International Student Information Request Form

Required fields are highlighted with a red line.

First/Given Name

Preferred First Name (Name you preferred to be called)

Middle Initial

Last Name (Family/Surname)

Name Suffix

Birth Date

Gender

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

Mailing Address, Line 2

Mailing Address, Line 3

City

State or Province

ZIP or Postal Code

Nation

Phone number (include country and city code)

E-mail address

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

Concordia Admissions