Dual Enrollment Application

Personal Information

First Name*

Middle Name

Last Name*

Preferred First Name

Birthdate*

Email Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Home Phone

Mobile Phone

Can we text you with important information like application deadlines?

Yes

No

Are you open to receiving AI telephone calls and SMS messages that provide details about Gonzaga at this telephone number?

Yes

No

Family Information

Parent/Legal Guardian One Type*

First Name*

Last Name*

Email*

Living?*

Employer

Job Title

Parent/Legal Guardian Two Type

First Name

Last Name

Email

Living?

Employer

Job Title

Demographic Information

Legal Sex*

Gender Identity

Hispanic or Latino

Yes

No

Did either of your parents receive a bachelor's degree or higher?

Are you an International Student?*

Country of Citizenship

Education Information

In what year are you planning to graduate from high school?*

Which term are you hoping to start dual enrollment classes?

Please select your current or most recent school from the list below*
Begin typing the name of the school and then select the correct school from the list.
You may also search by your school's location (e.g. Spokane, WA).

Recruit Academic Interest

Disciplinary History

Have you ever been subject to formal disciplinary action or are there such actions pending?*

Disciplinary history explanation *

Have you ever been convicted of a misdemeanor, felony, or other crime or are these actions pending?*

Criminal conviction explanation*

Application Fee

In order to complete your Dual Enrollment application at Gonzaga, you will be required to pay a $60 application fee. After submitting this form, you will see a link to pay the fee.

Signature

My signature below indicates that all information contained in this application is factually and honestly presented. It also indicates my understanding of the following information.

I understand that offers of admission from Gonzaga University are conditional and are contingent upon the successful and satisfactory completion of all academic work in progress.

I understand that enrolling in college courses at Gonzaga University as a high school student creates an official and permanent Gonzaga university academic record and transcript in my name.

I confirm that I meet pre-requisite requirements for the course(s) I plan to register for at Gonzaga University.

I understand that I am responsible for registration, drop, withdrawal, and course deadlines. I understand that Gonzaga will not automatically drop me from courses if I choose not to attend and that the grades on my transcript may be affected.

I understand that it is my responsibility to contact the Registrar's Office if I want to drop or withdraw. If I enroll for a course(s) and do not attend or stop attending without officially dropping the course(s) or withdrawing from the University, I am still responsible for the payment of all tuition and fees for the course(s). Tuition refunds will only be issued in accordance with Gonzaga University Policy.

Signature*

Date*

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, a physical or mental impairment that limits a major life activity, or any other non-merit factor in the 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, and comply with federal and state regulations including Sections 503 and 504 of the Rehabilitation Act of 1973 and Title IX of the Educational Amendments of 1972.

504 Policy:Federal law prohibits us from making pre-admission inquiry about disabilities. Information regarding disabilities, voluntarily given or inadvertently received, will not adversely affect any admission decisions. Upon acceptance to Gonzaga University, if academic adjustments or accommodations are needed due to a disability, Disability Access must be notified and appropriate documentation provided. Contact Disability Access for more information: 800-986-9585, ext. 4134 or disability@gonzaga.edu.