MA/TESL Online Application

Downloadable Application Forms:
Curriculum       
Financial Declaration       

Please sign and mail the Signature Form with your US $50.00 nonrefundable application fee to:
Gonzaga University MA/TESL
AD Box 88
502 East Boone Avenue
Spokane, WA 99258-0029
Personal Information:
Last Name:
First Name:
Middle Name:
Former Last Name(s), if any:
E-Mail Address (required):
Male      Female
Birth Date: / /
SS# / SIN#: - -
Country of Citizenship:
Country of Birth:
Ethnic Origin (Optional):
Mailing Address:
Address:
Address cont.:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Address Valid Until:
Permanent Address (if different than Mailing Address):
Address:
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Zip/Postal Code:
Country:
Phone:
Business Address:
Business:
Title:
Address:
Address cont.:
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State/Province:
Zip/Postal Code:
Country:
Phone:
Fax #:

Degree of Interest:
English Language Center
Master of Art in Teaching English as A Second Language

Entrance Exam
GRE - Test Date:
(mm/dd/yy)		 MAT - Test Date:
(mm/dd/yy)
* TOEFL - Test Date:
(mm/dd/yy)		 * required for International Students
Beginning Term: Year:
Have you ever attended Gonzaga University?
Yes No If yes, when?

Educational History (in order of attendance)
College/University:
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Degree/Diploma:
Date Received:
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College/University:
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Degree/Diploma:
Date Received:
If participating in off-campus, name site:
Employment History
Employer:
Title:
Supervisor:
From/To: to
Address:
Address cont.:
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Reason for Leaving:
Work Experience:
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Supervisor:
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Reason for Leaving:
Work Experience:
Given the Mission of Gonzaga University and the campus spirit we try to create, we ask whether you have ever been convicted of a crime or have a case pending against you at this time.
No      Yes
If yes, please provide written details:
In Case of Emergency, please notify:
Name:
Relationship:
Address:
Address cont.:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Equal Opportunity Policy: Gonzaga is an equal opportunity, affirmative action University. The University does not discriminate against any person on the basis of race, religion, sex, national origin, age, marital or veteran status, sexual orientation, physical or mental impairment that limits a major life activity, or any other non-merit factor in employment, educational programs, or activities which it operates. All University policies, practices, and procedures are consistent with Gonzaga's Catholic, Jesuit identity and Mission Statement.

504 Policy: Federal Law prohibits us from making a pre-admission inquiry about disabilities. Information regarding disabilities, voluntarily given or inadvertently received, will not adversely affect any admission decisions. If you require special services because of a disability, you may notify the Dean of Students' Office. This voluntary self-identification allows Gonzaga University to prepare appropriate support services to facilitate your learning. This information will be kept in strict confidence and has no effect on your admission to the University.