Undergraduate Request for Information Form

Fill out the form below to request information regarding Concordia University Chicago's Undergraduate programs! Traditional undergraduate programs are for students seeking to earn a Bachelor degree by taking classes on Concordia's campus. For students seeking Graduate or Accelerated Degree Programs please fill out one of our forms found here.

Personal Information

First Name *

Preferred First Name

Middle Name

Last Name *

Birthdate *

Gender

Female

Male

Contact Information

Email Address *

Mobile Phone

I agree to receive recurring automated text messages at the phone number provided from Concordia University. Msg & data rates may apply. Msg frequency varies. Reply HELP for help and STOP to end. View our Terms of Service and Privacy Policy.

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Education

Please list the High School that you graduated or plan to graduate from

Institution Name

My institution is not listed

Institution Name

City

State

Program Information

Academic Program of Interest

What is your Student Type?

What semester do you plan to attend?