Please complete this form in its entirety.
List all Colleges and Universities you have attended. Please list the most recent first.
LBSII UIC Affiliation
LBS II Endorsement Choice(s)
Please indicate your anticipated date of completion, both taking the required state exam and your coursework.
Early Childhood/Special Ed Approval
Previous UIC Endorsements/Approvals
Note: Applicants who knowingly alter or misrepresent their qualifications in order to obtain a license and/or endorsement(s) shall be denied its issuance.