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Affidavit
Affidavit
ILLINOIS UNIVERSITY
You must answer each of the questions below and sign the Affidavit below. This
document must be submitted to Admissions Office for review.
1. Did you reside with your parent(s) while attending a public high school in
Illinois?
yes no
2. Did you graduate from a public or private high school or receive the equivalent of
a high school diploma in Illinois?
yes no
3. Did you attend school in Illinois for at least 3 years as of the date you graduated
from high school or received the equivalent of a high school diploma?
yes no
4. If you are not a citizen or permanent resident of the United States, will you
provide the Northeastern Illinois University with an affidavit stating that you will
file an application to become a permanent resident of the United States at your
earliest opportunity?
yes no
AFFIDAVIT
Student Signature:_______________________________________