Spring Explore Goucher Day

Legal First Name*

Last Name*

Chosen First Name

Date of Birth*

Student Email Address*

Mobile Phone Number

Communication Preference

Mailing Address*

Country

Street

City

Region

Postal Code

Will you be applying as a first year or transfer student?*

First Year

Transfer

Year & semester you plan to enroll at Goucher*

Current high school/college*

Current school CEEB Code

Intended college major

In addition to you, how many should we expect in your party?*

Parent/Legal Guardian First Name

Parent/Legal Guardian Last Name

Relationship Type

Parent/Legal Guardian Email Address

Do you have a connection to Goucher? (current student, alumnae/i, faculty or staff member)

Yes

No

Please elaborate on your connection to Goucher, including relationship to you, full name, class year, title, etc.)

Comments (mobility concerns, dietary restrictions, etc.)