Information Request Form for Undergraduate Programs

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. All information provided here will be kept confidential.

Salutation   
First Name
Middle Initial  
Last Name
Suffix, if any (Jr., III, etc.)
Street Address
City
State/Province
ZIP/Postal Code
Telephone
Please enter with no spaces or dashes.
E-mail address
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 one emphasis only. This choice is not binding.
Chemistry
Biochemistry
Secondary Teaching
Chemistry for Pre-Professional Students