Guaranteed Admissions Transfer Program (GAT) University of

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 Guaranteed Admissions Transfer Program (GAT) University of Illinois at Chicago (UIC) and City Colleges of Chicago (CCC) Student Participation Agreement 1. Planned first term of enrollment at UIC:
2. Full Legal Name:
FALL 20_____
(do not abbreviate or use nicknames; domestic student’s name must match name on social security card; international student’s name
must match passport information)
_______________________________________________________________________________________________________________________ Last (Family, Surname)
First (Given)
Middle
3. Current Mailing Address
_______________________________________________________________________________
Number and Street or Rural Route
Apt. No.
________________________________________________________________________________________________________________________________________
City or Town
State (or Country)
Zip Code
4. Permanent Mailing Address
check box if permanent mailing address is the same as current mailing address
_______________________________________________________________________________
Number and Street or Rural Route
Apt. No.
________________________________________________________________________________________________________________________________________
City or Town
State (or Country)
Zip Code
5. Date of Birth
Gender
Month
Male
Female
Year
Day
6. Telephone Numbers / Email
_______________________________________________________________________________________
Home Telephone
Cellular Number (optional)
Email Address
UIC sends official University communications through
email. Please make sure you provide a valid email address.
7. Planned Course of Study
Please indicate the UIC College or area in which you plan to pursue your baccalaureate degree at UIC.
Business Administration
Engineering
Education
Liberal Arts and Sciences (Choose this if you plan to major in a
LAS program or if you are undecided about your degree plans.)
UIC – CCC GAT Program Student Participation Agreement
UIC_OSSS_SSD_Admissions_GAT_Nov2011 Page 1 of 2
8. Program and Participation Requirements
I understand that as a GAT participant, I am:
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Required to maintain a minimum cumulative grade point average of 3.00 on a 4.00 grading scale on all
transferrable course work taken at the City Colleges of Chicago.
Expected to enroll at CCC full time (12 or more semester hours) each semester in course work that meets UIC
transfer requirements toward the intended baccalaureate degree or is a pre-requisite for UIC requirements.
Expected to track my degree progress by creating an account in u.select, a web-based tool used to view
program requirements and transfer equivalencies, and to import my courses to u.select at the completion of
each term. (Enter your u.select ID in the space provided below.)
Expected to attend GAT-sponsored activities on the UIC campus prior to transferring.
Able to have some access to select UIC facilities in order to participate in GAT transfer-related academic
activities.
With my signature below I allow UIC and CCC permission to share transcripts for the purpose of Reverse
Transfer. Reverse transfer allows students who did not complete their Associates Degree in the City
Colleges of Chicago to use their UIC credits to complete a CCC degree.
I also understand that:
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Each GAT cohort is scheduled for a fall term of enrollment at UIC.
I must submit a UIC transfer application for admission not later than February 1 for the following fall term in the
year I plan to transfer.
All required application materials and supporting credentials, including a consolidated transcript from the City
Colleges of Chicago, must be received by UIC no later than February 15.
______________________________________________________________ _______________________ _______________________ Student Signature
u-select ID
Date
CCC Advisor
This student is approved for participation in the GAT program for the Fall _________ cohort.
_______________________________________________________________________________ ________________________________ Advisor Signature
Date
_________________________________________________________________________ City College of Chicago Location
For UIC Office Use Only:
UIN: ___ ___ ___ ___ ___ ___ ___ ___ ___
Date: __ __ / __ __ / __ __ __ __
UIC – CCC GAT Program Student Participation Agreement
UIC_OSSS_SSD_Admissions_GAT_Nov2011 Initials: ______
Page 2 of 2
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