ILLINOIS INSTITUTE OF TECHNOLOGY
FIRST-YEAR APPLICATION SUPPLEMENT 2011-12
This IIT Application Supplement must accompany the 2011-12 Common Application or Universal Application. We appreciate your taking the time to provide us with
this additional, yet essential, information. Please complete the following form.
GENERAL INFORMATION (please type or print in ink)
Full name Last/Surname First name Middle
(as it appears on passport)
Please list any other names you have used or will use during the application process (or to take tests).
Gender: Male Female Preferred nickname (if any)
Social Security number* Date of birth
*Required only if you are applying for financial aid or are requesting information for claiming a tax credit
Permanent address Number and street Apartment no.
City State Zip/Postal code Country
Email address Primary phone
State of legal residence
Date of entrance into the United States. (for non-U.S. citizens)
For which semester are you seeking admission? Fall 20 Spring 20
Have you ever applied to IIT before? Yes No