Illinois Middle Grades Network - UNIVERSITY APPLICATION

University:

Department:

Address 1:

Address 2:

City:

State:

ZIP Code:

Contact Person:

Position:

Email:

Phone/Fax:

Do you have a middle grades undergraduate program:

Number of students enrolled in middle grades program:

AIMS Visit

Please select one:

Please schedule visit in fall.

Please schedule visit in spring.

I am familiar with your program and do not need a visit.

When you complete the form you will be redirected to an online payment page. If you would rather not pay online, please print this form (by clicking the printer icon below) and mail it to AIMS with your payment.

AIMS
University of Illinois Champaign-Urbana
510 Devonshire Drive
Champaign, IL 61820

Answer: *

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Important Dates

IMG Network - University Application

Illinois Middle Grades Network - UNIVERSITY APPLICATION

AIMS Visit