Application for Graduate Cohort Admission


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Contact Information

Salutation *
           
Citizenship *

International Mailing Address (If Different from Above)

Are you bringing a spouse to this country? *
Are you bringing dependents to this country? *
Personal Information

Date of Birth
(mm dd yyyy)
Gender *



Program Information

Type of Program *
Cohort Format *
Traditional Cohort Format *
Anticipated Start Date (Face-to-Face Cohort) *
Anticipated Start Date (Traditional Face-to-Face Cohort) *
Anticipated Doctoral Start Date (Face-to-Face Cohort) *
Anticipated Start Date (Online Cohort) *
Anticipated Doctoral Start Date (Online Cohort) *
Anticipated Start Date (SAIL Student) *
Summer 2015 River Forest Traditional Programs *
Fall 2015 River Forest Traditional Programs *
Fall 2015 University Center of Lake County Traditional Programs *
Spring 2016 University Center of Lake County Traditional Programs *
Spring 2016 River Forest Traditional Programs *
Note: Please call 708-957-5994 for Educational Technology Program Locations

Do you hold a valid teaching certificate? *
Academic History
For Masters Completion Students: Please include all schools attended whether or not you obtained a degree.
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.

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Professional Experience

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



Background Information
Please provide us with some additional information about yourself and your family.
Are you Hispanic or Latino?
Are you? (Check all that apply) *
Marital Status *

Have you attended Concordia University Chicago before? *
         
Military Information - are you *
Do you plan to use military benefits at Concordia Chicago? *
Do you have any relative(s) who attend(ed) Concordia University Chicago (formerly Concordia University, River Forest)? *


Financial Aid

Will you be applying for Financial Aid? *

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 *
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