First-Time Students’ Guide What You Need to · PDF filew Social Security number is required for scoring of exam at the present time. w Your GAVILAN ID number is REQUIRED for the

First-Time Students’ Guide

What You Need to Know

First-Time Students’ Flowchart

Orientation

Assessment: Including link to schedule

Your MyGav Portal

How to Register for Classes

MyDegreeWorks

Paying for Your ClassesIncludes deadlines

Gavilan College Majors

Application

High School Contract

Transfer Institute Application

First-Time Students’ Flowchart Due to the current overwhelming influx of applications, students must submit applications for admission ten (10) business days prior to signing up for an assessment test and establishing a SSB account.

You may choose to not participate in orientation. Doing this will prevent you from participating in priority (early) registration and prevent you from meeting with a counselor for registration assistance.

See a Counselor for assistance with course registration.

Establish your MyGAV Account no sooner than 10 business days after submitting your application.

NEW STUDENTS MUSTcomplete the Gavilan College Orientation anytime after submitting your application before meeting with a counselor.

Never attended college?Sign up for the Placement Assessment test no sooner than 10 business days after submitting your application. Wait 2 business days after taking the test, then...

Continuing Students No new application requiredPriority registration available if orientation has been completed

Returning Students New application requiredPriority registration not available

APPLY for Financial Aid (if desired).

APPLY to Gavilan College. Allow 10 business days for your application to be processed.

Orientation is completed online or in person. Visit www.gavilan.edu/orientation.

Onlythose students

who complete anorientation are eligible

to participate in “priority” (early)

registration.New students MUST participate in an orientation session prior to meeting with a counselor.

“Everything you ever wanted to know about Gavilan but were afraid to ask.”

l How do I plan for my education goals?

l How do I prepare to transfer to a 4 year col-lege or university?

l How do I know if my classes will transfer?

l What are the expectations of college stu-dents?

Register for an Orientation online or by phone: Go to www.gavilan.edu/orientation or call (408) 852-2866.

In-Person Orientation ScheduleDate Time Location

Thursday, April 28 5:30-7:30 Hollister Briggs Building, room 5

Thursday, May 5 5:30-7:30 Hollister Briggs Building, room 5

Monday, May 16 5:30-7:30 Morgan Hill Site, room 8

Saturday, June 4 10:00-12:00 Library room, 171

Monday, June 6 5:30-7:30 Library room, 171

Saturday, June 11 10:00-12:00 Library room, 171

Friday, June 17 10:00-12:00 Library room, 171

Wednesday, July 13 1:00-3:00 Library room, 171

Saturday, July 30 10:00-12:00 Library room, 171

Monday, August 1 5:30-7:30 Library room, 171

Saturday, August 13 10:00-1:00 Library room, 171

Monday, August 22 5:30-7:30 Library room,171

Thursday, August 25 5:30-7:30 Library room, 171

Monday, August 29 5:30-7:30 Library room,171

New students who plan to take the Placement/Assessment, please submit your Gavilan Application for Admission at least 10 days prior to your assessment date.

Assessment/Placement TestDue to the current overwhelming influx of

applications, students must submit applications

for admission to the college ten (10) business

days prior to signing up for an assessment test.

For the latest Assessment and Re-Assessment Session schedule go to:

http://www.gavilan.edu/admit/assess.html

Assessment

w Students are required to reserve a seat for the date and time they wish to as-sess.

w Please arrive 1/2 hour before the testing time to check-in. Doors will close 5 minutes prior to scheduled testing time.

w A valid picture ID is required for admission to testing room. (Valid picture ID includes current California Driver’s License or Identification Card, Military ID, Passport, or current Student Body Card. (Contact the Assessment Office if you do not have valid ID. Call 408-846-4992 for further direction.)

w Calculators and/or dictionaries of any kind are not allowed for testing.

w Cell phones, watches, pagers or any other wireless devices are not allowed in the testing room.

w Social Security number is required for scoring of exam at the present time.

w Your GAVILAN ID number is REQUIRED for the Assessment/Placement ses-sion.

w The Assessment staff will provide pencils for students.

