City Colleges of Chicago Dual Degree Program Interest Form

Complete this form if you are interested in Roosevelt University's Dual Degree Program for City Colleges of Chicago Students.

First Name*

Last Name*

Email Address*

Preferred Phone Number

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Academic Level*

Anticipated Entry Term*

Academic Program of Interest*

Which City College of Chicago do you attend? **Please select from the options that populate

Which student type do you plan to enter Roosevelt as?*