Request More Info

Complete and submit the form below to let us know you're interested in Illinois. Note that "*" indicates a required field. We'll send you information as it becomes available about the specific academic interests you indicate in addition to important application details. If you have any questions, don't hesitate to contact us.

Student Information

First Name *

Preferred First Name (if different from First Name)

Middle Name

Last Name *

Suffix

Birthdate *

Sex

Female

Male

No Response

Are you a twin, triplet, etc.?

Student Email Address *

Student Type *

Freshman

Transfer

Freshman Entry Term (when you would enroll at Illinois) *

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

Current School

Address

Mailing Address *

Country
Street
City
Region
Postal Code

For the purposes of the European Union General Data Protection Regulation,
do you reside in the European Economic Area?

Yes

Ethnicity/Race

Ethnic Identification

Hispanic/Latino

Not Hispanic/Latino

Phone Number

Cell Phone Number

May we send you text messages?

Yes

Alternate Phone Number

Academic Interest(s)

Please indicate your interest(s). If you want descriptions, career data, academic profiles, etc., please explore our majors.

Family Contacts

Family Contact 1

Contact 1 First Name

Contact 1 Last Name

Contact 1 Relationship

Contact 1 Email Address

Contact 1 Phone Number

Family Contact 2

Contact 2 First Name

Contact 2 Last Name

Contact 2 Relationship

Contact 2 Email Address

Contact 2 Phone Number