Fillable 3+1 TRANSFER APPLICATION (College of DuPage)

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3+1 TRANSFER APPLICATION (College of DuPage)

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3+1 TRANSFER APPLICATION
Counseling, Advising
and Transfer Services • 425 Fawell Blvd., Glen Ellyn, Illinois 60137-6599
Phone: (630) 942-3977 • FAX (630) 942-4193 • cod.edu/3plus1 • Email: 3plus1@cod.edu
First name_________________________________________ Last name________________________________________________
Street address________________________________________________________________________________________________
City___________________________________________________________ State___________ ZIP________________________
Birthdate (mm/dd/yyyy)____________________________________ COD student ID number________________________________
Email address ______________________________ Home phone_______________________ Cell phone_____________________
Current program of study at College of DuPage ______________________________________________________________________
When do you anticipate completing the required associate degree program? q Fall q Spring q Summer — Year______________
PROGRAM SELECTED
College of DuPage, in compliance with the Family Educational Rights and Privacy Act (FERPA), is required to protect the privacy of student education
records. The College cannot disclose non-directory or personally identifiable information to a third party without the student’s written consent.
I hereby authorize College of DuPage to release my academic record to: ______________________________________________________
3+1 Institution Name
for the purpose of facilitating my 3+1 program application.
Signature_______________________________________________________________ Date_______________________________
For ADA accommodations, please call (630) 942-2141 or email access@cod.edu. Please request accommodations two weeks in advance. ©2020 College of DuPage. All rights reserved. REC-20-140321(3/20)
College of DuPage and Benedictine University
q AAS in Accounting / BA in Management
q AAS in Management / BA in Management
q AAS in Marketing / BA in Management
q AAS in Nursing / BS in Nursing
College of DuPage and Concordia University Chicago
q AAS in Dental Hygiene / BA in Healthcare Management
q AAS in Management / BA in Healthcare Management
q AAS in Respiratory Care / BA in Healthcare Management
q AAS in Diagnostic Medical Imaging Radiography /
BA in Healthcare Management
q AAS in Anesthesia Technology / BA in Healthcare Management
q AAS in Physical Therapist Assistant / BA in Healthcare Management
College of DuPage and Governors State University
q AAS in Nursing / BS in Nursing (online)
College of DuPage and National Louis University
q AAS in Human Services Generalist / BA in Human Services
q AAS in Addictions Counseling / BA in Human Services
College of DuPage and Lewis University
q Associate in Arts / BA in Criminal Justice
q Select Classes / BA in Elementary Education
q Select Classes / BA in Special Education
q Select Classes / BA in Elementary and Special Education
q Select Coursework / BA in Middle Level Education in
English/Language Arts
q Select Coursework / BA in Middle Level Education in Math
q Select Coursework / BA in Middle Level Education in Science
q Select Coursework / BA in Middle Level Education in Social Science
q CIT: Computer and Internetworking Technologies /
BS in Computer Science
q CIT: Cybersecurity / BS in Computer Science
q CIS: Software Development / BS in Computer Science
q CIS: Application and Technical Support Specialist /
BS in Computer Science
College of DuPage and Roosevelt University
q AAS in Hospitality Management / BS in Hospitality and
Tourism Management
q AAS in Culinary Arts / BS in Hospitality and Tourism Management
q AAS in Meeting and Event Planning / BS in Hospitality
and Tourism Management
q AAS in Restaurant Management / BS in Hospitality and
Tourism Management
q AAS in Baking and Pastry / BS in Hospitality
and Tourism Management
q AAS in Travel and Tourism / BS in Hospitality and
Tourism Management
In order to pursue courses in the 3+1 program you will also
need to complete an application for admission at the respective
partner institution.
Please consult with the partner institution to which you are
applying about the best time to complete this application.
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3+1 TRANSFER APPLICATION (College of DuPage)

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Completed 25 July 2020

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