AD Information Request by Program

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Information Request

Please complete the following form. Once submitted, your request will be forwarded to the Admissions Office. Please allow at least one week for your request to be processed.

*If you have specific questions regarding your application, registration, or student records, please contact the Admissions Office at admissions@gc.edu or 409-944-1230.

Student Information

First Name

Last Name

Date of Birth

Phone Number

Email Address

Confirm Email Address

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

School Information

High School Attended

High School Graduation Year

College(s) Attended

Type of Student

Area of Interest

Semester of Enrollment

Anticipated Enrollment Year

Comments and Additional Information

*If you have a specific question regarding your application or registration, please contact the Admissions Office at admissions@gc.edu or 409-944-1230.

It is the policy of Galveston College to provide equal opportunities without regard to age, race, color, religion, national origin, gender, disability, genetic information, or veteran status.

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