Students must have completed the eighth grade to be eligible for assessment services.

Visit www.gavilan.edu/admit/assess.html to view the most current assessment schedule.

The easiest way to sign up for an assessment test is by filling out and submitting the online sign-up form at www.gavilan.edu/admit/assess.html. Computers available for student use are

located in the Career/Transfer Center and Library.If necessary you may still sign up at the Admissions and Records Office on the main campus.

Register/Add/Drop Classes using Gavilan’s Self-Service Banner

Check Class Availability and Fees

Choose Pass/No Pass Options and Prerequisites

Search for classes by time, day, part of term, method of instruction

View and print your semester schedule

View your financial account and pay your bill with a credit card

View and print grades and unofficial transcripts

Update personal information

View your Education Plan and see how close you are to completing your degree in MyDegreeWorks

Access and manage your personal, course and school calendars.

First Time Users: Create Your MyGAV Account

Click the link that says Get Your Gavilan ID and PIN and follow the steps below.

Your

Portal

...explore the My Gav and Student tabs

First Time Users

Current Users: Log in to MyGAV Enter your “G” number and PIN.

Click Login and...

FIRST: Go to the Gavilan homepage (www.gavilan.edu). Click on the MyGAV icon.

a. Enter your name exactly as it appears on your application.

Enter your social security number. Enter your date of birth. (mm/dd/yyyy). Click on Get Gavilan ID.

b. Write down your ID (‘G-number”). Write down your PIN. This is a temporary PIN. In the next step you will create your

permanent PIN. If you are unable to access your Gavilan ID# and PIN call the help line at 408-848-4736, Mon-Thur, 9 am - 5 pm.

Click on the Log in to Gavilan Self-Service Banner link at the bottom of the page. Click Login.

c. On this screen enter your ID and temporary PIN. Click Login.

d. Enter your temporary PIN number first, then choose a new six digit number that you will remember and enter it on the next two lines.

Click Login.

e. On this screen, enter a security question. It should be something that has an answer that does not change and you will always know (for example, ‘What town was my sister born in?” On the next line, enter the answer.

Once you submit this question and answer, you will taken to your personalized

Banner account!

Login Verification Change PIN

Re-enter Old PIN:

New PIN:

Re-enter new PIN:

(First-time users: enter your temporary PIN)

(Pin must be 6 digits long)

Login

x

Security Question and Answer

Please enter your new Security Question and Answer. Then Submit Changes.

Submit Reset

Please Confirm your Pin:

Question:

Answer

OR

Question:

Answer:

Not Selected

First Name:

Last Name:

SSN:

Date of Birth: January 01

1. Go to the Gavilan homepage (www.gavilan.edu).

Click on the MyGAV icon.

2. Log in to MyGAV. Enter your “G” number and PIN. Click Login.

3. On the Main Menu page, select the Student Tab.

4. On the Student page, click in the Gavilan Self-Service Banner box.

6. On the Main Menu page, select Student.

7. On the Student Menu page, select Registration.

8. On the Registration page, click on Add or Drop Classes.

9. On the Registration Term page, select the term from the drop down list for which you will enroll (e.g. Fall 2010).

10. On the Registration page, select Add or Drop Classes.

11. On the Add or Drop Classes page, enter the CRNs of the courses you wish to register for and select Submit Changes.

9. If Status=**Web Registered** then you have successfully registered for the class(es).

10. To pay for the class(es) you have registered for, go to the bottom of the page and select Registration Fee Assessment and you will see your account balance information and payment instructions.

How to Register for ClassesNew students must file an application at least 10 business days prior to

registering.

