Application for Admission

Thank you for your interest in Goodwin College. By submitting this online application you are one step closer to realizing your dream!

Information concerning birth date & gender is being collected for reporting purposes only and will not be used in the selection process for admission.

Personal Information

Semester you are applying for

Program of interest


Gender

Permanent Address

Permanent Address (Cannot Be A P.O. Box)

Phone Number(s) / Email

Mailing Address (if different)

Emergency Contact

Ethnicity

Please provide the following race and ethnic data. This information is requested on a voluntary basis by the U.S. Department of Education, National Center for Education Statistics. Your answer will not affect admission to or registration in the college.

Do you consider yourself Hispanic or Latino (including Spain)?

Regardless of your answer to the prior question, please select one or more of the following categories that best describe yourself:

Education

Do you have a high school diploma?

If you do not have a high school diploma

Do you have a general equivalency diploma? (GED)

Do you have an adult high school diploma?

Do you have a home-school diploma?

By providing my initials, I hereby certify that I have graduated from high school or attained the equivalent credential.

Admission Status

Highest Education Level

Previous College Background (starting with most recent)

Family Education

Please check the following for family members with whom you lived while attending high school who have completed a four-year college degree.

Father/Stepfather

Mother/Stepmother

Guardian

Employment Information

Are you employed?

Does your employer have a tuition reimbursement program?

What is your current annual salary ?

References

Please list three individuals you have known for at least one year

Reference 1

Reference 2

Reference 3

Citizenship Status

Are you a United States citizen?

If no, what is your country of citizenship?

Are you a Permanent Resident of USA? ( I-9 card )

If "yes", enter Alien registration #

Military Status

Are you a United States Veteran?

Are you currently on active military duty?

Are you currently a dependent of an active military family?

Applicant's Statement

I, the undersigned, apply for admission to Goodwin College. I agree that the information given on this application is true to the best of my knowledge. I realize that failure to disclose fully and accurately all facts relating to this application could be grounds for dismissal. I understand that if this application is accepted and I enroll at Goodwin College, my contract with the College will include, and I have an obligation to abide by, all the terms and conditions in the Academic Catalog, as well as all policies, rules and regulations of the College. THE COLLEGE'S POLICIES, TERMS AND CONDITIONS INCLUDE DISPUTE RESOLUTION PROCEDURES AND AN AGREEMENT THAT ALL CLAIMS OR DISPUTES BETWEEN THE STUDENT AND THE COLLEGE WILL BE SUBJECT TO MANDATORY BINDING ARBITRATION AND A CLASS ACTION WAIVER. I acknowledge that I have carefully reviewed the dispute resolution procedures and the Arbitration Agreement, and I understand that they affect my rights.


Upon completion of my degree/certificate, I grant permission for Goodwin College to contact my employer to evaluate the effectiveness of the College's curriculum, strengthen its program and make certain the material covered is appropriate. I authorize my employer to release dates of employment, job title, description of responsibilities and salary information to Goodwin College. Individual student information will not be published externally or used for any purpose other than internal data analysis. Consolidated information will be utilized for the purpose of fulfilling regulatory graduate employment reporting requirements. Further, I hereby grant permission for the College to photograph or videotape me and/or my schoolwork products for use in college publications and marketing materials. This application and the commitments herein are made with my consent, and I hereby guarantee the payment of all financial obligations incurred.

Parent or Guardian Statement

This application and the commitments herein are made with my consent, and I hereby guarantee the payment of all financial obligations incurred by the Applicant. I hereby agree to, all the terms and conditions in the Academic Catalog, as well as all policies, rules and regulations of the College, including the Arbitration Agreement and Class Action Waiver. Upon Applicant's completion of his/her degree/certificate, I grant permission for Goodwin College to contact the Applicant's employer and I authorize the Applicant's employer to release dates of employment, job title, description of responsibilities and salary information to Goodwin College. Further, I hereby grant permission for the Applicant and/or their schoolwork products to be photographed or videotaped and used in college products.

(Required if applicant is a minor)

For office use only:
Admissions Officer Signature: _______________________________________

Goodwin College complies with the "Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act." This report contains a summary of the Goodwin College Safety Department's policies and procedures along with crime statistics as required. Anyone wanting a copy of the report may obtain one by contacting Goodwin's Academic Department at (860) 528-4111 or by stopping by the office.

Goodwin College is an affirmative action/equal opportunity educator and employer, fully committed to the goal of providing equal opportunity and full participation in its educational programs, activities, and employment without discrimination because of race, color, religious creed, sex, age, national origin, political affiliation, marital status, veteran status, sexual orientation, mental or physical disability, or any other consideration not directly and substantively related to effective performance. This policy implements Federal and State laws, regulations, and executive orders. This information is collected for reporting purposes only and will not be used in the selection process for admission.