Coaching For Academic Success Registration Form

Personal Information
Do Not Edit:
Do Not Edit:
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ID Number:
First Name:
Middle Initial:
Last Name:
Cell Phone Number:
Your Email Address:
Sex: Male Female
Class: Freshman Sophomore Junior Senior
Major:
   
Yes, I want to take advantage of the Coaching for Academic Success Program. I authorize Student Accounts to charge my account in the amount of $360. I understand that I am ultimately responsible for my academic performance. Participation in this program is not a guarantee of my academic success at Gonzaga University.
I would like to be considered for Financial Assistance. Please contact me at the number listed above.
If you have any questions or concerns about Coaching for Academic Success, please contact the Office of Academic Services at 509-313-4072 and ask to speak to the Director or Assistant Director.