Fall 2011

**Web Registered** onNov 29. 2011

my DegreeWorksYour account will provide 24/7 online access to:

• View your progress toward a Gavilan degree or certificate.• Keep track of courses you must take to complete your degree or certificate.• Check other degree options without any commitments.• View and print your educational plan. • View Notes from the counseling and adminiatrative offices.• Use a GPA calculator to determine your term or graduation GPA.

Schedule a counseling appointment

to develop your individualized,

comprehensive educational plan.

To schedule a counseling

appointment visit the Counseling Office - SC 113 (Student

Center) or go to www.gavilan.edu/

counseling.

1. Go to the Gavilan website http://www.gavilan.edu and

click on the MyGAV link.

2. Log in to MyGAV. Enter your “G” number and PIN. Click Login.

3. On the Main Menu page, select the Student Tab.

4. On the Student page you will see My Fees, Click on the link and it will take you to ...

5. ...Select Term. Enter the term for which you want to pay from the drop-down list and select Submit.

6. The Account Detail for Term screen shows balances, financial aid and pending transactions on your account.

It is important that you pay the entire Account Balance in order to prevent being dropped from all your classes prior to the payment deadline (see chart in the left column.)

Select Another Term link.

7. On the Tuition and Fees Payment screen enter the amount you wish to pay.

Select Submit.

8. Payment Method:

You can pay with American Express, Discover, Mastercard, Visa or your debit card.

Click on Pay by Card. Fill in your informaiton and click on Continue. Review your confirmation and print your receipt.

Make a Payment in your MyGAV Account

Fall 2011

49 01/5/11

Select Pay Now to continue to #7.

49

Paying for College

Don’t let this happen to you!All students will be required to pay for their summer and/or fall classes in full by the posted payment deadline nearest to the date of their registration. For some students this may be the same day that they register. Please refer to the Payment Deadline chart below, or online at my.gavilan.edu.

Even those students who receive financial aid will be required to pay some minimal fees (some as low as $1.00) before the payment deadline or risk being dropped from ALL fall classes.

For those students who add summer and/or fall classes after the initial registration, you MUST check your account balance. If you owe additional fees, you must pay those before the payment deadline or you will be dropped from ALL your fall classes, even those you registered for earlier and a hold will be placed on your account for the summer classes.

FAILuRe TO PAY bY THe DeADINeS beLOW WILL ReSuLT IN YOuR beING AuTOMATICALLY DROPPeD

(DeReGISTeReD) FROM ALL OF YOuR FALL 2011 CLASSeS!

If you are unsure if you qualify for aid or the amount you will be expected to pay in fees upon registration, visit the Financial Aid Office on the main campus or view your financial aid status on MyGAV.

Register Between Last Day to Pay

May 2, 8:00 am - June 20, 2:30 pm Monday, June 20, 2:30 pm

June 20, 5:00 pm - July 11, 2:30 pm Monday, July 11, 2:30 pm

July 11, 5:00 pm - Aug 1, 2:30 pm Monday, Aug 1, 2:30 pm

Aug 1, 5:00 pm - Aug 22, 2:30 pm Monday, Aug 22, 2:30 pm

Aug 22, 5:00 pm and after Day of Registration

We are anticipating that more students than ever will apply to Gavilan College and we expect classes to fill quickly. For best selection, register early, but be prepared to pay by the payment deadline.

Payment of fees can be made in the following ways:Go to your MyGAV Online Account. You can pay with American Express, Discover, Mastercard or Visa (including debit cards.)

In Person at the main campus or at the Hollister or Morgan Hill sites.

By Mail Include your Gavilan ID number on the check and mail to:

Gavilan College Admissions and Records OfficeAttn: Diane Sousa, Student Accounts5055 Santa Teresa Blvd.Gilroy, CA 95020

PAYMENT DEADLINES

Students must pay ALL fees and the outstanding balance on their accounts by the deadline or they will be dropped from ALL fall classes and/or a hold will be

placed on their account for summer classes!

De-Registration will occur and Registration (MyGAV and in-person) will be closed from 2:30 - 5:00 pm on each deadline day.

