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Undergraduate Programs - Information Request Form

Thank you for your interest in the bachelor's degree programs of the Department of Chemistry and Biochemistry at Northern Illinois University. To request additional information about our undergraduate programs, please help us by providing the following information which will be used to process your request. Otherwise, all information provided here will be kept confidential.

Salutation:   
First Name: 
Middle Initial:  
Last Name: 
Suffix, if any (Jr., III, etc.): 
Street Address:
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State/Province: 
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Telephone:
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Are you transferring to NIU from another college or university, or have you taken college courses elsewhere? Yes       No  
If yes, where?       
Have you already applied to NIU?    Yes    No
When do you plan to begin your studies?     
Which of the following emphases are you primarily interested in? (Please choose only one; the choice you make here is not binding.) Chemistry
Secondary Teaching
Environmental Science Teaching
Chemistry for Preprofessional Students
Biochemistry