Dear Victoria , </p>
<p>Thank you for applying to Illinois. To complete your application, print this document and submit these pages to your high school </p>
<p>counselor for certification. Have your counselor send the documents along with your transcript to our office as soon as possible. If you </p>
<p>are paying your $40 application fee by check or money order, give it to your counselor to include with these pages and your transcript. </p>
<p>You may also request a waiver of the application fee using this form. Please enclose verification of your need for a waiver from your </p>
<p>school counselor, financial aid officer, or social worker. </p>
<p>I understand that withholding pertinent information requested on this application or giving false information will make me ineligible for </p>
<p>admission to the University of Illinois at Urbana-Champaign, or subject to cancellation of registration if admission has occurred or </p>
<p>dismissal if already enrolled. I certify that the statements on this application are correct and complete, including a report of all possible </p>
<p>collegiate credit and criminal history as described in the application for admission instructions. I give my permission to officials at all </p>
<p>institutions I have attended to release information needed by the University of Illinois at Urbana-Champaign to substantiate statements I </p>
<p>have made on this application. </p>
<p>SIGNATURE____________________________________________________________<strong><em>Date</em></strong>____ </p>
<p>How will you be paying your $40 application fee?</p>
<p>____I paid electronically by credit card. </p>
<p>____I am giving my counselor a check or money order to include with these pages.</p>
<p>____I am attaching an application fee waiver form signed by my counselor. </p>
<p>Please submit this page to your high school counselor at this point. Your application cannot be considered complete without this </p>
<p>information. </p>
<p>TO THE HIGH SCHOOL COUNSELOR:
We appreciate your taking the time to certify the applicant’s rank in class/GPA and number of semesters upon which it is based. Please </p>
<p>mail the student’s official transcript, fee or fee waiver form (if not credit card payment), and this document to the following address as </p>
<p>soon as possible: </p>
<p>University of Illinois at Urbana-Champaign
Office of Admissions and Records
901 West Illinois Street
Urbana, IL 61801 </p>
<p>Rank:________ Class Size:________ Based on___________semesters’ work </p>
<p>__<strong><em>We do not rank our students. Cumulative GPA (A=4.0):</em></strong>____ </p>
<hr>
<p>Name and title of certifying officer (please print or type) </p>
<hr>
<p>Phone number and extension/E-mail address </p>
<hr>
<p>Signature & Date<br>