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Who is completing this registration?

Prospective Student

Parent or Family Member

Supporter

First Name*

Last Name*

Preferred First Name*

Email Address*

Cell Phone*

I give permission to Illinois College to send me important updates
via text messaging. (Standard message charges apply.)

Yes

I will enter college as a*

Start Term*

High School Name*

T-Shirt Size

The campus tour is a walking tour led by an IC Ambassador. Do you require any accommodations or have accessibility concerns?

Yes

No

If you selected yes, please let us know what type of accommodation would be best.

We want to make the most out of your time on our campus. Please select the top 3 things you would like to learn more about!

Learn more about my intended major

Learn more about career services and internship opportunities

Learn more about student support services, academic coaches, and tutoring resources

Learn more about how I can be involved on campus

Learn about IC's study abroad and international travel opportunities

Meet with a Disability Resource team member

Number of guests

Guest Information

Guest #1 Information

Guest #1 Relation*

Guest #1 First Name*

Guest #1 Last Name*

Guest #1 Email Address
A copy of your registration confirmation will be sent to this email address if provided.

Guest #2 Information

Guest #2 Relation*

Guest #2 First Name*

Guest #2 Last Name*

Guest #2 Email Address

Guest #3 Information

Guest #3 Relation*

Guest #3 First Name*

Guest #3 Last Name*

Guest #3 Email Address

Guest #4 Information

Guest #4 Relation*

Guest #4 First Name*

Guest #4 Last Name*

Guest #4 Email Address

Additional Information

Mailing Address*

Country

Street

City

Region

Postal Code

Primary Area of Academic Interest

Secondary Area of Academic Interest

Extracurricular Interest(s)

Please let us know if you would like to meet with a Faculty member, Coach or Student Resource Group.