GAP Agreement Information Form

Undergraduate Enrollment Information

I am a: *

NIU Program of Interest/Major: *

Students planning to pursue secondary education teacher licensure (grades 9 - 12) should select a major in the subject area field in which they intend to teach (such as English, History, Math, etc.) Please view niu.edu/educator-licensure/ for more information.

When do you plan to start at NIU? *

What was the last college you attended or are currently attending? *

Degree Earned *

Checking this box signifies that I wish to participate in the Guaranteed Admission Program. I agree to the guidelines established by NIU and the partnering institution. I authorize the disclosure of my education records between NIU and the partnering institution, including, but not limited to, academic, admission, advising information, program completion status, and financial aid eligibility and disbursement.

I agree

I do not agree