Adult Degree Completion Information Request Form

Required fields are highlighted with .

First Name

Last Name

Phone 1
() -

Phone 1 Type

Home
Cell
Work

Phone 2
() -

Phone 2 Type

Home
Cell
Work

E-mail address

Anticipated Field of Study

Anticipated Term of Entry *

* If you are unsure of which semester to choose, please still select one of the options. Your admission counselor can easily update this in the future.

Questions? Problems with this form? Contact the Office of Admission at admissions@cu-portland.edu.

Concordia University, Portland

Concordia Admissions

Adult Degree Completion Information Request Form