College of DuPage Home Page Prospective Students: Admissions
Form Instructions
1.
 Fill out this information request form.
2.
 Hit the submit button.
3.
 We’ll take care of the rest.

*International students inquiring about a student visa should e-mail the International Student Office.
Academic Calendar
Term/Year Start Date
Spring 2010 Jan. 14, 2010
Summer 2010 May 24, 2010
Fall 2010 Aug. 23, 2010
Your Information (* denotes REQUIRED)
*Are you 21 or older? Yes No What is your highest level of education completed at the START of classes at College of DuPage? Have you ever applied or taken classes at COD?: Yes No
Birthdate (mm/dd/yy):
*Name: First Last
*Address:
*City: *State: *Zip:  
*Phone number:
*E-mail address: mail to:
Ethnicity (optional):
Native American/
Alaskan Native		 Asian or
Pacific Islander		 Hispanic Black/
non-Hispanic		 Caucasian/
non-Hispanic
Other
Beginning Term (enter the term you plan to begin attending COD. Please refer to the Class Schedule calendar above):
What can we send you?
Admissions Form Packet Financial Aid Information 

Other information you would like to request:

Schedule of classes, select term**

** To select multiple Schedules, hold down the "Ctrl" key and select. Request for future Schedules will be mailed after the date listed. Catalogs and Schedules take approximately 2 weeks to be delivered.
High school
Year of Graduation
Are you currently in high school? Yes No If yes, check which year: Freshman
Sophomore		 Junior
Senior

What is your career goal? (select one)


Art
 Biological,Life and Pre-Med
 Computer and Technology
 Design
 Early Childhood Edu and Care
 Earth,Space and Atmo Sciences
 Engineering/Engineer Tech
 English/Journalism and Comm
 Fire Science/EMT/Paramedic
 Graphic Design/Graphic Arts
 Health Sciences
 HT
 Human Services
 Humanities
 Industrial and Service Tech
 Languages
 Legal Studies
 Management/Marketing/Sales
 Mathematics
 Motion Picture/Television
 Office Support and Management
 Performing Arts
 Photography
 Physical Education/Health/Wellness
 Physical Sciences
 Psychology
 Social Sciences
 Speech Communications
 Teacher Preparation
 Undeclared

Where did you first hear of College of DuPage? (select one)