Request More Info

We're excited you're interested in UIUC! All the info you provide below will help us communicate with you. None of your information will be shared with other parties.

All fields marked with an asterisk (*) are required.

Student Information

*First Name

Preferred First Name (if different from First Name)

Middle Name

*Last Name

Suffix

*Birthdate

*Student Email Address

*Cell Phone Number

*May we send you text messages?

Yes

No

While you won't be getting much mail from us, it's helpful for us to have your physical address so we can let you know when there are events happening in your area.

*Mailing Address

Country

Street

City

Region

Postal Code

For the purposes of the European Union and UK General Data Protection Regulations and China's Personal Information Protection Law, do you reside in the European Economic Area, the United Kingdom, or the People’s Republic of China? (Optional)

Yes

No

*Sex

Female

Male

No Response

*Ethnic Identification

Hispanic/Latino

Not Hispanic/Latino

No Response

*Student Type

First-Year

Transfer

*First-Year Entry Term (when you would enroll at UIUC)

*Transfer Entry Term (when you would enroll at UIUC)

Current School

Current School Code

*Academic Interest(s)

Tell us the Illinois major(s) you're interested in. If you want descriptions, career data, academic profiles, etc., please explore our majors. (Optional)

Family Contacts

Family Contact 1

Contact 1 First Name

Contact 1 Last Name

Contact 1 Relationship

Contact 1 Email Address

Contact 1 Phone Number