UIC Graduate Student Council

Representative Registration Form 2008/2009

Today's date	10/6/2008
First Name
Last Name
UIN
Phone
Email
Please select the Degree Program you represent:
-- Select -- Accounting Anatomy and Cell Biology Anthropology Architecture Art and Design Art History Biochemistry and Molecular Genetics Bioengineering Bioinformatics Biological Sciences Biomedical Visualization Biopharmaceutical Sciences Biostatistics Business Administration Chemical Engineering Chemistry Civil and Materials Engineering Communication Community Health Science Computer Science Criminal Justice Curriculum and Instruction Disability and Human Development Disability Studies Earth and Environmental Sciences Economics Educational Psychology Electrical and Computer Engineering English Environmental and Occupational Health Science Environmental and Urban Geography Epidemiology Forensic Science French Germanic Studies Health Informatics Health Policy and Administration Health Professions Education Hispanic Studies History Human Nutrition Industrial Engineering and Operations Research Industrial Engineering Information and Decision Sciences Instructional Leadership Kinesiology and Nutrition Leadership and Administration Learning Sciences Linguistics Mathematics and Information Sciences for Industry Mathematics, Statistics, and Computer Science Mechanical Engineering Medicinal Chemistry and Pharmacognosy Microbiology and Immunology Neuro Science Nursing Science Occupational Therapy Oral Sciences Pathology Pharmacology Pharmacy Administration Philosophy Physical Therapy Physics Physiology and Biophysics Policy Studies in Urban Education Political Science Psychology Public Administration Public Health Real Estate Slavic and Baltic Languages and Literatures Slavic Studies Social Work Sociology Special Education Surgery Urban Education Leadership Urban Planning and Policy
If the Degree Program you represent is NOT in the previous list, please type it here:
Representative role	-- Select -- Primary Alternate
Degree you are seeking	-- Select -- MA MS MFA MBA PhD MD/PhD