Dual Enrollment Application Form

YOUR DUAL ENROLLMENT PLANS

During which year and term would you like to begin taking dual-enrollment courses at Gordon College? (Gordon's academic year begins in the fall and ends in the spring).

Anticipated Academic Year*

Anticipated Academic Term*

Previous Enrollment

I have previously enrolled in a course at Gordon.

ABOUT YOU

First Name*

Preferred First Name

Last Name*

Birthdate*

Social Security Number*

Gender*

Mailing Address*

Country

Street

City

Region

Postal Code

Email Address*

Mobile Phone Number*

By providing your mobile number, you agree to receive text messages from Gordon College. Message & data rates may apply. Message frequency varies. Reply HELP for help or STOP to cancel. View Terms of Service and Privacy Policy https://www.gordon.edu/webprivacy.cfm.

YOUR CITIZENSHIP

Which best describes your citizenship status?*

Primary Country of Citizenship

Additional County of Citizenship

Visa Type

YOUR ETHNICITY (OPTIONAL)

Do you identify as Latino/Hispanic?

Yes

Regardless of your answer to the prior question, please choose one or more of the following groups in which you consider yourself to be a member:

YOUR FAMILY

Is either parent employed by Gordon College?*

Yes

Parent Relationship*

Parent First Name*

Parent Last Name*

Parent Email*

Parent Phone*

YOUR HIGH SCHOOL

School Name*

Expected High School Graduation Date*
(Use 06/YYYY if you are unsure of the month)

Current Weighted GPA*
(4.0 Scale)

Do you have standardized test scores to report?*

Yes

Test Type

ACT Score

PSAT Score

SAT Score

Are you homeschooled?*
(If not, please enter guidance counselor information below)

Yes

Counselor Type

Guidance Counselor Email

Guidance Counselor First Name

Guidance Counselor Last Name

YOUR FAITH JOURNEY

In 1-3 sentences, briefly describe your faith in Jesus Christ.*

As a prospective member of the Gordon community, please review Gordon's Statement of Faith and Life & Conduct Statement.

I have read and agree with the Statement of Faith and I have read and agree to abide by the Life and Conduct Statement.*

Yes, I agree

No, I do not agree (please clarify below)

I have questions or concerns (please clarify below)

Please elaborate on your questions or concerns about the Statement of Faith or Life and Conduct Statement.

Financial Disclaimer

I understand that it is my responsibility to access Transact Integrated Payments to view tuition statements and make payments. Payment arrangements must be satisfied prior to the first day of class.

I understand that I (the student) am ultimately responsible for any balance due to Gordon College.

Upon admittance to any Gordon College course, I agree to comply with the behavior standards of Gordon while on its campus or at any other class site and respect the underlying assumptions and principles on which they are based.

Non-attendance does not constitute an official withdrawal and I will be held responsible for all related tuition and fees. I have read Gordon College's Registration, Withdrawal, and Refund Policy, and I agree to comply with its stipulations as per the Academic Catalog (catalog.gordon.edu).

I understand that my academic records and future registration are subject to a financial hold should I have an unpaid balance due to Gordon College.

If my student account becomes delinquent after separating from the College (www.gordon.edu/noncurrent), my account is subject to a monthly interest rate of 1.25% and may be placed into collections with an outside agency or litigation, at which point I will be responsible for all collection and/or legal fees incurred in securing the funds.

I understand that electronic notices may be sent to my emails as listed above and are considered official written communications from the College.

I understand that I am responsible for updating the College of any demographic (name/address/email) changes.

I have read and agree to the terms of the financial disclaimer above.

Set interaction

Application Major

Dual Enrollment Application Form

Financial Disclaimer

Have a question? We're here to help!