DePaul University : Request Admission Information

Adult and Adult Transfer Students:
(You are over the age of 24 and are interested in an undergraduate degree.)

* Denotes Required Information

First Name:*

Last Name:*

Address 1:*

Address 2:

City:*

State:*

Zip:*

Country:

Telephone:

() -

Alternate Telephone:

() -

E-Mail:*

Date of Birth:*

Last School Attended:*

GPA:

I plan to enroll in:*

I plan to attend DePaul: Full-Time Part-Time

Have you previously applied to DePaul?

Yes No

I am interested in the following undergraduate programs.
(Note: If you are interested in multiple programs, please list them in order of preference, with
"First Choice" being the program you are MOST interested in.)


First Choice
College:*
Major:*
Are you interested in the psychology degree completion program at University Center of Lake County (UCLC)? Yes No
Instrument:


Second Choice
College:
Major:
Are you interested in the psychology degree completion program at University Center of Lake County (UCLC)? Yes No
Instrument:


Third Choice
College:
Major:
Are you interested in the psychology degree completion program at University Center of Lake County (UCLC)? Yes No
Instrument:

Optional:
We'd like to know you better. Please answer a few more questions - optional, of course.

Campus Preference:

Lincoln Park	Loop	Rolling Meadows
Oak Forest	O'Hare	Naperville

See our programs of study by campus

SSN: --
If you supply us with your SSN, we will be better able to match additional materials
(test scores, transcripts) when you apply for admission.

Gender: Male Female

Ethnic Background:

American Indian/Alaskan Native	Hawaiian Native/Pacific Islander
African American	Asian
Hispanic	Other
Caucasian

What prompted your interest in DePaul?

Advertising

Brochure

Letter from DePaul

Email from DePaul

Family/Friend

Teacher

Counselor

DePaul Web Site

Other Web Site

Other (please specify):

What other institution are you considering?

Thank you for your interest in DePaul.