Can I Study at Other Programs?


Online Petition Program Seat Application

This application requests information that will be used to evaluate your eligibiity for an off-campus program. The College reserves the right to grant seats to applicants based on proven academic performance, moral maturity and personal motivation.

Please fill out the application form below with your information. Your responses to these questions will be used in evaluating your applications for a seat in an off-campus program. We encourage you to take your time and write considered responses to the personal statement questions.

1. Date of application:

2. Name of Petition Program and location:

3. Semester:

4. Some international petition programs MAY fulfill Global Understanding when taken with COR210 before hand and COR211 afterwards. Do you hope to use this off-campus semester to fulfill Global Understanding Core?

Yes. I will register for COR210 New Perspectives in Crossing Cultures 1 (pre-departure) and COR211 New Perspectives 2 (re-entry).
No-BUT. Although I am fulfilling the Global Understanding Core in other ways, I DO want to attend the New Perspectives sessions.
No. I am fulfilling the Global Understanding Core through another course.
Not Applicable. My program is domestic.

5. Last Name:

6. First Name (Given Legal):

7. Middle Initial:

8. Gordon College ID #:

9. Gender:

Male
Female

10. Date of Birth:

11. Place of Birth:

12. Country of Citizenship:

13. Valid Passport:

Yes
No
Not necessary for my program

14. If yes, what is the expiration date on your passport?

15. Full Name exactly as it appears on passport:

16. Email Address:

17. Campus Mailing Address:

18. Campus Phone/Cell:

19. Parent/Guardian (Last, First, MI):

20. Parent/Guardian Phone:

21. Parent/Guardian Email

22. Parent/Guardian Address in full:

23. Emergency Contact if other than Parent/Guardian: (Provide Name, Address, Phone and Email in full)

24. Off Campus study can affect your eligibility for institutional, federal and state financial aid. Please check with your Financial Aid Office to determine eligibility status should you be accepted into an off-campus program.

I receive Financial Aid and will meet with my Financial Aid Officer to determine which forms of financial aid are transferable to this program.
I am not currently receiving any forms of financial aid.

25. Do you have any chronic physical conditions that require regular medical attention or that may be relevant for consideration in a program that requires physical activity such as walking, etc.?

Yes
No

26. Do you have allergies to foods, plants, etc.? Are there any prescription or non-prescription medications that you take regularly that you would anticipate needing while you are attending this program?

27. Do you have any learning disabilities you would like the program faculty to be aware of?

Yes
No

28. Current Class Level:

Freshman
Sophomore
Junior
Senior

29. Expected Graduation Date:

30. Major Field of Study 1:

31. Major Field of Study 2:

32. Minor Field of Study:

33. Current GPA (Grade Point Average) as of most recently completed semester:

34. Name of Major Advisor:

35. Major Advisor’s Email:

36. Name of Faculty Reference:

37. Faculty Reference’s Email:

38. Name of Student Affairs Reference (someone in your campus Student Development or an RD - not an RA):

39. Student Affairs Reference's Email:

40. What is your motivation for participating in the program for which you are applying? How does the program meet your academic, personal and/or professional goals? (250 word minimum)

41. What in your past experience (international, educational or other) has prepared you for success in this program? What qualities or strengths do you possess that will contribute to your success in the program? (250 word minimum)

42. In the context of your own personal journey of faith, reflect upon your willingness to engage culturally diverse expressions of Christian experience. What is your experience with such engagement? (250 word minimum)

43. The program for which you are applying is structured with conditions of greater personal freedom than is normally the case in a Christian college environment. How are you likely to respond to this greater freedom? (250 word minimum)

44. If you do wish to fulfill Global Understanding CORE with this Petition Program, please address here how this program fulfills the goals of the Global Understanding Thematic Core. Please be thorough and specific. Refer to the my.gordon description of the Thematic Core to familiarize yourself with the requirements of the theme.