11/10 A&R

CP-Certificate of Proficiency CC-Certificate of Completion CA-Certificate of Achievement AA-Associate of Arts Degree AS-Associate of Science Degree

GAVILAN MAJORS

Use to complete #11 on the Gavilan College Application. Degree/Certificate (currently offered) CP CA AA AS Administration of Justice Law Enforcement Opt 1 Law Enforcement Opt 2 (Police Acad.) Allied Health Nursing: Registered Nursing Art Aviation Maintenance Technology Airframe Powerplant Biological Science Biotechnology Business Accounting Business Business Computer Applications Computerized Accounting Economics General Office Skills Medical Office Real Estate Retail Management Carpentry Apprenticeship Child Development Early Childhood Education Early Intervention Assistant Family Child Care School Age Child Care Span Lang Early Childhood Education Communication Studies Interpersonal Communication Computer Graphics & Design Adv. Technical Computer Graphics Comp. Graphic/Environ. Design Tech. Desktop Publish & Graphics Computer Science & Info. Systems Business Computer Applications Comp. Prep for Bioinformatics Computer Hardware Computer Networking Computer Programming Programming for the Internet Scientific Programming UNIX Operating System Cosmetology Esthetician Digital Media Digital Art & Imaging

Degree/Certificate (currently offered) CP CA AA AS Digital Audio/Video Interactive Media and Authoring Digital imaging/Graphics Prod. Digital Print Production Digital Video Editor Specialist Web Page Production Specialist Drywall/Lathing Apprenticeship English as a Second Language (ESL) ESL Intermediate Level ESL Advanced Level Engineering: see Physical Sci. & Engr. Fine Arts, General General Education CSU General Education Pattern IGETC Health Science Liberal Arts Administration of Justice Business Computer Science & Info. Systems Elementary Education Expressive Arts Language Arts & Humanities Natural Science Social Science Mathematics Media Arts Broadcast Television Journalism Music Philosophy Physical Education Education Option Sports Management Option Sports Medicine Option Physical Science & Engineering Physical Sci. & Engineering: Gen. Engr. Social Science Community Studies Emphasis Global Studies Emphasis Spanish Non-Native Spkr. - Opt. 1 2 3 Native Speakers Option 4 Theatre Arts Acting Technical Production Television Performance

Signature ___________________________________________________________________ Date: ___________

CP-Certificate of Proficiency CC-Cerificate of Completion CA-Certificate of Achievement AA-Associate of Arts Degree AS-Associate of Science Degree

BIRTHDATE

PLACE OF BIRTH

APPLICATION for ADMISSION GAVILAN COLLEGE

10 HIGH SCHOOL LAST ATTENDED

7 STUDENT TYPE

1 NEW, never attended any college2 NEW TRANSFER, attended college other than

Gavilan3 RETURNING, last attended Gavilan but not last

semester. Date of last attendance at Gavilan:

Semester ____________

Year ____________

840118 Christopher High011449 TJ Owens (GECA)353002 San Andreas Contin.353006 Anzar433008 Gunderson 433299 Hill (Andrew) 433352 Leland

433363 Lick (James) 273317 North Salinas 274405 Notre Dame (Salinas)433520 Oak Grove 433542 Overfelt 274413 Palma

273455 Salinas433002 Sta Teresa433790 Silver Creek443790 Watsonville433895 Willow Glen 010236 Ann Sobrato

433395 Live Oak 433448 Central433061 El Portal 433283 Gilroy433485 Mt. Madonna 353700 San Benito 353650 San Benito Evening

Spring Summer Fall 20

11/10-A&R

11 MAJOR (at Gavilan)

GENDER Male ____ Female _____

12 DIRECTORY INFORMATIONNo personal data other than directory information will be released without your written consent.

Name & Location of High School if Not Listed Above

1 Personal Interest, not for employment 2 Transfer to a 4-year College WITH AA, AS Degree 3 Transfer to a 4-year College WITHOUT AA, AS Degree 4 Associate Degree, General Education 5 Associate Degree, Vocational 6 Vocational Certificate 7 Discover/Formulate Career Interests, Plans, Goals

