Gonzaga University Transmission & Distribution Certification Program Application Form
Tell us a bit about yourself:

Gonzaga University would like to collect your Social Security Number for two reasons:
  1. Zagmail.  In order for you to create and access your Zagmail email account, we will need to have your SSN on file. This new email account is where Gonzaga will send all official communication after enrollment.
  2. Tax Forms. Gonzaga University is required to report to you and to the Internal Revenue Service certain information concerning your status as a student on a tax statement called Form 1098-T (Tuition Statement).  We need your SSN in order to send your 1098-T

Additional Applicant Information

If you are a United States citizen, please answer the following two questions. If not, please skip them.

Regardless of your answer to the prior question, please indicate how you identify yourself (you may select one or more)::

 

Which course are you interested in enrolling in? Please select only one:

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 presented, and that these documents will become the property of the institution to which I am applying and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree should the information I have certified be false.