CGCC Degree-seeking application

Application

Please fill out the application form carefully
Term*
Program*
Personal Information
Full Name*

First NameMiddle NameLast Name
Preferred Name
Name you prefer to be called at CGCC.
Birth Date*

MonthDayYear
Gender
Phone Number*
E-mail*
example@example.com
Which type of phone number did you enter above?*
I would like to receive text messages from CGCC

Yes, pleaseNo, thank you
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
County
Race (please select one)
Hispanic/Latino (please select one)
What is your citizenship type?*
Is English your primary language?*

YesNo
What is your primary language?
Military Status and Dependents
Military Status*
Are you the dependent child or spouse of an active duty service member?*
Are you the dependent child or spouse of a veteran of the armed forces?*

YesNo
High School and College
Are you currently enrolled in high school or homeschool?*

YesNo
High School Name
Graduation Year
What type of high school or homeschool diploma have you earned?
Are you currently taking or have you ever taken college classes?*
What college(s) have you attended?
Additional Information

This information will help CGCC determine which resources and services you may be eligible to receive.
I am interested in financial aid

YesNo
I am interested in housing

YesNo
I am a displaced worker

YesNo
I am the first in my family to attend college*

YesNo
I am (or someone in my household is) a migrant worker

YesNo
I am eligible to receive SNAP

YesNo
I have a documented disability

YesNo
Are you a parent, are you serving as a parent, or are you a legal guardian of a child/children while you will be enrolled at CGCC?*

YesNo
Social Security Number
Social Security Number
Providing your social security number is voluntary, but not doing so may impact processing your financial aid. For more information on how CGCC uses your SSN, go to https://www.cgcc.edu/student-right
Age at Application, Under-16, and Parental Information
Will you be under 18 when you start classes?*

Yes, I will be 16 or 17Yes, I will be under 16No, I will be 18 or over
Students under 16 must complete an under-16 enrollment form in addition to the regular college application. Please fill out and submit the form according to the instructions on the top of the form.
Parent/Guardian 1

First NameLast Name
Highest level of education obtained by Parent/Guardian 1
Parent/Guardian 2

First NameLast Name
Highest level of education obtained by Parent/Guardian 2
Acknowledgements
FERPA and SSN Acknowledgement*

I have read the FERPA and SSN Acknowledgement document
I grant permission to Columbia Gorge Community College, and/or CGCC Foundation, to use, publish, or reprint in whole or in part my picture, video, statement, endorsement, or quotation. This authorization shall extend to all media, in both traditional and "social" or "new media" formats used by CGCC and CGCC Foundation, and any publications in connection with advertising or promotion of CGCC or CGCC Foundation.*

YesNo
Application Content*

I certify that all information submitted in the admission process, including this application and any other supporting materials, is my own work, factually true, and honestly present, and that these documents will become the property of the college and will not be returned to me.
Verify and Submit Application
Please verify that you are human*
I am a robot
Should be Empty:

Application

Personal Information

Military Status and Dependents

High School and College

Additional Information

Social Security Number

Age at Application, Under-16, and Parental Information

Acknowledgements

Verify and Submit Application