Personal Information
First Name:
Last Name:
Middle Name:
Prefer to be called:
Birth Date:
Sex:
Mailing Address:
City:
State:
Choose a State/Province
AA (Armed Forces/America)
Alberta
AE (Armed Forces/Europe)
Alaska
Alabama
AP (Armed Forces/Pacific)
Arkansas
American Samoa
Arizona
British Columbia
California
Canada
Colorado
Connecticut
District of Columbia
Delaware
Florida
Federated States of Micronesia
Foreign State
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Manitoba
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
New Brunswick
North Carolina
North Dakota
Nebraska
Newfoundland
New Hampshire
New Jersey
New Mexico
Nova Scotia
Northern Territory
Nevada
New York
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Trust Territories
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Yukon Territory
Zip Code:
Home Phone:
E-Mail:
High School Data
Name of High School:
Address of School:
City:
State:
Choose a State/Province
AA (Armed Forces/America)
Alberta
AE (Armed Forces/Europe)
Alaska
Alabama
AP (Armed Forces/Pacific)
Arkansas
American Samoa
Arizona
British Columbia
California
Canada
Colorado
Connecticut
District of Columbia
Delaware
Florida
Federated States of Micronesia
Foreign State
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Manitoba
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
New Brunswick
North Carolina
North Dakota
Nebraska
Newfoundland
New Hampshire
New Jersey
New Mexico
Nova Scotia
Northern Territory
Nevada
New York
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Trust Territories
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Yukon Territory
Zip Code:
High School Phone:
Private or Public School:
Private Public
Cumulative GPA:
Weighted?: Yes No
Rank-in-Class:
/
SAT I Critical Reading:
SAT I Math:
SAT I Writing:
ACT Composite Score:
National Merit Status:
List any academic honors you have received during high school.
List any Advanced Placement or International Baccalaureate examinations you plan to take or have taken. Please write in the scores for the tests you have already taken.
List any SAT II Subject Examinations you plan to take or have taken and scores you have earned.
List any classical or modern foreign languages you studied in high school and for how many years you studied them.
References
List the name and telephone number of the teacher who has agreed to write a letter of recommendation for you.
Name:
Work Phone:
Please inform your teacher that the Director or Coordinator may contact him or her about the letter.
Future Aspirations
Most students at Gonzaga do not declare a major field of study when they first enter the University. Nevertheless, please indicate fields of study or possible careers that interest you. If possible, prioritize these fields.
Family Data
Father's Name:
Address:
Occupation:
Highest level of education attained and name of college, if any:
Mother's Name:
Address:
Occupation:
Highest level of education attained and name of college, if any:
Number of children in family: Older than you Younger than you
Religious preference of family (optional):
Ethnicity (optional):
Please identify names and relationships of any family members (parents, siblings, aunts, uncles, grandparents, etc.) who have attended Gonzaga and the Honors Program (if applicable):
Co-curricular Activities
List the major school clubs or activities in which you participated and for how many years (e.g., Spanish Club - 4 years); also mention if you were an officer.
List any teams or sports organizations in which you were active and for how many years.
If you play a musical instrument or sing in a choir, please list that activity and for how many years you have pursued it.
List any civic honors or special recognition you have received (e.g. Eagle Scout, Gold Award)
If you held any paying jobs in the last two years, please list the employer and kind of work.
List any volunteer or church-related activities you participated in during your high school years.
Mention any hobbies or crafts that you enjoy, such as skiing, dance, theater, photography, etc.
Essay
Identify a success or failure you have experienced in a job, in school, during an activity, etc. Write a unified, one page essay in which you analyze the causes or effects of this success or failure. Please upload your essay on the next page after pressing 'Submit'.
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