BASIS DC Public Charter School

Student Information

Legal First Name*

Last Name*

Chosen First Name

Birthdate*

Pronouns

Pronouns Other, please specify.

Contact Information

Email Address*

Mobile Phone Number*

I wish to receive text messages from Goucher College

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Education Information

Current or Last School Attended*

CEEB Code*

Do you intend to apply as a first year or transfer student?*

First Year

Transfer

Year and Semester you plan to attend Goucher*

Interests

Academic Interests (Major 1)*

Academic Interests (Major 2)

Academic Interests (Minor/Concentration)