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Request for printed Undergraduate Admissions Information

Have a general question? Send your questions to the .

Please complete the following information for the STUDENT requesting.

Note: All fields are required unless otherwise specified.

First Name:

Middle Name:

Last Name:

Name Suffix (e.g. Jr):
[optional]

Birth Date:

Street, Box, and/or Apartment Address:

Other Address
(Building, Hall, or Room Number):
[optional]

City:

State:
(if within the United States)

Zip Code:(where applicable)

Country:

E-mail Address:
Example: reggie@ilstu.edu

Confirmation of your reservation will be sent to this email address.

Please re-enter your e-mail Address:

Phone Number:
Example: 309 438 2181
International Numbers: Do not include your country code.

( ) -

When do you anticipate enrolling at Illinois State?

Fall Spring Summer

Please send me the following (check all that apply)


	Undergraduate Admission Application The above item is available online! More information about the Undergraduate Admission Application
	Information Brochure
	Transfer Brochure

Illinois State University

yearOne initiative at Illinois State University

admissions@IllinoisState.edu

Office of Admissions
201 Hovey Hall
Campus Box 2200
Normal, Il 61790-2200
Phone: (309) 438-2181
Toll-free: (800) 366-2478

© 2009 Illinois State University • An equal opportunity/affirmative action university encouraging diversity. • Privacy Statement

Para información en español comuniquen con Dave Marcial (309) 438-7066.