8 Job Skills, to Prepare for a New Job/Career 9 Enhance Present Job Skills10 Maintain Certificate or License (e.g., Nursing)11 Improve Basic Skills in English, Reading, or Math 12 Complete Credits for High School Diploma or GED13 Undecided on Goal

Enter Appropriate Number in Box

* Year of High **Year Degree School Diploma Conferred

1 Not a graduate of, and no longer in high school 2 High school student (currrently enrolled in grades 9-12) 3 Currently Enrolled in Adult School 4 Received High School Diploma * 5 Received GED or Certificate of Equivalency/Completion 6 Received Certificate or High School Proficiency Exam

7 Foreign High School Graduate8 Received an Associate Degree9 Received a Baccalaureate or Higher Degree **

Enter Appropriate Number in Box

9 STUDENT EDUCATION LEVEL (Highest level of education )

Name on Previous Gavilan Records:

Home Phone

Cell Phone

Street

City State Zip

Current Mailing Address

Last Name First Name Middle Name1 NAME

EDUCATIONAL GOALS

5 MARITAL STATUS

Unmarried _________

Married _________

Decline to State _____

G00

GAVILAN ID #

2

Email

CITIZENSHIP1. U.S. Citizen

2. Permanent Resident: INS Number Date Issued

3. Temporary Resident: INS Number Date Issued

4. Refugee/Asylee (verification required)

5. F-1 Student Visa

6. Other (specify)

AJ JapaneseAK KoreanAL LaotianHM Mexican, Mexican American, ChicanoAX Other AsianHX Other HispanicO Other Non-WhitePX Other Pacific Islander

PS SamoanHS South AmericanAV VietnameseW White, Non-HispanicXD Decline to State

PREDOMINANT ETHNIC BACKGROUND

B African-American, Non-Hispanic N American Indian, Alaskan NativeAI Asian IslanderAM CambodianHR Central AmericanAC ChineseF Filipino PG GuanamianPH Hawaiian

6

Enter Appropriate Number in Box

name city state

3

Enter Appropriate Number in Box

SOCIAL SECURITY #

Major AA AS Certificate

13 ETHNICITY

Not Hispanic or Latino Hispanic or Latino None

15 COLLEGES ATTENDED (List last college attended first)

College: Dates: from to City State

College: Dates: from to City State

8

14 FOSTER YOUTH/GUARDIAN SCHOLARAre you or were you in foster care and interested in learning about additional resources and ser-vices you may be eligible for? Yes No

(As you wish it to appear on your records)

Month Day Year

State or Country

4

Enter Appropriate Number in Box

STATEMENT OF LEGAL RESIDENCE

Name Gavilan ID#

Address

Date of Birth

PART A To Be Completed By All Applicants

Have you lived in California for the past two years?

Yes _____ If you answered “Yes" and you are unmarried and under the age of 19, go to Part B, otherwise, skip to Part D.

No _____ If you answered “No”, complete the following:

• Date present stay in California began __________________

• Do you intend California to be your permanent residence? Yes ___ No ___

• Did you file California State Income Tax for the last two years? Yes ___ No ___

• Are you a public school credentialed employee? Yes ___ No ___

• Are you a seasonal agricultural employee or dependent? Yes ___ No ___

• Drivers License or ID Card? State: __________ Date Issued: __________

• Registered to Vote? State: __________ Date Registered: __________

• Vehicle Registration? State: __________ Date Issued: _________

• Other Proof of Residency in California ________________________________________________________

• List states lived in for the last two years and the dates:

