previous colleges and universities which you attended starting with the most recent. Note your field of study, dates attended as well as any degrees earned.

Official sealed transcripts are required from each college or university listed below.

Have you attended Concordia University Portland before? *

Yes

No

Bachelor's College/University Name *

City *

State *

Start Date * +

End Date +

Degree *

College/University Name

City

State

Start Date +

End Date +

Degree *

College/University Name

City

State

Start Date +

End Date +

Degree *

College/University Name

City

State

Start Date +

End Date +

Degree *

Final Cumulative Bachelor’s GPA *

If you are unsure of your GPA please estimate. Once transcripts arrive we will update our system with the official GPA.

Professional Experience

List professional experience relevant to your program, starting with the most recent first.

Employer *

City *

State *

Start Date (mm/yy) *

End Date (mm/yy)

Job Title *

Employer

City

State

Start Date (mm/yy)

End Date (mm/yy)

Job Title

Employer

City

State

Start Date (mm/yy)

End Date (mm/yy)

Job Title

Employer

City

State

Start Date (mm/yy)

End Date (mm/yy)

Job Title

Employer

City

State

Start Date (mm/yy)

End Date (mm/yy)

Job Title

Background Information

Please provide us with some additional information about yourself and your family.

Are you Hispanic or Latino?

Yes

No

Please select one

Cuban

Mexican

Puerto Rican

Other Hispanic

Are you? (Check all that apply)

Marital Status *

Have you attended Concordia University Chicago before? *

Yes

No

Year Attended

Military Information - are you *

Active Duty

Veteran

Military Dependent-spouse

None

Do you plan to use military benefits at Concordia Chicago? *

Yes

No

Do you have any relative(s) who attend(ed) Concordia University Chicago (formerly Concordia University, River Forest)? *

Yes

No

If yes, what relation?

Are you currently employed by Concordia University Chicago? *

Yes

No

Financial Aid

Will you be applying for Financial Aid? *

Yes

No

The Honor Pledge

As a student of Concordia University Chicago, and a member of the larger society, I pledge to uphold an academic honor code that supports serving and leading with strong personal integrity. Specifically this includes not cheating or using inappropriate or dishonest means in the completion of academic requirements. This also includes not giving unauthorized assistance to others. I understand that it is my responsibility to comply with this honor system.

I understand that Concordia University's official policies and procedures are published in the Graduate Catalog. I understand and agree that these policies and procedures may be revised during my enrollment at Concordia University Chicago. I agree that I am responsible for reviewing and abiding by these policies and procedures.

I verify that the information provided on this application is true and correct. I understand that the falsification or withholding of any information in regard to this application may result in loss of credit and dismissal from the institution.

Acknowledgement *

I understand that typing my name below is equivalent to signing Concordia University's application for admission.

Signature *

Date (mm/dd/yyyy) * +

Verification *
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