Graduate Information Request Form

Required fields are highlighted with a red line.

Tell us about yourself

Legal First Name

Preferred First Name

Middle Initial

Last Name

Name Suffix

Birth Date

Gender

Male
Female

Mailing Address (include PO Box or apartment number if applicable)

City

State/Province

ZIP or Postal Code

Country

Phone number
() -

E-mail address

I have already received information from Concordia University

Tell us about your plans

Program Interest

Please Note: The MAT programs are designed for students who are seeking teacher licensure along with their master's degree. The M.Ed programs are designed for those seeking their master's degree who are already licensed teachers or who are not seeking licensure.

Anticipated Term of Entry

College/University Last Attended

Location of College/University

Comments/Questions

Questions? Problems with this form? Contact the Concordia admissions office at admissions@cu-portland.edu.

Concordia University, Portland

Admissions

Graduate Information Request Form

Tell us about yourself

Tell us about your plans

Comments/Questions