Complete a 3+1 Transfer Application

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: [email protected]

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 and Benedictine University College of DuPage and Lewis University q AAS in Accounting / BA in Management q Associate in Arts / BA in Criminal Justice q AAS in Management / BA in Management q Select Classes / BA in Elementary Education q AAS in Marketing / BA in Management q Select Classes / BA in Special Education q AAS in Nursing / BS in Nursing q Select Classes / BA in Elementary and Special Education q Select Coursework / BA in Middle Level Education in College of DuPage and Concordia University Chicago English/Language Arts q AAS in Dental Hygiene / BA in Healthcare Management q Select Coursework / BA in Middle Level Education in Math q AAS in Management / BA in Healthcare Management q Select Coursework / BA in Middle Level Education in Science q AAS in Respiratory Care / BA in Healthcare Management q Select Coursework / BA in Middle Level Education in Social Science q AAS in Diagnostic Medical Imaging Radiography / q CIS: Application and Technical Support Specialist / BA in Healthcare Management BS in Computer Science q AAS in Anesthesia Technology / BA in Healthcare Management q CIS: Software Development / BS in Computer Science q AAS in Physical Therapist Assistant / BA in Healthcare Management q CIT: Computer and Information Technology / BS in Information Technology College of DuPage and Governors State University q CIT: Cybersecurity and Defense / BS in Cybersecurity q AAS in Nursing / BS in Nursing (online) College of DuPage and Roosevelt University College of DuPage and National Louis University q AAS in Hospitality Management / BS in Hospitality and q AAS in Human Services Generalist / BA in Human Services Tourism Management q AAS in Addictions Counseling / BA in Human Services q AAS in Culinary Arts / BS in Hospitality and Tourism Management q AAS in Meeting and Event Planning / BS in Hospitality College of DuPage and Valley City State University and Tourism Management q AA / BS in Education in Technology Education (online) q AAS in Restaurant Management / BS in Hospitality and Tourism Management In order to pursue courses in the 3+1 program you will also need to q AAS in Baking and Pastry / BS in Hospitality complete an application for admission at the respective partner institution. and Tourism Management q AAS in Travel and Tourism / BS in Hospitality and Please consult with the partner institution to which you are applying Tourism Management about the best time to complete this application.

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: ______for the purpose of facilitating my 3+1 program application. 3+1 Institution Name

Signature______Date______Completed applications can be emailed to [email protected]. Please use your COD student email account to send in your application. If you have any trouble accessing the digital signature please contact [email protected].