Application for Membership in CIC

*Membership Application Type:

Institutional Membership
International Membership
Associate Membership
Affiliate Membership

General Institutional Information:

*Institution:

*Year founded:

*Address:

Country:
(required for International Institutions)

Postal code:
(required for International Institutions)

*Phone:

*Website:

Degrees awarded:
(if applicable)

 BA     BS   AA   AS

  Other 

Approximate percentage of total credits required for graduation that are classified as general education:
(if applicable)

%

Approximate percentage of total number of degrees awarded annually classified as baccalaureate:
(if applicable)

%

Areas of concentration in the liberal arts and sciences leading to degrees:
(if applicable)

Accreditation status:
(if applicable)

accredited - year attained
candidate for accreditation

U.S. regional accrediting association or other country's accrediting entity:

Contact Information:

*Name of president or CEO:

*Email address:

*Phone:

*Fax:

*Name of chief academic officer:
(affiliate applicants, type "none")

*Title:

*Email address:

*Phone:

*Fax:

*Person filling out this form:

*Title:

*Email address:

*Phone:

Additional Information?

For Institutional, International, and Associate Applicants:

Please include the link to your online college catalog:

By checking this box, we understand that we are applying for membership in the Council of Independent Colleges as a nonprofit, independent, degree-granting college of liberal arts and sciences.

For Affiliate Membership Applicants:

Please include the link to your online annual report:

By checking this box, we understand that we are applying for affiliate membership in the Council of Independent Colleges as a nonprofit educational association or organization serving independent colleges and universities.