Grapevine Direct Admit Nomination

Your Name

Your Title/Role

Your Organization

Student Information

Student First Name

Student Last Name

Student Email

Student DOB

School Name

School CEEB Code

Student GPA

Is this student in good standing at your institution?*

Yes

No

Please comment on any behavioral concerns related to this student's potential admission to Gordon College.

By signing this form electronically, you certify the student listed above is in good standing and eligible for the Gordon College Grapevine Partner Direct Admission Program.

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UG Entry Year

UG Entry Term

Student Status

Hold Inquiry Date

Hold Status Date

Division

Grapevine Direct Admit Nomination

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