State: _______________________ from __________ to __________

State: _______________________ from __________ to __________

PART B To Be Completed About Your Parents or Legal Guardian If You Are UNMARRIED and UNDER the AGE OF 19I have lived continuously for the past two years with one or both of my parents and he/she/they have lived continuously for the past two years at the California address noted below:

Yes ____ If “Yes”, Check one: Both Parents ______ Mother ______ Father _____ Legal Guardian _____ No ____ If “No" and you wish to be considered a California resident, please complete the following about your parent(s) or legal guardian:

• Did they file California State Income Tax the last two years? Yes ___ No ___

• Do(es) he/she/they have any of the following?• Driver’s License or ID card State: __________ Date Issued: ____________• Vehicle Registration? State: __________ Date Issued: ____________• Voter Registration? State: __________ Date Registered: ____________• Other Proof of Residency in California __________________________________

To Be Completed by Active Military Persons, Dependents, or Veterans Discharged Within the Last Year

• Are you a member of the military? Yes ___ No ___• Are you a dependent of an active military person? Yes ___ No ___• When did your or your sponsor’s tour begin in California? _______________• What is your state of legal residence on military records? _______________

PART D To Be Signed by All ApplicantsI declare under penalty of perjury that the statements submitted by me in connection with this application and for determination of residency are true and correct. All materials submitted by me for purposes of admission become the property of Gavilan College. I understand that falsification, withholding pertinent data, or failure to report changes in residence may result in my dismissal from the College.

Note:Active duty military persons and/or dependentsmust provide a statement from the commanding officer stating the date of assignment and that the assignment to California is not for educational purposes. Dependents must also provide a letter stating that they are the dependent of a military person for the purposes of Federal Tax exemption.

City State Zip

Street

Last First Middle Initial

Street City State

Student’s Signature Date

PART C

11/10-A&R

Educational Support Services for Students with DisabilitiesIf you would like to be contacted regarding supportive services complete this form and return it to the Disability Resource Center or the Admissions and Records Office at Gavilan College. For more information on available services, con-tact the Disability Resource Center at 408 848 4865.

Name

Address

Phone Check any of the following that currently apply: Deaf or Hard of Acquired Low Vision Developmentally Learning ____ Hearing ____ Injury _____ or Blind _____ Delayed Learner ____ Disability

Other Psychological _____ Physical ______ Impairment ______ Mobility ______ Other

Last First Middle

Street City State Zip Code

G a v i l a n C o l l e g e Office of Admissions and Records

5055 Santa Teresa Blvd Gilroy CA 95020 www.gavilan.edu

408 848 4735 fax 408 846 4940

INTeRCOLLeGIATe ATHLeTICS INTeReST FORM

Gavilan College is a member institution of the California Community College Athletic Association and competes in the Coast Conference. If you have an interest in participating as a student-athlete, please complete the following information. A representative from the athletic department will contact you. You may also visit our website at www.gavilan.edu/athletics for more information.

Name ___________________________________________________________________________ Male Female Year & Term ______________________

Address _____________________________________________________________________________________________________________________________

Home Phone ______________________________________________________ Cell Phone ________________________________________________________

Email Address __________________________________________________________________________________________________________________________

High School Attended ___________________________________________________________________________________________ Year Graduated ___________

Other Colleges Attended/Year _____________________________________________________________________________________________________________

I am interested in participating in the following intercollegiate sports at Gavilan College:Please mark all that apply: (M) indicates men’s team; (W) indicates women’s team.

