Educational Information
Intended Major:
If undecided about a major, what area of study interests you?
Please list all high schools, colleges and universities you have attended.
High School Name (1):
City & Country
Degree or Diploma Earned
Dates Attended (Month/Year)
TO
High School Name (2):
City & Country
Degree or Diploma Earned
Dates Attended (Month/Year)
TO
Most Recent College/University:
City & Country
Degree or Diploma Earned
Dates Attended (Month/Year)
TO
Other College/University (1):
City & Country
Degree or Diploma Earned
Dates Attended (Month/Year)
TO
Other College/University (2):
City & Country
Degree or Diploma Earned
Dates Attended (Month/Year)
TO
Emergency Information
Last Name (family name) :
First Name:
Relationship:
Address:
Address cont.:
City:
Zip/Postal Code:
Country:
Phone:
English Proficiency Information
How will you demonstrate your proficiency?
If you have a TOEFL score of 550/213/80 or better, have a copy sent from the testing service.
Native Speaker
Gonzaga University's Academic ESL Program (please indicate session you would like to begin below)
TOEFL score of 80 IBT, 550 Written or 213 Computer OR IELTS score of 6.0 or higher (please send official scores to Gonzaga University)
Transfer students only: completion of Freshman Composition & Speech classes equivalent to Gonzaga ENGL 101 & SPOC 101 with a B or better grade point average
If you wish to enroll in Gonzaga University's Intensive English Program (ESL), please indicate in which ESL session you wish to enroll.
Spring I, 2010
January 14 - March 5, 2010
Spring II, 2010
March 15 - May 6, 2010
Summer I, 2010
May 13 - June 25, 2010
Summer II, 2010
June 30 - August 13, 2010
Fall I, 2010
August 30 - October 15, 2010
Fall II, 2010
October 18 - December 17, 2010
Accommodations
Do you plan to live in a University Residence Hall (dormitory)? Yes No
Signature
I understand that failure to submit complete official transcripts from all schools, colleges or universities attended may result in the denial of this application or my subsequent dismissal from this institution. I verify that, to the best of my knowledge, all statements I have made in this application are complete and true. By typing my name in the given box, I am authorizing this form's authenticity as if it were my actual signature.
I agree. I do not agree.
Name of Applicant:
Date:
YOUR APPLICATION WILL BE CONSIDERED INCOMPLETE UNTIL YOUR FINANCIAL DECLARATION FORM IS RECEIVED.