Off-Campus Education Programs
Application Form

Form Login Account (optional)
New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

Student Information

Salutation: *

Program Selection

Term *
Type of Degree (January): *
Type of Degree (October): *
Fall 2019 Master's Program (October) *
Spring 2020 Master's Program (January) *
Doctoral Program (January) *
Doctoral Program (October) *

Citizenship Information

Citizenship *

Educational Information

Do you hold a valid Ohio teaching license? *
Do you hold a valid Ohio Principal license? *

Academic History - Please list all schools attended where degrees were earned, and where graduate coursework was completed that you may want considered for transfer credit.

Professional Experience

Have you attended Concordia University Chicago before? *
Military Information - are you (select one) *
Do you plan to use military benefits at Concordia University Chicago? *
Will you be applying for Financial Aid? *

Confidential: For Statistical Purposes Only

Gender *

Are you Hispanic or Latino? *
Heritage *
Marital Status *
Do you have any relative(s) who attend(ed) Concordia University Chicago (formerly Concordia University, River Forest)? *

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 a loss of credit and dismissal from the institution.