Badminton (W) Baseball Basketball (M) Basketball (W) Cross Country (M) Cross Country (W) Football Golf (M) Golf (W) Soccer (M) Soccer (W) Softball Swimming (M) Swimming (W) Tennis (M) Tennis (W) Track & Field (M) Track & Field (W) Volleyball (M) Volleyball (W) Water Polo (M) Water Polo (W) Wrestling

Student’s Name _____________________________________ Gavilan ID Number G00 __________________

Mailing Address ______________________________________________________________________________

Tel. # ________________________ Date of Birth _______________ Last Grade Completed _______________

Semester for which student is applying: Fall _______ Spring _______ Summer _______ 20 _______

• The Student’s School Counselor/ Designated School Official Recommends These Courses •Specify recommended courses and units (Enrollment limited to courses numbered 1 - 99 except during the summer)

________________________________________ ________________________________________

________________________________________ ________________________________________

1) Signature of Parent or Guardian _________________________________________ Date ____________

In an emergency, contact __________________________________________________________________

2) Name and Address of School ______________________________________________________________

3) Name and Signature of Recommending School Official

NAME (please print) ______________________ SIGNATURE _________________________ Date ____________

The recommendation of the school official signifies that the student is in good standing at his/her school, has a cumulative grade point average of at least 2.00, is eligible for continued enrollment, and has the ability and maturity to benefit from college-level instruction. A current transcript of the student’s coursework must accompany this form.

2a) District Verification of “Home School” registration ___________________________________________

4) The signature of the Gavilan Counselor verifies the following:

The placement assessment was completed on (date) ______________

English Score ____________ Math Score ______________ DRC exemption? _____________

The recommended course is numbered 1 - 99 (summer term exempted)

A current transcript from the student’s school is attached and the student is in good standing.

The cumulative high school grade point average is ______________ (2.0 minimum required)

• Gavilan College accepts high school students whose cumulative grade point average is at least 2.00 for advanced (transfer level courses numbered 1 - 99), vocational, and physical education courses for the Fall and Spring semesters. High school students may enroll for non-transferable courses (numbered 100-499) only during the summer session.

• A Gavilan application, placement assessment scores and current transcripts from the student’s school are required before this form can be reviewed by a Gavilan counselor.

• Students may enroll for a maximum of six units for fall and spring

Last First M.I.

Name Tel. #

Street City State zip

• Recommendations (Parent/Guardian, High School Official and Gavilan Counselor) •

PLEASE READ CAREFULLY BEFORE PROCEEDING• G a v i l a n C o l l e g e / H i g h S c h o o l C o n t r a c t F o r m •

Gavilan College Counselor _______________________________________________ Date _______________

semester, four units for summer.

• All course prerequisites are applicable.

• All credit earned at Gavilan College is “college” credit.

• A transcript of work completed at Gavilan will be sent to the recommending school at the end of the semester.

• High School contract students pay the per unit fee and provide their own texts and instructional supplies.

• All students shall conform to the college’s academic rules, regulations, and codes of conduct.

~ Program is for 1st time college freshmen ONLY ~

APPLICATION - Fall 2011

Name:_________________________________ Gavilan ID #: G00______________________

Address:_______________________________ Phone: (______) __________-____________

City:___________________________________ Cell Phone:___________________________

Zip Code:_______________________________ Email:_______________________________

* Attach your high school transcript (must include senior year coursework.) *

I would like to transfer to: _____California State University _____ University of California

_____ Private College/University _____ Not sure which system

Are you working while attending college? ___Yes (# of hours per week _____) ____No

Are you eligible for financial aid? _____Yes _____No _____ Don’t Know

High School Graduate? _____Yes _____No _____GED Year Graduated:_______________

~ Program is for 1st time college freshmen ONLY ~

Name of High School:________________________________________ City:______________________ State:______

Major:___________________________________________ Currently Undecided:__________________________

Please describe why you want to be part of the Transfer Institute:___________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

For office use only College Level: English 1A and Transfer Level Math:

Placement/Assessment Scores: _________Reading __________Writing ___________Math

Intent to Register:I agree to make a full commitment to the Transfer Institute. This commitment includes the following: Sign a Transfer Institute agreement beginning in May. Meet with a counselor three times per semester. Participate in Transfer Institute activities.

Student Signature:___________________________________ Date:____________________

IMPORTANT, PLEASE RETURN TO: Gavilan College Counseling Department 5055 Santa Teresa Blvd. Gilroy, CA 95020